Care Navigator

Kidney-Specialists-of-Southern-Nevad; Las Vegas (NV); On-site; USD 55,000 - 75,000; Full time

Job summary

Kidney-Specialists-of-Southern-Nevad is seeking a Care Navigator to act as a liaison among KSOSN, partner facilities, dialysis organizations, transplant teams and surgeons. You will guide patients through referral, admission, dialysis initiation, and transplant list placement while maintaining a patient-safe, high-quality care environment.

The role emphasizes accurate data collection, timely communication with centers, and collaboration with multiple departments to optimize patient placement and

Qualifications

• High School Diploma or equivalent required.
• Minimum three years in a fast-paced healthcare environment with contract and network benefits familiarity.
• Excellent customer service, communication and organizational skills.
• Ability to read, write, speak and understand English fluently.

Responsibilities

• Serve as the primary contact for initial referrals and admissions to dialysis.
• Act as liaison with referral sources, centers, patients and discharge planners; gather medical information quickly for placement.
• Maintain dialysis census, dialysis reports and vascular access/transplant data.
• Schedule high-priority patients for ongoing health examinations.
• Assist with patient admission, transplant and vascular access processes; collect insurance and other data.
• Coordinate with Intake/Authorizations to establish appropriate patient placement; follow KSOSN procedures.
• Communicate promptly with centers and resolve issues impacting placement; escalate denials as needed.
• Build professional relationships with referral sources; provide outstanding customer service.

Skills

Customer service

Communication

Interpersonal skills

Organizational skills

Data entry

English proficiency

Adaptability

Education

Associate's Degree preferred

Bachelor's Degree strongly preferred

Tools

Microsoft Office

Electronic health records (EHR)

Job description

Position SummaryThis individual will serve as a liaison between KSOSN, partner facilities, dialysis organizations, transplant, and surgeons to successfully assist patients in having an optimal dialysis start, being placed on the transplant list and receiving care and education. The Care Navigator will be committed to creating a quality environment, promoting the patient experience and patient safety, creating an exceptional work experience for our clinical team and patients. The Care Navigator will partner with the leadership team to achieve KSOSNs goals.Essential Job Functions:Serves as the primary contact for the initial administration of patient referrals and admission to dialysis center for KSOSN providers, vascular access placement and transplant list placementActs as a liaison with the referral sources, centers, patients, and discharge planners; obtains medical information in a timely manner to ensure an expedited and efficient placement process to a preferred center locationResponsible for maintaining the dialysis census, dialysis reports and database vascular access and transplant placementsUses knowledge of KSOSN, patient, and referral source locations for proper navigationSchedules high priority patients for continuous health examinations.Responsible for following the patient admission process, patient transplant placement and vascular access placement; communicates to appropriate parties according to the established procedures and in compliance with all regulatory requirementsCollects all data or packet for placement according to KSOSN policy to ensure efficient processing of placement, including insurance and other financial information; completes the preliminary paperwork and standard placement forms including assisting with collection and documentation of comorbid informationObtains necessary approvals to ensure the efficient processing of placement data according to KSOSN policies and proceduresUtilizes appropriate systems to ensure accuracy, tracking, and reportingCoordinates internally and externally with Intake/Authorizations to establish appropriate placement of patientsFollows up in a timely manner, and escalates urgent needs such as placement denials from centers or billing groups to management as neededCommunicates in a timely manner with individual centers based on placement and prompt scheduling processesCollaborates with center staff and other internal departments to effectively to resolve issues impacting a patient’s placement processRecommends updates or changes to the admission criteria, policy, and procedureMaintains effective and professional relationships with all referral sources by providing outstanding customer serviceDevelops and maintains effective relationships through effective and timely communicationTakes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely mannerOther duties as assigned.DisclaimerThe duties, functions and responsibilities described above are not a comprehensive list. Additional tasks may be assigned from time to time or the scope of the job may change as necessitated by business demands.Minimum Requirements:High School Diploma requiredMinimum three (3) years of related experience in a fast-paced healthcare environment that includes familiarity with contract and network benefits.Must have intermediate knowledge of Microsoft Office applicationsMust possess excellent customer service, communication, organizational and interpersonal skillsMust be detail oriented with data entry proficiencyMust have the ability to adapt to change and support new policies and procedures in a positive mannerMust be able to read, write, speak, understand and satisfactorily communicate with others in English in person, over the phone and via emailAssociates Degree preferred; and Bachelors Degree strongly preferredSpanish a plus