Patient Care Navigator
The Position: Reporting to the Vice President of Clinical Operations, performs as Coordination of Care Service Center (CCSC) department generalist and first point of contact. Supports CEI non-PACE functions as necessary. Independently performs assigned duties. Interacts with all levels within and outside the organization to release or receive information and handles issues within scope of the role. Requires extensive knowledge of the CCSC and related vendors operations; communicates directly with participants and facilitates appointments and transportation.
Duties and Responsibilities:
Acts as initial point of contact for all department calls
Triages calls appropriately
Provides administrative support for PACE and non–PACE care coordination functions including printing/faxing/scanning of participant documents
Orders office supplies for CCSC
Manages ordering and installation of emergency alert system for participants
Initiates calls for clinical or administrative information as requested
Receives information and assures delivery to correct recipient.
Sends clinical information as directed. Forwards incoming calls and or arranges call appointments as needed.
Arranges for discharge transport, follow up internal and external appointments with associated transport.
Receives SNF acceptance information and notifies case manager. Receives MD orders and assures distribution to appropriate parties. Communicates with SNF’s regarding CEI transfer paperwork and appropriate actions to be taken. Confirms receipt of orders and arrival of participant at SNF.
Open to best practice model suggestions. Offers input and complies with department standards of care and practice as well as quality improvement activities.
Listens to and documents participant concerns and facilitates satisfactory resolution.
Interfaces with participants for data collection, scheduling and care coordination needs.
Performs other duties as needed to support the CCSC team and assist with provision of care coordination services.
· Associate degree or higher, and 3-5 years of progressively responsible experience related to health plan operations.
· Demonstrated excellent customer service and oral communication skills required
· Health plan experience with member coordination/communication and clerical management experience required (usually 3-5 years).
· Basic knowledge of PC’s and related software required. Accuracy, productivity, dependability and good attendance is critical.
· Ability to perform duties in heavy workload environment.
· Experience in PACE Programs. Experience in electronic medical records and advanced computer skills.
The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and/or as requested by management.
Founded in 1992, Center for Elders’ Independence has earned the reputation as the one of the premier safety net organizations and community resources for seniors and healthcare in the East Bay. CEI's interdisciplinary team approach to care planning and care implementation provides high quality, affordable, integrated health care services to the elderly.
This is what our some of our staff say about working at CEI:
“The integrated team work at CEI is wonderful.”
“I love the work and the people. It’s a joy and an honor to work with the elderly and offer them quality care.”