Job Description

Job Location: NORTH IM - Hixson, TN 37343

Position Type: Full Time

Job Shift: DayAnnual Wellness Navigator I, MA

Schedules patients for procedures and advises patients of surgical and financial preoperative requirements. Coordinates and schedules appointments for procedures at the clinic, ambulatory surgery center or hospital.

Summary/Objective

The AWV Navigator will work under the direction of the Population Health Manager to satisfy the EMR pre-population of upcoming Annual Wellness Visits on all qualifying patients in order to identify, address, and monitor preventative care measures for a specified patient population.

Essential Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.

• Proactively identify, address, and track the status of quality measures and other preventative services by pre-populating Medicare Annual Wellness Visits.
• Contact patients prior to their Annual Wellness Visit (AWV) in order to define the goals and steps of the AWV experience
• Conduct clinical interviews via telephone or telemedicine platform for health record inventory, health risk assessment and pre-population of the medical record in advance of the patient-provider encounter
• Develop proficiency and thorough understanding of evidence based clinical guidelines and HEDIS quality measures as they apply to specific patients and insurance policies.
• Communicate and coordinate the AWV patient experience with their aligned physician and clinic staff regarding documentation completeness, preventive care needs and/or patient concerns
• Assist with in-person AWV health inventories, health risk assessments and chart pre- population when necessary
• Responsible for maintaining and managing reports detailing the patients contacted, patients not contacted, visit status, open gaps, gap status, etc.
• Organizes and prioritizes tasks as to successfully complete duties in a timely manner
• Using the Practice Management system to reschedule Annual Wellness Visits as needed and in accordance with provider specific preferences
• Must have clear communication with your patients, team members, and manager
• Must be knowledgeable of the EMR system and be able to utilize all features, including but not limited to faxing, managing CCDAs, managing order tracking, changing statuses in EMR, and adding health related information into the appropriate place in the medical record

Other Duties/Responsibilities

• Attend all meetings requested by the management team
• Have positive communication with the patients and introduce yourself to them while they are in the office if schedule allows
• Be knowledgeable of all Galen services to make recommendations to the patients
• Respects patients by recognizing their rights; maintaining confidentiality
• Protects self and other team members by following all compliance, HIPAA, and infection prevention guidelines and regulations
• Consistently demonstrates high standards of integrity by support Galen Medical Group’s mission and values
• Maintains professional and technical knowledge by completing continuing education credits
• Performs other functions as assigned by management team

Knowledge/Expectations/Abilities

• Promote the mission, vision, and values of Galen Medical Group.
• Maintain confidentiality of all patient, medical, financial, and legal information.
• Report to work on time and as scheduled.
• Wear identification during work hours.
• Represent the organization in a positive & professional manner.
• Ability to handle difficult situations involving patients, physicians, or others in a professional manner.
• Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
• Comply with all organization policies and standards regarding ethical business practices.
• Participate in performance improvement and continuous quality improvement activities.
• Attend regular staff meetings and in-services as directed by your manager.
• Consistently demonstrate the value of team concept.
• Ability to manage multiple and simultaneous responsibilities.
• Complete assignments efficiently and in a timely manner.
• Understands and abides by OSHA, HIPAA & CLIA standards

QualificationsQualifications

Education

• High School Diploma, or equivalent

Experience

• Minimum of three years of healthcare with three years of clinical experience required.
• Minimum of two years of experience in Utilization Management, Case Management or Care/Disease Management preferred.

Skills/Certifications

• Excellent customer service skills.
• Exceptional skills of independence, organization, verbal and written communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem-solving ability.
• Must be PC literate with strong computer navigational skills, as well as extensive knowledge of Windows and Microsoft Office.
• Knowledge of basic medical terminology.
• Proficient with processes to build teams and participate in cross-functional teams.
• Ability to work within specified timeframe requirements, including timeframes for goal achievement.

Galen Medical Group is a member of the TN Drug-Free Workplace, and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.