Patient Navigator- Care Management:East Petersburg, PA: Full time- Day shift

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job:Patient Navigator- Care Management

Hours: 08:00am-4:30pm

Location: Commercial Avenue- 1097 Commercial Avenue

Department: Primary Care-Care Management

POSITION SUMMARY: The Patient Navigator (PN) will be an integral member of the Care Management multi-disciplinary outreach team. Together with Care Managers, Social Workers and providers, the PN will assist in care plan development and implementation, provide advocacy to patients, help develop care management strategy for enrolled patients and help create linkages for the various health and social needs of patients. The Patient Navigator will be the direct contact for patients enrolled in the program and will help provide the coaching necessary for identified patients to achieve success in implementing and achieving their healthcare goals. The PN will be responsible for leading the multi-disciplinary team meetings/huddles and implementing suggested approaches to providing better care. The PN will meet the patients in all settings including home, inpatient, outpatient and specialty office settings, as appropriate.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Works under the direction of the care team; determines plans for care management; coordinates care plans and completes tasks as necessary to complete social/behavioral care plan goals. Tasks may include, but are not limited to:

- Coordination of public assistance/entitlements

- Coordination of behavioral health services

- Triaging after hours questions from enrolled patients as appropriate

- Accompanying patients to appointments as needed

- Arranging referrals to any additional services (e.g. supportive housing programs, legal aid, etc.)

- Assists patients in learning medication adherence systems, as well as conducting medication reconciliations as appropriate

• Acts as a liaison between the Emergency Department, specialists, community resources and managed care/insurance plans on behalf of enrolled patients to ensure patient-centered coordination of care.
• Engages in the coaching of patients and caregivers on health literacy as determined necessary in achieving identified goals.
• Forges and nurtures partnerships with local service organizations and community resources to broaden support services for patients.
• Enters and maintains electronic records, compiles reports and completes other program documentation and administrative responsibilities in a timely manner (e.g. progress notes, incident reports, client track, letters, etc.).
• Participates in interdisciplinary case conferences/team meetings/huddles.
• Plays a consistent and active role in identifying project inefficiencies and finding collaborative solutions to the problems.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Participate in the education of nursing and medical students that may rotate through the Care Connections Clinic.
• Comply with OSHA, HIPPA and other mandated safety procedures or regulations.
• Attend meetings run by community organizations as deemed necessary
• Attend continuing education classes or conferences as deemed necessary
• Participates in the on-call responsibilities for this position as required.
• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• High School Diploma or General Equivalency Degree (GED) with at least one year of experience in the social services and/or medical field or as a former high-risk patient who successfully transformed their health, in conjunction with healthcare providers, utilizing education and controlled preventative measures.
• Strong understanding of medical terminology, case management and/or outreach services.
• Exceptional organizational and interpersonal skills, with attention to detail required; strong oral/written communication skills is a must
• Ability to work collaboratively in a team, manage multiple priorities, utilize effective time management skills, and exercise sound administrative and clinical judgment.
• Demonstrated ability to work well with people of various ages, backgrounds, ethnicities, and life experiences.
• Valid Pennsylvania Driver’s License; must have daily access to an insured automobile. 
• Ability to travel to multiple office locations and into patient homes.

PREFERRED QUALIFICATIONS:

• Licensed Practical Nurse (LPN), Paramedic/Emergency Medical Technician, or other licensed health care practitioner,
• Bilingual (changed from proficiency in the Spanish language. )
• Prior acute hospital experience or ambulatory practice experience
• Demonstrated comprehensive knowledge of social and community resources.
• Prior experience with patient home visits

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.