Patient Navigator

Company: University of Miami - Miller School of Medicine
Location: Miami
Posted on: March 19, 2023

Job Description:

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Department of UHealth Connect has an exciting opportunity for a full-time Patient Navigator to work in Medley, FL. The Patient Navigator facilitates patients' ability to obtain services by identifying barriers to care, coordinating the development of treatment plans, and monitoring the implementation and follow-up of services ordered by caregivers. * Conducts patient evaluations to obtain information necessary for the development of an effective treatment plan. * Ensures patients have access to insurance and social service programs for which they are eligible. * Provides patient reminders of upcoming appointments and acts as liaison between patients and providers. * Identifies and resolves real or perceived barriers to care. * Educates and counsels patients on issues related to their health and life situations. * Maintains current knowledge of community health, welfare resources, and any other programs available to patients. * Adheres to University and unit-level policies and procedures and safeguards University assets. * Provide general information about University of Miami Health System services to patients and community health care providers. * Provide support to University of Miami Health System departments and clinics for information inquiries and problem resolution. * Maintain direct communication with providers and staff in the Medical Center and Satellite Offices. * Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need. * Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria. * Adhere to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards. * Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality. * Assure patient registration demographic and insurance information is accurate, complete and up to date. * Provide verification of enrollment and deductible status for persons enrolled in the School's special contract programs. * Notify patients of their financial responsibility prior to visits for costly ancillary tests or surgical procedures. * Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. * Assurance all demographic insurance information is accurate, complete and up to date on patient's screen. * Contact insurance company through telephone; inquire about patient information and benefits. * Inquire via insurance companies and HMO's about referral, authorization information and letters. * Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care. Assist in identifying trouble spots and problem patterns in the provision of care. * Intercede for the patient as needed to obtain prompt, efficient, effective care (e.g. medical explanations, reduced waiting, billing inquiries, cost estimates). * Performs all above-mentioned tasks by paying attention to detail and providing excellent customer service skills with Patients, Physicians and other related members by following the Standard of Excellence and Accountability policy mandated by the University Of Miami Miller School Of Medicine. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. MINIMUM QUALIFICATIONS * High School diploma or equivalent required * Minimum 3 years of relevant work experience required * Ability to process and handle confidential information with discretion. * Ability to communicate effectively in both oral and written form. * Ability to handle difficult and stressful situations with professional composure. * Ability to maintain effective interpersonal relationships. * Ability to understand and follow instructions. Any appropriate combination of relevant education, experience and/or certifications may be considered. #LI-NN1 PHYSICAL REQUIREMENTS/ WORKING ENVIRONMENT The following sections capture the physical demands and working environment that are required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Environmental Dimension Never Occasionally Frequently Constantly Conditions of extreme heat or extreme cold Wet/Humid conditions Fumes/Dust/Dirt/Smoke Confined areas High places Equipment in motion High noise levels Environmental hazards Exposure to TB Exposure to Blood-borne Pathogens Exposure to Radiant Energy Outdoor/Exposed areas Equipment Used Equipment Used Never Occasionally Frequently Constantly Vehicle Type Operate vehicles (Select Vehicle) Use hand tools Use power tools Physical Requirements Physical Dimension Never Occasionally Frequently Constantly Weight Sitting Standing Walking Stooping/Climbing Carrying Kneeling Crouching Bending Crawling Reaching Handling Sensory Requirements Sensory Dimension Never Occasionally Frequently Constantly Vision Type Vision Near Depth Perception Color Vision Peripheral Concentration Use of keyboard or touchscreen Talking Feeling Smelling The above statements are intended to describe the general nature and primary responsibilities of this job classification. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job. This a job profile description and not all duties may be assigned to a specific position in each individual department. End of Job Description The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: c103

Keywords: University of Miami - Miller School of Medicine, Miami , Patient Navigator, Other , Miami, Florida