Job Information
West Virginia University Hospitals, Inc. Patient Navigator (JR24-42688) in Morgantown, West Virginia
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The Patient Navigator is a member of a multi-disciplinary team and will assume responsibility and accountability for the management of patients through the healthcare system.
MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in Healthcare Management, Public Health, or other related field OR; 2. Associate's degree in Healthcare Management, Public Health or other related field AND two (2) years of experience directly related to the duties and responsibilities specified. OR; 3. High school diploma or equivalent AND (4) years of experience directly related to the duties and responsibilities specified.
PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in Healthcare Management or Public Health. EXPERIENCE: 1. Three (3) years' experience in the healthcare field. One (1) year of experience in statistical data analysis.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Establishes close relationships with and serves as primary point of contact for patients. 2. Strategizes to help find payor population based on regional payer mix by collecting and analyzing market data. Responsible for verifying insurance benefits and ensuring coverage for obesity treatment for patients. 3. Maintain a working knowledge of insurance payors pre-certification requirements for medications, diagnostic testing, surgery, referrals, etc. Proactively review policies for changes to prevent delays in certification where applicable. 4. Educates providers and staff on payor regulations in order to prevent denials. 5. Removes barriers to care by identifying resources for patients and helping them navigate through healthcare services. 6. Works with different service lines to assure coordination of appointments if applicable. 7. Schedules patient appointments and adjusts as needed. This includes coordinating appointments with laboratory or diagnostic testing, ensuring adherence to appointments, reminder calls, and managing the patient wait-list. 8. Will be aware if one of their assigned patients is admitted and will round on them daily / assists with scheduling discharge appointments. 9. Assists with getting prescriptions filled. Assesses cost, availability etc. 10. Documents patient information and obtains outside records, as needed. 11. Engages family and/or community... For full info follow application link.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)