Patient Navigator (H)

University of Miami; Medley (FL); Remote; USD 42.000 - 60.000; Vollzeit

Zusammenfassung

University of Miami is seeking a full-time Patient Navigator to work remotely out of the Medley, FL office. You will help patients overcome barriers to care, coordinate treatment plans, and monitor follow-up with caregivers.

This role emphasizes access to insurance, social services, and seamless communication with providers. Responsibilities include evaluating patients, guiding insurance verification, coordinating appointments, and educating patients on health resources.

Qualifikationen

• High School diploma or equivalent required.
• Minimum 3 years of relevant work experience required.
• Ability to process and handle confidential information with discretion.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Ability to maintain effective interpersonal relationships.
• Ability to understand and follow instructions.
• Building partnership with local community physicians and referral sources to the UHealth Systems.
• Maintaining communication with patients and healthcare providers to monitor patient satisfaction.
• Arranging special needs such as transportation, interpreting services, etc. as needed for appointments.
• Facilitate financial support, paperwork or medical records linkage to follow-up services.

Aufgaben

• Conducts patient evaluations to develop effective treatment plans.
• Ensures patients have access to insurance and social services for which they are eligible.
• Provides reminders of appointments and liaises between patients and providers.
• Identifies and resolves barriers to care.
• Educates and counsels patients on health issues and life situations.
• Maintains knowledge of community health resources and programs.
• Pre-registers and coordinates with insurance verification teams.
• Verify enrollment and deductible status for special contract programs.
• Notify parties of appointment times, referral criteria and insurance details.
• Intervene as liaison/advocate for patients, physicians, and staff.

Kenntnisse

Strong communication

Confidential handling

Interpersonal skills

Follow instructions

Community partnerships

Patient care coordination

Attention to detail

HIPAA knowledge

Ausbildung

High School diploma

Jobbeschreibung

Core Job Summary

The Department of UHealth Connect has an exciting opportunity for a full-time Patient Navigator to work remotely out of the Medley, FL office.

The Patient Navigator facilitates patients' ability to obtain services by identifying barriers to care, coordinating the development of treatment plans, and monitoring the implementation and follow-up of services ordered by caregivers. The Patient Navigator facilitates patients' ability to obtain services by identifying barriers to care, coordinating the development of treatment plans, and monitoring the implementation and follow-up of services ordered by caregivers.

Core Responsibilities

• Conducts patient evaluations to obtain information necessary for the development of an effective treatment plan.
• Ensures patients have access to insurance and social service programs for which they are eligible.
• Provides patient reminders of upcoming appointments and acts as liaison between patients and providers.
• Identifies and resolves real or perceived barriers to care.
• Educates and counsels patients on issues related to their health and life situations.
• Maintains current knowledge of community health, welfare resources, and any other programs available to patients.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
• Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
• Ensure that the appropriate appointment and registration information is documented at time of scheduling.
• Adhere to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards.
• Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality.
• Initiate pre-registration process and coordinate with the Central Insurance Verification and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment.
• Provide verification of enrollment and deductible status for persons enrolled in the School's special contract programs.
• Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
• Contact insurance company through telephone; inquire about patient information and benefits.
• Inquire via insurance companies and HMO's about referral, authorization information and letters.
• Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care.
• Assist in identifying trouble spots and problem patterns in the provision of care.
• Intercede for the patient as needed to obtain prompt, efficient, effective care (e.g. medical explanations, reduced waiting, billing inquiries, cost estimates).

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications

• High School diploma or equivalent required
• Minimum 3 years of relevant work experience required
• Ability to process and handle confidential information with discretion.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Ability to maintain effective interpersonal relationships.
• Ability to understand and follow instructions.
• Building partnership with local community physicians and referral sources to the UHealth Systems.
• Maintaining communication with patients and the healthcare providers to monitor patient satisfaction with the patient care experience.
• Arranging any special needs such as transportation, interpreting services, etc... as needed for the patient's appointment.
• Facilitate financial support, assistance with paper work or medical records and linkage to follow-up services.
• Prepare routine departmental correspondence to referring agencies and primary care providers.
• Serve as a liaison between the patients, the UHealth Systems, Medical Providers in order to increase the utilization of appropriate primary care and tertiary services.
• Will work to maximize patient use of appropriate and established health services, assists and guides patients in receiving medical services, educates patients on the appropriate utilization of care, appointments and treatments services, ensures that patients are able to access and keep medical appointments.
• Appointment setting and referral management as defined.
• Any relevant education, certifications and/or work experience may be considered.#LI-EL1

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:Full time

Employee Type:Staff