Manager Patient Navigator Program Jobs in California

RPM Patient Navigator

The Patient Navigator will be responsible for patient/member outreach activities related to managing chronic conditions, mainly hypertension and diabetes. The patient Navigator will provide direct support to patients in a 1:1 setting to ensure patients feel confident utilizing remote monitoring devices and understand how these tools will aid their health. This role is pivotal in guiding patients through their treatment journey.

This role works as support to our Senior Program Director and will lead the remote patient monitoring program at UCHC.

General Accountabilities

• Welcome patients into continuous care program(s) and review benefits and services included
• Educate patients on the frequency and use of their assigned in-home monitoring devices
• Patient Outreach calls or messages patients to troubleshoot equipment, encourage daily compliance, and provide basic health education.
• Interpret and comply with quality assurance standards.
• Ensure ongoing abidance by industry regulatory and quality requirements.
• Documenting and reporting product or service quality levels.
• Complete health risk assessments as necessary.
• Monitor Payer data reporting requirements and upload all data payor data portals.
• Present and monitor program performance that include enrollments, activity, and compliance
• Meet program deliverables and organizational goals; including grant deliverables
• Monitor all payer portals and respond to all insurance-driven requests for data, working with the QAQI team as necessary to complete data requests.
• Conduct random chart audits for the clinical team.
• Data entry, Answer, refer and/or follow-up via telephone, fax, email and mail with patient questions related to the program and specific needs of the patients. Triage to the appropriate Care team.
• Maintains accurate documentation in google sheets or tracking logs.
• Performs routine specialized procedures, such as setting up the iHealth products for the patients under established protocols.
• Manages clinic inventories and medical supplies.
• Educates and advises patients on specific medical issues within established parameters to include obtaining prescription information.
• Directs patient flow following provider schedules/patient appointments.
• Coordinates routine office activities and administrative functions to support clinic activities.
• Other duties as assigned by the Senior Program Director.

Requirements

Job Qualifications

• College degree preferred, but not required if candidate has relevant work experience.
• Previous experience in member services/community outreach capacity; knowledge of regulatory requirements.
• Good verbal communication skills, including ability to effectively communicate with internal and external customers
• Knack for implementation of corrective action programs.
• Experience in eCW pressed, but not required.
• Superb computer competence, including experience with databases and Microsoft Office.
• Knowledge of QA terms, tools, and methodologies.

Skills

• Working knowledge of HRSA, FTCA, and FQHC-specific compliance requirements.
• Strong communication and facilitation skills across multidisciplinary teams.
• Ability to analyze data, identify trends, and implement solutions.
• Proficiency in Microsoft or Google suite applications.

Skills: Language

• Bilingual-English/Spanish is required.

Physical Requirement

• Physical effort which may include occasional light lifting to a 25 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. The ability to sit or stand for extended periods of time is required.
• Flexibility to work in multiple locations throughout the week.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to travel to all UCHC facilities as needed.
• Occasionally required to sit and walk.
• Finger dexterity required.
• Hand coordination required.
• Specific vision abilities required for this job include: close vision, distance vision, ability to adjust or focus.

Work Environment

• Exposure to adverse conditions.
• Exposure to extreme heat.
• Exposure to extreme cold.
• Exposure to wet and/or humid conditions.
• Exposure to moving mechanical parts.
• Exposure to high, precarious places.
• Exposure to fumes or airborne particles.
• Exposure to toxic or caustic chemicals.
• Exposure to outside weather conditions.
• Possible risk of electrical shock.
• Exposure to explosives.
• Possible risk of radiation and vibration.
• Protective clothing or equipment is required including: gloves, helmets, steel-toed boots, protective eyewear.
• The noise level in the work environment usually is high.

Acknowledgement:

I have been given a copy of this position description. I understand that I may be asked to perform job-related duties not listed in the description and that my duties may change at any time, according to the UCHC needs. Nothing in this position description is intended to create a contract of employment of any type. Employment is strictly on an at-will basis.