Clinical Product Navigator

Responsibilities/Job Description:

Fairview is looking for a Clinical Product Navigator to join our team.  This position is a 0.9 FTE (72 hours per pay period) and is a mobile position.  This position oversees centralized panel and population health managementof the health plan and provider payer products. These new products have been established in support of Accountable Care to grow patient attribution as well as increase utilization of health care services within the Fairview Health Network. A key component of the product is the transition of care management and chronic disease management from the partner health plans to the provider network. The navigator position will provide centralized support to both FMG and Independent clinics in the outreach and enrollment of individuals into programs and services. This individual will coordinate care efforts for a safe, effective, efficient and patient centered transition along the health continuum. Serves as a resource and educator to patient, service and clinical staff

 

 

Job Responsibilities

• Establish a population health management navigation process in support of care and case management across FMG and Independent clinics.

  • Partner with key stakeholders to establish best practice and standardization
  • Assesses, analyzes, plans and transitions identified patients for appropriate care.
  • Facilitates timely referrals and fosters positive relations with FHN Independent providers.

• Work with service onboarding team and clinical offices to Identify opportunities to improve process, reduce variation and ensure effective and efficient use of resources

  • Understand/evaluate workflows and continuously implement improvements
  • Collaborate to reduce variation in process

• Analyze new attributed lives and referral data. Manage risk stratification and identification process. Reach out to patients to ensure program understanding and enroll in appropriate patientsprograms supported by their medical home.

  • Follow patient progress
  • Identify gaps in care
  • Serves as a liaison between patient, chosen clinic and MSO. Promote patient centered care based on jointly determined health care goals and priorities
  • Collaborates with appropriate staff to provide coordinated transition of care across the healthcare continuum.
  • Utilize and or create EPIC shell and monitor patient through EPIC or other EMR’s
  • Reaches out to patient to engage in plan of care.
• Functions as a resource to patient care units, outpatient clinics and medical staff regarding the payer product and panel the patient is aligned with.

• Serves on task forces and committees related to the product delivery and management.

  • Keeps up to date on product enhancements and advances.
  • Consults with other areas regarding opportunities for improvements.

• Assists with research projects which may include collection data, data analysis and evaluation. May identify research projects.

  • Manages database to track high risk patients, outcomes and other specific categories.

• Promotes program and assists with marketing efforts.

  • Identifies opportunities for educational and or promotional consumer materials.
  • Serves as a liaison for FMG and Independent providers for the payer products.
• Develops and maintains critical competencies listed in this job description.

Required Qualifications

• 2 years care coordination experience
• Outstanding communication and collaborative skills
• Patient focused
• Patient advocacy
• Registered Nurse in State of MN Upon Hire

Preferred Qualifications

• Bachelor of Arts
• 3 years RN experience and care coordination experience

 

Qualifications:

$89,980.80- $127,025.60 Annual