The Patient Services Navigator (PSN) is responsible for assisting patients who are in transition after being discharged from the hospital or receiving care in the emergency department. The overall goal is to reduce the risk of hospital readmission and to avoid unnecessary emergency department visits by navigating the patient through the healthcare system.
SPECIFIC DUTIES: * Supports the mission, vision and values of Community Medical Centers by modeling impressive relationship, communication, and job skills with the overall goal of providing excellent patient-centered treatment, care and services in a team environment. * Establishes and maintains daily communication with area emergency departments, discharge planners, and hospitalists to learn of CMC patient activities in those facilities * Enhances access to care for new CMC patients by working to establish PCP relationships for continuity of care and using disease specific protocols for entry into care. * Works in close collaboration with providers and other health care personnel to relay significant social and emotional factors underlying a patient's health problems by completing initial assessment and screening tools. * Works directly with patients/families who have had a recent emergency department visit to ensure appropriate follow-up * Raises awareness about the right health care in the right place by providing education about alternatives to emergency medicine and the benefits of receiving primary care vs emergency care * Carries out tasks to execute the medical and support service plans by linking patients with appropriate resources and appropriate referrals to outside agencies * Documents all patient encounters in the patient's medical record * Prepares routine correspondence to/from referring agencies and PCPs * Coordinates care plan adherence activities such as appointment reminders, arranging transportation, etc. * Participates in all departmental in-service training, quality improvement activities, and departmental staff meetings as appropriate. * Prepares reports in a timely fashion as directed and may be responsible for performing grant related data entry. * Maintains personal knowledge base of available resources, both in-house and externally. * Maintains age specific competency * May be required to interpret for patients and staff on an as needed basis * Assures client/patient confidentiality * Proactively assumes responsibility for continuous improvement activities and is receptive to accepting other job duties as assigned and as delegated.