Patient Navigator

Description

Summary/
Objective

The Patient Navigator is a core member of the care team, including the patient’s medical provider, primary care team and other supportive members of the Pathways team. The Patient Navigator is responsible for assisting with health insurance applications and assistance programs. They assist with educating patients on services available in NorthShore, and/or other needs of the medical home. This role will assist with outreach events, as needed.

Essential Functions

Communicates to patients the purposes of the program and the impact it may have on their wellbeing
Understand the insurance programs available to patients and the information needed to qualify for the program
Accurately completes patient applications and provide patient education on available services and networks
Assists with Medicaid Primary Care Provider assignments or switches
Coordinates the intake process for new patients, including assisting with paperwork and providing social service referral information
Assists patients in accessing health-related services, including obtaining a medical home, providing instruction on appropriate use, overcoming barriers to obtaining needed medical care and/or social services
Help patients to solve their health insurance issues and grievances
Informing patients on financial aspects of care and linking patients to financial resources, as needed
Maintains use of proper ethical standards, informed consent and rational decision making
Collaborates with PCP, patient, and members of the health care team, including continuum of care settings and community

*These essential functions are a summary of the primary duties and responsibilities of the position and are not intended to be a comprehensive listing of all duties and responsibilities. The position will include other duties as assigned and duties are subject to change at the management's discretion.

Competencies

Planning and strategic foresight
Responsible Decision Making and Problem Solving
Integrity and accountability
Innovation and creativity
Adaptive and flexible
Leadership, teamwork, and conflict resolution
Professionalism and work ethic
Empathy

Work Environment

Work is performed in an office environment. Involves frequent personal and telephone contact with patients, physicians, and other healthcare personnel. Work may be stressful at times. Interaction with others is constant and interruptive.

Travel

Travel outside of Northshore locations will be rare for this position.

Qualifications

Required Role Qualifications

Minimum required education per state of Indiana/HRSA
Community Health Worker certification within 90 days (about 3 months) of employment
Lifestyle Training Coach certified within 1 year of employment
Indiana Navigator License within 3 months of employment
Application Counselor Certification within 3 months of employment
Indiana State Health Insurance Assistance Program (SHIP) Certification within 1 year of employment

Preferred Role Qualifications

Two years of experience working within a healthcare setting.
Required experience (if any)

Required Skills

Ability to analyze situations and solve problems at strategic and tactical levels
Excellent interpersonal and customer service skills
Ability to comprehend, interpret, and apply the appropriate sections of applicable laws, guidelines, regulations, ordinances, and policies
Ability to acquire a thorough understanding of the organization's hierarchy, jobs, qualifications, compensation practices, and the administrative practices related to those factors
Practiced at organization and planning
Employ Critical thinking and problem solving
Maintains composure and operates with emotional intelligence
Ethical reasoning and decision-making
Strong attention to detail
Receptive and responsive to feedback
Excellent verbal and written communication skills
Time management, prioritization, and sense of urgency
Proficient with Microsoft Office Suite or related software

Physical, Visual, and Audible Requirements

Physical Requirements

Activity

Occasionally (1 -33%)

Frequently (34-66%)

Continuously (67-100%)

Sitting

X

Walking

X