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Referrals Navigator

Company: Fair Haven Community Health Care
Location: New Haven
Posted on: May 3, 2021

Job Description:

Fair Haven Community Health Care (FHCHC) is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

For nearly 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients.

Its an exciting time for FHCHC. We are growing and looking for great talent to join us!  If you are a passionate, caring professional interested in improving the health of our community, wed like to know more about you.

Fair Haven Community Health Care, Inc.

FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 80,000 office visits in 14 locations.  Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.

This is a unique and exciting opportunity as FHCHC is about to double its current pediatric patients by virtue of a novel collaboration with its local academic health center. We believe that everyone should have access to high-quality medical and dental care, regardless of their ability to pay.

Job purpose

 To assist clinicians and patients in managing specialty and diagnostic referrals. When necessary navigates patients through the health care system from the initiation of the referral, to obtaining prior authorization, scheduling appointments and tracking and following up on results.

Duties and responsibilities

  • Works in close partnership with the clinical teams to manage all aspects of external referrals.
  • Obtains prior authorization for referrals when necessary.
  • Makes appointments and any additional referral arrangements with patient referral sites.
  • Documents all aspects of the referrals process in the patients Electronic Health Record and communicates with referring clinicians when patients cannot be reached.
  • Educates patients related to requirements of referrals, referral sites/ locations, and/or appointment specifics. 
  • Works with the Referrals Supervisor to educate clinicians on changes to the referrals process.
  • Works with the Referrals Supervisor, Executive Management, and Department Chairs to identify Performance Improvement needs and strategies for managing, tracking, and following up on referrals.
  • Manages a system for follow-up of referrals, by maintaining a searchable database, as directed by the Referrals Supervisor.
  • Works with teams and individual providers to clarify access issues or other barriers for particular referrals or groups of referrals.
  • Familiarizes self with and acts as an expert related to insurance practices and coverage or referrals by various payer sources.
  • Ensures patient confidentiality, and provides patients with needed information.
  • Performs other necessary duties as required by FHCHC to achieve the goal of providing high-quality services and primary health care

Qualifications

  • A strong knowledge base of medical terminology and procedures
  • Preferably multi-lingual in English and Spanish
  • Previous experience in a health care setting, ideally related to referrals processes
  • Principles of proficient data entry, preferably using a database such as Excel and/or Access
  • Excellent communication skills, pleasant attitude, ability to accept constructive criticism, and an ability to work well with staff and patients.

Technical Qualifications

  • High School diploma
  • Training as a Medical Assistant
  • Oral and written proficiency in English
  • Oral and written proficiency in Spanish (preferred)
  • Computer skills

Direct reports

  • None

 

OSHA Status:

Category IIILow-Risk Position 

Generally works in an office environment with no exposure to bloodborne pathogens

Physical requirements:

Physical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into a computer, pulling medical records,

Mental Demands: Ability to cope with continuously changing priorities under potentially stressful conditions

Manual Dexterity Required:  Ability to use a keyboard, telephone.

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job-specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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Keywords: Fair Haven Community Health Care, New Haven , Referrals Navigator, Other , New Haven, Connecticut

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