Clinical Patient Navigator

Healogics, LLC.; Somers Point (NJ); On-site; USD 26,000 - 32,000; Full time

Job summary

Healogics, LLC. seeks a Clinical Patient Navigator to support a dynamic outpatient wound care center with dual administrative and clinical responsibilities. You will greet patients, schedule appointments, verify insurance, and coordinate testing while supporting RN/provider workflows.

Requirements include a high school diploma or GED, CMA/EMT/CNA certification, current state license, and 2+ years in medical office administration. Familiarity with BLS and Microsoft Office is expected.

Qualifications

• High school diploma or GED; an associate degree is preferred.
• CMA/EMT/CNA certification approved by CAAHEP or ABHES is required.
• Current CMA/CNA/EMT license in the state of employment, maintained throughout.
• Minimum two years office admin experience; medical setting preferred.
• Prior medical coding experience is a plus.

Responsibilities

• Coordinate with Center leadership to maximize daily patient census.
• Greets patients, answers calls, schedules and reminds appointments.
• Obtain and verify patient insurance, pre-authorizations for services.
• Enter charges in databases and assist with data reconciliation.
• Assemble/maintain patient charts and coordinate testing with hospital departments.
• Assist RN/provider with wound care tasks and intake/discharge activities.
• Document care plans, communicate with team to ensure quality of care.
• Perform other duties as required.

Skills

BLS

Microsoft Office

Communication

Organization

Detail oriented

Confidentiality

Teamwork

Multitasking

Education

High School Diploma or GED

Associate’s degree preferred

CMA/EMT/CNA certification

State license as CMA/CNA/EMT

2+ years medical office admin experience

Tools

Microsoft Office

Job description

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.

Think you are a great fit? Learn more about this role here.

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non‑healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out‑patient clinic partnerships.

The Clinical Patient Navigator manages a variety of front office functions and is key to smooth operation of a dynamic outpatient wound care center as well as performs general office duties to assist the staff of the WCC. This individual serves in a dual administrative/clinical role to streamline workflow in providing effective and exceptional patient care.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities

Administrative Functions:

• Coordinates with Center leadership to maximize daily patient census.
• Actively participates in staff meetings to support key functions within the Center.
• Greets patients and other visitors, answers and routes calls to appropriate staff.
• Maintains all patient communication needs including scheduling, rescheduling, and appointment reminders. Also works and schedules for provider, according to the care continuum model.
• Obtains and verifies patient insurance information, to include pre-certifications and pre-authorizations for services and enters data in appropriate databases.
• Collects and enters patient charges in databases.
• Verifies and reconciles charges as directed, prepares monthly patient survey data and appropriate documentation, then transmits to providers.
• Assembles new patient charts, maintains and files existing patient charts, and spot checks charts for data completeness and signatures.
• Coordinates/schedules ancillary testing with other hospital departments.
• Arranges for patient transportation, as needed.
• Maintains office equipment and supplies as needed, and medical supplies as directed.

Clinical Functions

• Under the direction of the RN/Provider, provides wound‑related patient care as approved by hospital protocols, Policies & Procedures and scope of practice and with documented competencies where necessary
• May assist with intake and discharge within scope of practice and according to hospital bylaws and completion of appropriate skills competencies
• May perform hyperbaric oxygen therapy related duties, as needed, after completing the required Healogics hyperbaric training and completion of required skills competency
• May assist in Vein Clinic within scope of practice after Healogics Vein Clinic training completed (if applicable)
• Gathers patient information.
• Gathers necessary equipment and supplies for the RN or provider.
• Reports quality of care issues to Clinical Nurse Manager
• Communicates as needed with all team members regarding therapeutic interventions to ensure quality of care.
• May function as a Documentation Assistant (scribe) in accordance with Healogics policy
• Performs other duties as required.

Required Education, Experience And Credentials

• High School Diploma or General Education Development (GED); Associate’s degree preferred
• Graduate from a Certified Medical Assistant (CMA), Emergency Medical Technician (EMT) or Certified Nursing Assistant (CNA) program approved by the Commission on Accreditation of Allied Health Program (CAAHEP) or by the Accrediting Bureau of Health Education Schools (ABHES).
• Current CMA, CNA or EMT Certification licensed in the state of employment – to be maintained throughout the duration of employment in the position
• Minimum of Two (2) or more years office administration experience is required; Preferably in a medical setting, acute hospital, rehabilitation hospital, or skilled nursing unit.
• Prior medical coding experience preferred

Required Knowledge, Skills And Abilities

• Demonstrated competency in BLS (Basic Life Support)
• Proficient in Microsoft Office (Word, Excel, Outlook)
• Good customer, interpersonal and communication skills, both orally and in writing
• Organization and time-management skills
• Basic math skills
• Attention to details
• Ability to maintain confidentiality
• Ability to work in fast paced environment and to work on multiple projects at the same time
• Ability to work with others and in a team environment

Physical Demands

• Being in a stationary position for extended periods of time (4 hours or more)
• Viewing computer screen for extended periods of time (4 hours or more)
• Keying frequently on a computer for 4 hours or more
• Reading
• Lifting/moving items up to 75 pounds with equipment assistance
• Pushing/pulling
• Bending/stooping
• Communicating
• Writing
• Close, distance and peripheral vision
• Reaching/grasping/touching with hands
• Detecting sounds by ear
• Repetitive motions

Work Environment

• Primarily indoors environment
• Patient care environment
• Exposure to Hazards (blood borne pathogens, toxic chemicals, flammable explosive gases, etc)
• Exposure to mechanical equipment
• Proximity to moving objects

The hourly rate for this position generally ranges between $19.02-$23.34 Per Hour