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Care Navigator Coordinator
Job Ref # 50520
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Location:
Corporate
6560 Fannin St.
Houston, TX 77030

Category: Case Management/Social Work

Job Type: Full-Time

Posted Date: Aug. 23, 2019

Work Shift: DAY

Work Week: M - F


Job Summary



JOB SUMMARY
At Houston Methodist, the Care Management Representative serves as initial point of contact for patients, employees, vendors, clients, medical staff and other callers seeking help from the Care Management department. This position provides technical, clerical assistance and data management support to the care management department staff to facilitate efficient utilization of resources and discharge planning including referrals management, communication and collaboration with post-acute care providers, access to agencies and other community resources and transportation.  The Care Management Rep performs secretary duties including but not limited to coordinating needed physician referrals and appointments, conditions and assisting with population health initiatives, demonstrating independent actions necessary to provide competent and professional assistance to meet the needs of interprofessional health care team and patients.  This position coordinates, oversees, records and transmits information pertinent to the resource management of patients to next level of care providers and performs a wide variety of administrative duties of a higher complexity in support of Care Management operations.

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.


PEOPLE - 25%
1. Assists and coordinates various functionality and utilization of patient, employee and client database including data entry; assuring database is kept up-to-date. Proactively contacts patients, employees and clients to arrange follow-up on process or outcome goals that are determined or required. (EF)
2. Communicates in an active, positive and effective manner to all interprofessional health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others.   (EF)
3. Works collaboratively and maintains active communication with Care Navigators, physicians, nurses, office staff and other members of the multidisciplinary care team to resolve problems that are identified during follow-up phone calls. (EF)
4. Answers telephones, troubleshoots and directs calls and requests to appropriate individuals from patients, employees and clients while evaluating, documenting and managing their needs. Proactively acts as a patient advocate, responding to and working to resolve patient concerns. (EF)

SERVICE - 20%
1. Coordinates referrals and services, as ordered by Care Managers and providers, following department standards, for patients with community resources, communicating effectively with community agencies and service providers to facilitate care coordination and information sharing.  (EF)
2. Coordinates and arranges appointments for providers and patients for patient meetings, procedures, and appointments and sends correspondence as designated. (EF)
3. Assists with clerical and clinical functions for patients, employees and clients requiring transitions in care form hospital to home as well as coordinate needed physician referrals and appointments, management of chronic disease conditions and assists with population health initiatives.  (EF)

QUALITY/SAFETY - 25%
1. Documents activities as required by program type, statistical forms and procedures and maintains complete patient records while keeping complete patient confidentiality. Responsible for proficiently, accurately and timely entering of data in the medical record systems.  Submits data, reports and spreadsheets to Quality programs, meeting deadlines, as required by initiatives.(EF)
2. Conducts pre-visit chart review to identify all needed preventive health maintenance, immunizations, and chronic disease interventions.  Communicates needed interventions to providers or ordered by protocol.  (EF)
3. Assesses the status of patients discharged to self-care through telephonic contact 48-72 hours after hospital discharge. Collaborates and coordinates with the patient and family to ensure all ordered services and treatments are in place and that appropriate Medical follow-up has been scheduled. (EF)
4. Participates in quality improvement initiatives and collects data for use in departmental performance improvement as directed. Maintains timelines for follow up and prioritization of department projects and tasks (EF).

FINANCE - 15%
1. Organizes and performs office/clerical tasks to ensure that patient information and reports are processed efficiently and accurately, medical records are maintained, charges are processed and reports are completed and distributed in a timely manner.  Coordinates department technology and communication systems. (EF)
2. Self-motivated to independently manage time effectively and prioritize daily tasks.  Provides input into the department resource utilization including capital and operational budget needs as appropriate.  (EF)

GROWTH/INNOVATION ¿ 15%
1. Monitors processes and work flow across the department and recommends changes for improving efficiency and quality.  (EF)
2. Identifies evidence-based practice/performance improvement projects based on research and observations by offering solutions. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS
o High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
o Associates degree preferred

EXPERIENCE REQUIREMENTS
o Three (3) years of healthcare experience which could include physician¿s office, acute care, long term care, home health and/or Case Management

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
o None

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
o Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
o Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
o Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
o Demonstrates respect for individual, cultural and social diversity
o Strong assessment, organizational and problem solving skill as evidenced by capacity to prioritize multiple tasks and role components
o Able to work in a fast paced environment committed to providing immediate resolution to patient problems
o Proficient computer skills including Microsoft products, data entry, retrieval and report generation
o Ability to work independently while collaborating with other team members and exercise sound judgment in interactions with physicians, payors, and patients and their families
o Knowledge of Medical Terminology


Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of  race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor – priority referral Protected Veterans requested.



Company Profile

Houston Methodist (HM) is one of the nation’s leading health systems and academic medical centers.  HM consists of 7 hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center and six community hospitals throughout the greater Houston metropolitan area.  HM also includes a research institute, a global business division, numerous physician practices and several free standing emergency rooms and outpatient facilities.  Overall, HM employs over 20,000 employees.   FORBES magazine has placed Houston Methodist on its annual list of Best Employers in 2016.  Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.

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