Patient Navigator Peds Endocrinology - Main Campus

This position is responsible for communicating with patients and UHACO staff in support of various population management campaigns for University Hospitals Accountable Care Organizations (Medicare ACO, Employee ACO, and Commercial Partnership ACOs). This position is based in a physician practice location or centrally located delivering services remotely to all populations.

What You Will Do

• Develop individual, trusted, relationships with patients via telephonic and electronic means focused on guiding the patient through: routine preventive care, health maintenance visits, diagnostics services, utilization of specialty care services, hospitalizations and post-discharge services, long-term health planning, community resources and ongoing health and wellness activities.
• Analyze data sources to identify at-risk patients and assist in developing specific care plans to address health concerns, gaps in care (such as medication adherence) and other challenges. Connect patients with available resources in partnership with case managers to assist patients in identifying and overcoming barriers.
• Facilitate culturally-competent communication between patients, physicians, health plan and the community.
• Assist in facilitating communication and appropriate referrals between plan members and UHACO staff.
• Review reports to identify members (based on pre-defined processes and criteria) and make initial calls to ACO members to screen and educate about UHACO services
• Assist with various projects and UHACO initiatives as needed.
• Maintain and update documentation to track patient progress through individual care plan.
• Conduct population research and assess needs to develop and/or provide input to member care plans.
• Assist with quality reporting and documentation.
• Follow call scripts and pre-defined processes to conduct outreach.

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.