Patient Navigator

Rhode Island Medical Society; Rhode Island; On-site; USD 42,000 - 56,000; Full time

Job summary

Ortho Rhode Island is seeking a Patient Navigator to join our team, serving as an elevated Medical Assistant and care coordinator. You will support physicians with patient care tasks while managing scheduling, documentation, and referrals.

The role requires excellent organization, communication skills, and proficiency with EMR systems, HIPAA and OSHA guidelines, as you help patients access care and navigate our orthopedic services.

Qualifications

• Clinical experience as Medical Assistant or equivalent
• Strong organizational and communication skills
• Ability to work in a hybrid clinical/administrative role

Responsibilities

• Drive clinic processes with the physician and team
• Room patients, obtain vitals, document histories, and prepare for exams
• Assist providers with clinical procedures and exams
• Provide patient education regarding care instructions and follow-up
• Maintain cleanliness, stock supplies, and prepare exam rooms
• Follow HIPAA/OSHA protocols
• Proficient in EMR software
• Lead clinic operations as part of the physician's team
• Greet patients, answer messages, respond to inquiries
• Schedule appointments, coordinate referrals, and follow-up
• Obtain insurance authorizations and verify coverage
• Manage patient records and documentation in EMR
• Support care coordination and communication with providers
• Track patient progress and navigate external resources
• Manage FMLA/DOL paperwork and RX inquiries
• Perform other duties as assigned

Job description

Who we are:

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, Spire Orthopedic Partners is a growing partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices in today's evolving healthcare landscape. The Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.

Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.

What you'll do:

The Patient Navigator serves as an elevated Medical Assistant to the physician and of their care team by providing both clinical and administrative support to ensure seamless patient experiences. This role functions as a hybrid between a Medical Assistant and a Medical Administrator - supporting providers with direct patient care tasks while also managing scheduling, documentation, and coordination of services. The Patient Navigator is an individual with excellent organizational, administrative and communication skills. The Patient Navigator helps patients access the care they need, guides them through the healthcare system, and ensures efficient clinic operations.

Responsibilities/ Duties:

Clinical Support (Medical Assistant Functions):

• Drive the clinic process with the Physician for them and their team

• Room patients, obtain vital signs, document medical histories, and prepare patients for examinations.

• Assist providers with clinical procedures and exams as needed.

• Provide patient education regarding care instructions and follow-up

• Maintain cleanliness, stock supplies, and ensure exam rooms are ready for use.

• Follow infection control and safety protocols under HIPAA and OSHA regulations.

• Proficient in EMR Software

Administrative Support (Medical Administrator Functions):

• Leader of the Physician's team to oversee the clinic operations

• Greet patients, answer messages, and respond to inquiries with professionalism and compassion.

• Schedule appointments, coordinate referrals, and manage follow-up communications.

• Obtain insurance authorizations and verify coverage when necessary.

• Manage patient records, update EMRs, and ensure accurate documentation.

• Support providers with correspondence, test results, and care coordination.

• Track patient progress and assist with navigation of external resources or specialty services.

• Manage patient work related FMLA and DOL paperwork

• Manage RX inquiries/requests

• Other duties as may be assigned as necessary