Patient Navigator (Non-RN)

Community Health Systems, Inc.; Gadsden (AL); Sur place; USD 52 000 - 68 000; Plein temps

Résumé du poste

Community Health Systems, Inc. seeks a Patient Navigator – Non-RN to coordinate care transitions across the post-acute continuum. You will work with clinical and administrative teams to improve patient outcomes and optimize in-network resource use.

You will track utilization, identify readmission risks, and prepare performance reports for PAC partners and leadership, contributing to quality and cost goals while maintaining compliant documentation.

Qualifications

• Associate degree preferred in healthcare or related field.
• 3-5 years of experience in care coordination or navigation.
• 1-2 years with post-acute providers or ACOs preferred.

Responsabilités

• Coordinate care transitions across post-acute continuum to reduce readmissions.
• Collaborate with clinical and administrative teams to optimize in-network utilization.
• Track patient transitions and utilization trends using tracking tools.
• Educate referring physicians and staff about post-acute options and networks.
• Prepare utilization and readmission performance reports for leadership.

Connaissances

Interpersonal communication

Care coordination

Collaboration with teams

Data interpretation

Organizational skills

Patient engagement

Formation

Associate degree in healthcare or related field

Outils

Electronic Health Records (EHR)

Care tracking systems

Reporting tools

Description du poste

The Patient Navigator – Non-RN is responsible for coordinating care transitions, improving patient outcomes, and supporting appropriate in‑network resource utilization across the post‑acute continuum. This role collaborates with clinical and administrative teams, post‑acute providers, and community resources to reduce avoidable readmissions and ensure continuity of care. The Patient Navigator uses tracking tools and performance data to influence utilization trends, strengthen provider networks, and support overall quality and cost goals.

Essential Functions

• Supports the development and maintenance of a preferred post-acute care (PAC) provider network in accordance with facility and ACO guidelines.
• Reviews post-acute referral processes and identifies opportunities for improved coordination, efficiency, and patient experience.
• Utilizes care coordination software and reporting tools to track patient transitions, monitor utilization patterns, and identify potential readmission risks.
• Provides education to referring physicians and hospital staff regarding post-acute care options, network alignment, and preferred provider protocols.
• Monitors and analyzes PAC utilization metrics, including average length of stay (ALOS), RUG levels, emergency department visits, and transfers.
• Reviews readmission rates and retention metrics, partnering with PAC providers to support quality improvement initiatives.
• Documents all patient and provider interactions, referrals, and coordination efforts in accordance with facility documentation standards.
• Prepares and distributes utilization and readmission performance reports for PAC partners and ACO leadership.
• Collaborates with facility and system leadership to improve in-network utilization and ensure optimal patient navigation across the accountable care continuum.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree in healthcare, social services, or a related field preferred
• 3-5 years of experience in care coordination, case management support, or healthcare navigation required
• 1-2 years of experience working with post-acute care providers or accountable care organizations (ACO) preferred

Knowledge, Skills and Abilities

• Understanding of post-acute care services and transitions of care best practices.
• Familiarity with healthcare utilization metrics, readmission risk factors, and network management strategies.
• Strong interpersonal and communication skills, with the ability to engage with patients, families, providers, and interdisciplinary teams.
• Proficiency with electronic health records, care tracking systems, and reporting tools.
• Ability to analyze data and prepare performance summaries for operational decision-making.
• Knowledge of community resources and social support services.
• Strong organizational skills with the ability to manage multiple tasks and priorities.
• Commitment to quality improvement, patient-centered care, and cost-effective service delivery.