Certified Medical Assistant, Communication Skills, Community Health, Community Programs, Community Support, Community and Social Services, Computer Skills, Customer Support/Service, Detail Oriented, Electronic Medical Records, Health Insurance, Healthcare, Healthcare Software, Hepatitis B, Legal, Medicaid, Medical Terminology, Multitasking, Organizational Development/Management, Patient Care, Patient Education, Plan Meetings, Presentation/Verbal Skills, Preventive Medicine, Quality Assurance, Quality Management, Quality of Care, Record Keeping, Reporting Skills, Safety/Work Safety, Social Work, Team Player, Time Management, Vaccination, Writing Skills
Patient Navigator
About PrimeHealth+
At PrimeHealth+, our mission is to improve the health and well-being of the communities we serve by providing accessible, high-quality, patient-centered care. We believe healthcare should be compassionate, collaborative, and focused on the whole person. Our team is dedicated to building healthier communities through exceptional care, strong relationships, and a commitment to making a difference in the lives of our patients every day.
About the Role
As a Patient Navigator, you will play a vital role in helping patients successfully navigate the healthcare system. You will serve as a trusted resource and advocate, assisting patients with referrals, prior authorizations, appointment coordination, and access to community resources.
This position requires strong communication skills, attention to detail, and a commitment to ensuring every patient receives the support they need throughout their healthcare journey.
What You'll Do
Care Coordination & Patient Support
- Coordinate referrals and specialty appointments based on provider recommendations and patient needs.
- Educate patients regarding referrals, appointments, procedures, and follow-up care.
- Ensure referral completion and facilitate timely communication between providers, specialists, and patients.
- Assist patients in understanding and accessing available healthcare services.
Patient Advocacy
- Help patients overcome barriers to care by connecting them with community resources and support services.
- Assist patients with access to financial assistance programs, social services, legal resources, specialty care, and other community-based programs.
- Serve as a resource for patients navigating complex healthcare systems and processes.
Prior Authorizations & Referral Management
- Maintain accurate tracking of referrals and authorization requests.
- Monitor pending referrals and authorizations to support timely patient care.
Documentation & Reporting
- Maintain accurate patient records within the electronic medical record (EMR) system.
- Track patient outcomes, referrals, recalls, and follow-up activities.
- Prepare reports and statistical information as required.
- Manage patient recall lists and assist with preventative care outreach efforts.
Collaboration & Quality Improvement
- Work closely with providers, nurses, medical assistants, and administrative staff to ensure seamless patient care.
- Participate in clinic meetings, quality improvement initiatives, and organizational projects.
- Support grant-funded programs, patient outreach initiatives, and community health efforts.
Qualifications
Required Education & Experience
- High school diploma or equivalent required.
- Strong computer proficiency and ability to learn healthcare software and electronic medical record (EMR) systems.
- Excellent verbal and written communication skills.
- Ability to work effectively in a fast-paced, high-volume environment while maintaining professionalism and attention to detail.
- Demonstrated ability to manage multiple priorities and maintain composure under pressure.
Preferred Education & Experience
- Knowledge of medical terminology.
- Three to six months of experience in a healthcare setting or related industry.
- Experience with patient referrals, care coordination, or healthcare navigation.
- Understanding of health insurance processes and prior authorization requirements.
- Familiarity with Medicaid and insurance verification procedures.
Additional Requirements
To ensure the safety of our patients, staff, and community, candidates must be current on or willing to obtain the following immunizations and screenings as a condition of employment:
- Tdap (current booster)
- MMR (Measles, Mumps, and Rubella) vaccination series
- Varicella (Chickenpox) vaccination
- Hepatitis B vaccination series
- Annual Influenza (Flu) vaccination
- Tuberculosis (TB) screening