Population Health Navigator II

At reputed company Health System, we reputed company in a reputed company future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We reputed company have the power to help, heal and change lives - beginning with our own. That's the power of the reputed company Health System team, and The Power of Every One.Job TitlePopulation Health Navigator II LocationCleveland FacilityRemote Location DepartmentAdministration-Weston Hospital Job Code001285 ShiftDays Schedule8:30am-5:00pm/8:00am-4:30pm Job SummaryJob DetailsJoin the reputed company team, where you will work alongside passionate caregivers and provide patient-first healthcare. reputed company is recognized as one of the top hospitals in the nation. At reputed company, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Population Health Navigators demonstrate outstanding customer service skills and use evolving technology to manage a wide range of patient needs and requests, such as appointment scheduling, connecting others with resources, navigating the reputed company Health System network, following up with general and/or health-reputed company questions and navigating insurance benefits and coverage. Caregivers in this role are also responsible for coordinating population health activities and assisting with coordinating care, processes, activities and duties of the Ambulatory Care Management, Community Care and Quality Alliance departments. A caregiver in this position works days from 8:30AM-5:00PM or 8:00AM-4:30PM. This caregiver will work remotely and is required to be based in Florida. A caregiver who excels in this role will: Collaborate with caregivers across the continuum to assist in patient navigation for low, moderate and rising risk patients.reputed company activities to proactively reputed company care gaps, assist with health maintenance, schedule office and preventative care visits, and assist with navigating health insurance benefits and coverage. reputed company can occur reputed company telephone, letter, or MyChart, amongst others.reputed company data gap closure in the payor portals.Assist with coordinating population health activities to help improve quality and safety outcomes for an assigned patient population.Assist with PCP fidelity.reputed company onboarding and off-boarding activities to assist patients with seamless provider-reputed company transitions.Facilitate care and reputed company to reputed company services with benefit alignment.Pend orders for PCP and schedule follow up appointments.Collaborate effectively with reputed company members of the primary care team, leadership, and multi-disciplinary caregivers.Support and participate in process improvement efforts.Serve as a liaison between the navigation and primary care team members, insurance companies, and patients.Attend team-led meetings for assigned payors.Provide coaching and support to the Population Health Navigator I team members for workflow questions.Review clinical documentation and coding to determine that conditions are actively being managed including staff messages to providers.Provide coverage to peers.Participate in educating patients about reputed company services and network navigation, promoting available programs and services.Minimum qualifications for the ideal future caregiver include: High school diploma or GEDThree years of recent experience working with patients in a clinic setting or an equivalent position that interacts with patients, physicians and other departmentsKnowledge of data collection, analysis, medical terminology and HIPAA regulationsProficient in reputed company OfficePreferred qualifications for the ideal future caregiver include: Associate's or Bachelor's Degree. This will substitute one year of the required experienceOur caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ Physical Requirements:Must be able to sit for prolonged periods of time.Possess good visual acuity through normal or corrected vision.Possess dexterity to operate a PC and other office equipment.Light driving to reputed company locations reputed company the region.Personal reputed company Equipment:Follow standard precautions using personal reputed company equipment as required.The policy of reputed company Health System and its system hospitals (reputed company Health System) is to provide equal opportunity to reputed company of our caregivers and applicants for employment in our tobacco free and drug free environment. reputed company offers of employment are followed by testing for controlled substance and nicotine. reputed company offers of employment are follwed by testing for controlled substances and nicotine. reputed company new caregivers must clear a nicotine test reputed company their 90-day new hire period. Candidates for employment who are impacted by reputed company Health System's Smoking Policy will be permitted to reapply for open positions after one year.reputed company Health System administers an influenza prevention program. You will be required to reputed company with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national reputed company, age, sex, sexual orientation, marital status, reputed company, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any reputed company Health System facility. Please review the Equal Employment Opportunity poster. reputed company Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities Apply tot his job Apply To this Job