Quality of Care Navigator (MA's)
Job description
For nearly 50 years, Family Health Centers of San Diego (FHCSD) has provided affordable, high-quality health care and supportive services to all San Diegans. With more than 2,500 employees spread over 50 sites around the county, FHCSD is proud of the diversity of its staff as a reflection of the communities it serves. The reward of working at FHCSD is more than a paycheck and excellent benefits; it is the impact and contribution to the San Diego community that employees value most. If you are passionate about improving the overall health and livelihood of your community, FHCSD is looking for people like you.
Family Health Centers of San Diego (FHCSD) is looking for a Medical Assistant-Quality of Care Navigator to guide and manage assigned patients to ensure quality of care guidelines are met. In collaboration with the interdisciplinary care team will assist patients in establishing care with primary care provider. Provide needed support to ensure access to care, maintaining compliance with preventative and quality care tests, screenings, and visits.
Responsibilities:
- Assist patients mainly via telephone and sometimes in person with assessing potential barriers to care and identifies supportive steps to overcome these barriers, assisted and unassisted referrals, resources and follow-up; including linguistic needs, learning style preferences and transportation needs. Assists with navigational support to overcome identified barriers depending on patients presenting needs.
- Assist with establishing managed care patients’ medical homes and care with a primary care provider.
- Conduct routine queries of FHCSD electronic health record (EHR) system to identify patients that need preventative screenings to improve quality measure performance.
- Improve quality measure performance through engaging members, schedule clinic appointments, provide an overview of the preventative screening processes and, advocate patients on following up for screening appointments.
- Work closely with medical provider to assist with completion of prior authorization and Patient Assistance Program requests.
- Perform thorough follow-up on select referral orders from providers, maintaining timely accurate documentation of all efforts and outcomes.
- Provide non-biased assistance to managed care patients to include but not limited to modifying and/or selecting their primary care provider or assigned clinic, assisting patients in filing appeals/grievances, communicating with managed care plan staff and acting as a liaison between FHCSD and managed care plans.
- Perform other duties as assigned.
Requirements:
- Medical Assistant diploma from an approved course required.
- Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training required.
- High school diploma or GED equivalent required.
- Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
- Ability and means to travel as needed in a timely manner within San Diego County, to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Age 21; Licensed for a minimum of 3 years; No violations and/or accidents within 3 years; No vehicle related suspensions/reinstatements; No DUI, reckless or felony Driving within 7 years.
Rewards:
- Job type: Regular Full Time
- Competitive Salary with Excellent Benefits
- Retirement Plan with Employer Match
- Paid Time Off, Extended Sick Leave and Paid Holidays
- Medical/Dental/Vision/FSA/Life Insurance
- Employee Discounts and Wellness Programs
FHCSD was founded by community activists working towards a common goal: caring, affordable, high-quality medical care for all. We are proud to continue this mission today as we provide accessible services to over 210,000 patients across San Diego County. The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved.
Job Type: Full-time
Pay: $20.00 - $25.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekend availability
Work Location: One location
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.