Job Summary

Provides support and guidance to patients referred to outside entities for follow up medical care to ensure all necessary care is received. Works in the external work queue identifying referrals needing attention, outreaching patients, scheduling appointments, assisting with overcoming barriers to obtaining care and retrieving the results for the external appointment. Provides support to both the patients and the primary care team.

Essential Job Duties & Responsibilities

• Manage referrals in the external work queue.
• Attends to Patient Navigation referrals in the internal work queue providing a higher level of support to the patient.
• Works collaboratively with the primary care providers to ensure the referrals are successfully addressed
• Engages all members of the medical team internal and external to successfully engage in care coordination.
• Retrieve results from Care Everywhere and Clinisync and know how to manage these results.
• Assist patients with identifying and overcoming barriers to attending to medical needs.
• Work collaboratively with the medical records teams to ensure all necessary documentation is in the medical chart.
• Educates patients on the importance of consistent medical care and having an identified provider rather than utilizing the emergency department. Assists with tracking necessary information related to special conditions (breast screenings, hypertension, pregnancy, etc.).Attends all scheduled agency and department meetings
• Engages in supervision as scheduled.
• Contributes to the department processes and identify ways to be more efficient with referral tracking.
• Manage multiple projects and reporting expectations at one time
• Other duties as assigned

Core Competencies

• Critical Thinking: Takes all critical information into account, considering interrelationships among issues and implications for other stakeholders. Applies knowledge, expertise, sound judgment and other references and resources as necessary to generate and evaluate solutions and recommendations. Understands and appropriately applies principles, procedures, requirements, regulations, and policies.
• Teaching: Ability to adjust language in order to effectively communicate information and treatment plans to patients. Identify appropriate learning model for each recipient to ensure appropriate delivery. Ability to assess level of understanding and adjust accordingly to ensure patient comprehension.
• Attention to Detail: processes information efficiently and consistently; maintains focus with working with detailed information; recognizes gaps in information and seeks clarification; monitors and reports discrepancies and concerns
• Interpersonal Skills: demonstrated emotional intelligence with an ability to balance an empathy forward response with families and throughout the organization. Enjoys working closely with other people to understand their concerns and seeks out the ways our workplace might address them. Able to use storytelling to advance a concept or idea.

Job Qualifications

• High School Diploma
• Bachelor’s degree preferred

Physical Demands/Work Environment

This job operates in a professional office environment. While performing the duties of this job, the employee is regularly required to speak and hear. The employee is frequently required to sit for extended periods of time, stand, walk, use hands and fingers, and reach with hands and arms. It requires the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Travel and work outside of normal hours may be required for meetings, presentations, trainings and other events.

This job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of The Centers. Since no position description can detail all the duties and responsibilities that may be required from time to time in the performance of a job, duties and responsibilities that may be inherent in a job, reasonably required for its performance, or required due to the changing nature of the job shall also be considered part of the jobholder's responsibility.

Supervisory

This position does not supervise any position.