Health Navigator - Fixed Term - 25-108

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The Health Navigator acts as the primary advocate for high-risk patients by helping them understand and navigate the complex managed care system. The purpose of the Health Navigator role is to improve patient health outcomes and increase compliance on quality metrics by educating and connecting the patient to an interdisciplinary care team, collect relevant patient information, provide linkages to necessary resources and non-clinical services.

Job Responsibilities

• Maintains strong working knowledge of managed care and healthcare systems
• Independently evaluates individual patient needs and connects patient to available internal and external resources of the medical group in order to improve quality compliance and reduce patient disease burden
• Address and stress with the patient the importance of clinical preventive screenings such as, but not limited to Colorectal, Breast, Cervical Cancer Screenings, Diabetes Care, Medication Adherence, Osteoporosis Screening and Medication Reconciliations.
• Build and maintain meaningful relationships with patients to facilitate care management by being a patient advocate
• Use and manage technology platforms to help identify at risk patient populations and to implement targeted interventions (e.g. HillMetrics, EPIC CareEverywhere, EPIC Tapestry, IVR platform)
• Under the guidance of the Supervisor and approved protocols the Health Navigator will direct patient to appropriate nurse case manager, clinical pharmacist, health educator and social worker depending on the unique needs of the patient
• Reviews pertinent health information with patient including post-discharge instructions, urgent care options, medical and pharmacy benefits and physician provider networks
• Assists patients with scheduling medical appointments and non-emergency medical transportation
• Ensures regular and consistent communications with patients by providing timely follow-up to ensure resolution of issues
• Participate in interdisciplinary clinical teams with nurse case managers, social workers, pharmacists, physicians and health educators in discussing patient cases in order to improve patient outcomes
• Provides clear documentation of all patient encounters meeting state and federal regulatory requirements
• Accurately captures patient’s general health status and information
• Administer non-clinical patient assessments
• All other duties as assigned
  
  
  

Required Experience

• 2 plus years’ experience in the health care delivery system with special emphasis at a provider office
• Background understanding general medical terminology and/or certification of medical coding practices
• Superior telephone customer service skills with ability to build trust and relationship with patient telephonically
• Demonstrated case ownership with ability to manage a range of priorities and meet specific deliverables
• Intellectual curiosity and willing problem solver
• Proficient skill level and experience with MS Office applications
  
  
  

Required Education

• High School Diploma/GED required or college degree highly preferred
  
  
  

Additional Information

Salary: $28 - $32 hourly

Hill Physicians is an Equal Opportunity Employer