Dignity Health

Patient Navigator

Job ID
2018-46971
Employment Type
Full Time
Department
Clinical Integration
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Location
Phoenix
State/Province
AZ
Standard Hours
Mon-Fri (8-5 PM)

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

 

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration.  The Care Coordination Navigator is an employee of Dignity Health Management Services Organization.

 

The goal of care coordination is to assist in managing care, cost, and outcomes across the continuum of care.  The implementation of sound clinical, fiscal, and operational strategies is critical to the continued delivery of quality services. Care coordination principles provide an opportunity to balance care with cost.  The ACN care coordination program’s purpose is to promote efficiency, efficacy, and effectiveness of services for patients.

 

The Navigator supports the primary care team with reducing fragmentation of patient care, improves compliance and access to care, supports efforts to reduce or remove treatment barriers, and assists patients in navigating their path through the continuum of care. The navigator will be working in the community, hospital, provider offices, skilled nursing facilities, and the ACN Command Center.  

 

PRINCIPLES DUTIES AND RESPONSIBILITIES

 

  • Effectively works with patients, staff, health service providers, agencies, etc. from diverse backgrounds to reduce cultural and social-economic barriers between patients and institutions.
  • Clearly communicates the purposes and services available in the ACN Care Coordination program to patients, family members and caregivers.
  • As part of the Care Coordination Team, assists patients in understanding care plans and instructions and helps patients actualize health management plans and goals.
  • Receive patient requests for assistance and refers patient to appropriate member of ACN Care Coordination Team (PCP, Care Coordinator, Social Worker, Pharmacist) for resolution, unless Navigator can resolve on his/her own and within the scope of the position.
  • Coaches patients in self-management of their chronic health conditions.
  • Develops relationships with community resources and service providers.
  • Assists patient with barriers to care including but not limited to scheduling appointments, transportation needs, and access to community resources unknown or otherwise unavailable to patients without appropriate referrals.
  • Documents activities, plans, and results in an effective manner to maintain case files and provide reports.
  • Works collaboratively with the rest of the ACN Care Coordination Team, including regularly communicating feedback from patients and providers.
  • Fully discloses relevant training, experience and credentials, in order to help patients understand the scope of services the community resource aide is qualified to provide and refrains from any activity which could be construed as clinical in nature.
  • If applicable; work in collaborative matter with team in physician office embedded in, as well as collaborate with assigned QPR, RN, SW as appropriate.
  • Basic understanding of ALOS, re-admission rates, Gaps in Care.
  • Other duties as assigned by Navigator Manager.

Qualifications

POSITION QUALIFICATIONS

 

  1. A) EXPERIENCE: At least three years’ experience as Medical Office Referral Coordinator, Medical Assistant, Health Plan or Managed Care Organization Utilization Technician. 
  2. B) EDUCATION AND TRAINING: High school diploma or equivalent.
  3. C) LICENSE, CERTIFICATION: None
  4. D) OTHER REQUIREMENTS: Must have excellent verbal communication skills.

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