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Job Title: Care Navigator I

Department: Dermatology 

Position Summary: Directly responsible for providing supportive care transition services to patients aligned to the health system’s value-based care programs  in collaboration with clinical and administrative stakeholders across the organization. Serves as part of a multi-disciplinary team to connect with our managed patient populations and their families, ensuring the necessary resources are in place to timely, safely, and effectively navigate the patient between each site of care until the patient is successfully discharged to home .

Patient focused with both medical and customer service experience desired. Prior experience with insurance companies and/or prior authorization submissions for prescriptions experience a plus!

Position Location: 3820 Northdale Blvd Tampa, 33624

Essential Functions:

  • Possesses a strong understanding of medical terminology and understands healthcare operations, patient engagement, physician 
    relations and all other healthcare related issues.
  • Takes initiative to develop knowledge, skills, and abilities to perform at a high level in the care transition navigation role, including 
    staying abreast of related care transition management news, documentation, and literature.
  • Ensures compliance with all necessary risk management programs, corporate quality initiatives, and other corporate objectives.
  • Partners with various healthcare entities and physician practices to foster integrated relationships with patients, families, and 
    caregivers to facilitate streamlined patient transitions across the continuum of care.
  • Assists patients and caregivers in navigating care services post-hospitalization, including development of patient-tailored post-acute 
    care plans and routine patient monitoring to ensure plan adherence.
  • Engages with patients using strong communication skills and utilizes patient feedback to identify current service needs and anticipate 
    future service needs using a patient-first philosophy.
  • Distributes approved educational materials and other care transition resources to patients and caregivers to effectively remove social 
    determinants of health barriers with the goal of preventing readmissions and other avoidable care events.
  • Advocates for patient needs by proactively identifying barriers to treatment plans and ensuring patients have access to needed 
    prescriptions, durable medical equipment, and other care services, as necessary.
  • Collaborates with the population health and value-based care departmental nursing team and relevant network aligned physician 
    partners to share, discuss, and modify care transition plans, as needed.
  • Maintains a high level of proficiency with organizational informational systems, including ELLiE Healthy Planet modules, to ensure 
    care transition support for our covered populations is efficient, timely, and effective.
  • Performs other duties as assigned to support the health system’s overall population health and value-based care team objectives.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state 
    and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.

Other Related Responsibilities:

  • Works comfortably in teams as a participant and facilitator, including temporary teams for project-based initiatives. 
  • Possesses the ability to prioritize and work independently in addition to being an integral part of the care team.
  • Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems.
  • Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards.
  • Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated.
  • Prior Authorization completion and tracking for prescriptions. 
  • Data entry and record keeping for pathology reports, biologic medications, labs/tests ordered.
  • Scheduling patients for treatment appointments in our office as recommended by our providers. 
  • Coordinating referrals from our office to outside Dermatologists, Surgeons, etc. 
  • Removing sutures as needed. 
  • Assisting with PDT Light Therapy treatments as needed. 
  • Assisting with allergy patch testing as needed. 
  • Making phone calls to patients with lab/pathology results, coordinating follow up appointments if needed. 
  • Making phone calls to pharmacies for prescriptions (calling in new scripts, checking status of previously sent scripts, etc.)
  • Making phone calls to insurance if needed.
  • Making phone calls to prescription representatives as needed. 

Physical and Mental Demands:

  • Normal physical ability; able to sit for long periods
  • Normal concentration and normal complexity of decision making
  • High level verbal and written communication skills
  • Above average ability to manage multiple tasks simultaneously

Occupational Exposure:

  • Low risk exposure to bloodborne pathogens and chemical hazards

Education/Training:

  • High school graduate or GED equivalent REQUIRED

License/Certification: 

  • n/a

Experience:

  • One (1) year experience as a Medical Assistant, Paramedic, Emergency Medical Technician, Military Allied Health Professional, Nursing Assistant or related health care role in value-based care or physician offices required.

 

We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status

Florida Medical Clinic Orlando Health is a drug-free workplace and maintains a policy in which new hires will be required to submit to pre-employment drug testing. This policy is intended to comply with applicable laws regarding drug testing and any privacy rights.