Patient Care Navigator - School Based Oral Health

We are recruiting for a Patient Care Navigator - School Based Oral Health to join our team!

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Department

ACS-CHS Grants Funded

Job Summary

The Patient Navigator II serves as an intermediary between the health care system, social services and the community to : facilitate access to services in support of families;

assist in the obtaining of care and resources needed to maintain health; reduce barriers that keep patients from getting timely treatment by identifying patient needs, and directing them to sources of clinical, financial or social support.

The Patient Navigator II plays an important role in both the Medicaid and CHP+ programs by welcoming families to Medicaid / CHP+, explaining their new benefits, referring them to an appropriate medical home and other community services, and educating them about the importance of regular well†child visits and other preventive care.

Under minimal supervision provides navigation services as it relates to outreach, care coordination and referral management.

Essential Functions :

Client and Provider Outreach ActivitiesEngage in outreach activities including but not limited to : outreach and administrative case management to members newly enrolled into Health First Colorado Medicaid and (CHP+) Child Health Plus Plan programs based on system reports.

Outreach to non†enrolled individuals and community†based organizations to bring awareness of Health First Colorado Medicaid, CHP+ and the Healthy Communities program.

Client outreach and program education services : Educate families about EPSDT benefits for Medicaid eligibility; including well child and oral health care as outlined by the Colorado Periodicity Schedule.

Provider Outreach : Educate Providers on the services provided by Healthy Communities including but not limited to : assisting with missed appointments;

resolving and clarifying the members' program eligibility; reporting of the clients newborn, and scheduling or contacting the client for follow†up services or other visits. (25%)

Community OutreachEstablish and maintain community partner relationships and provides outreach and education activities at community events, including evenings and weekend.

Plan, and coordinate collaborative efforts or activities with other Community Partners to ensure better service delivery and education to the population served.

Health fair participation in service to providers, community organizations and partners such as food banks or other non†profit organizations.

Assist Community Partners in understanding the Medicaid and CHP+ medical assistance programs, benefits and general program administration. (20%)

Patient Care CoordinationAssist with administrative and clerical duties as it relates to patient care†coordination and referral management.

Assist clients with scheduling appointments and transportation needs. Follow†up with members who missed their appointment as requested by physical, oral and mental health providers. (20%)

Case Management Liaison between health care providers and patients. Assist clients with the overall program navigation of Medicaid and CHP+ medical assistance program on a daily basis.

Assist clients with billing questions or issues regarding program benefits and navigating the Medicaid and CHP+ medical assistance programs on a day to day basis. (20%)

Data and ReportingData entry of patient information, medical record review (EPIC), triage phone calls, and directing phone calls appropriately.

Maintains reports, provide necessary documents and data by deadlines upon request. (5%)

Referral Management(and attributed in the system) and coordinating referrals when necessary, and following up to ensure clients have their well†child visits at the appropriate intervals.

Provide clients with lists and referrals to appropriate Medicaid or CHP+ Providers. Review details and expectations about the referral with members. (5%)

Community and Program Education Train and educate on the availability of services offered by the Healthy Communities program to community organizations and other program related partners.

Assist members in finding or accessing appropriate community resources and ensure families have access to the programs (5%)

Education :

High School Diploma or GED Required

Work Experience :

1-3 years of clerical / front / back office experience in a medical setting Required

Licenses :

Knowledge, Skills and Abilities :

• Service Orientation †Actively looking for ways to help people.
• Communicating †Communicating effectively orally and in writing as appropriate for the needs of the audience, express or exchange ideas by verbal communications.
• Organizing, Planning, and Prioritizing Work †Developing specific goals and plans to prioritize, organize, and accomplish your work.
• Knowledge of basic care coordination skills and community resources
• Maintain accurate documentation , provide exceptional customer service
• Problem solving; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
• Possesses a strong knowledge of computer fundamentals, Microsoft Outlook, Word, Excel and PowerPoint, Is highly skilled in navigating the internet to find relevant information.

Shift

Days (United States of America)

Work Type

Regular

Salary

$ - $ / hr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to , and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF programÂ

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit :