Patient Navigator-HOPD

Department: HOPD Pediatric Surgery Job Summary:  The Patient Navigator coordinates access of patients through the healthcare system from initial diagnosis or point of referral. Gathers demographic, employment, and insurance data necessary for registration and verifies insurance coverage and benefits. Gathers needed medical information,including diagnostic procedures, operative notes, and progress notes. Functions as a liaison between patients, families, outpatient clinics, primary care physicians, hospital base, and other support services. Requesting authorization for specific services as ordered by provider(s). Assists with patients in clinic environment. The duties outlined in this Job Description will be an important part of our Hospital Outpatient Department strategy for the delivery of care that is consistent with our mission, vision, and values.  This role is therefore accountable to the governance structure of the (Loma Linda University Medical Center) (Loma Linda University Children's Hospital). Performs other duties as needed. Education and Experience: High School Diploma or GED required and one year of college preferred. Minimum one year of working with pediatric patients preferred.  Minimum one year experience in a medical office front office setting and/or a hospital-based call center that schedules for multiple clinics or department required. Knowledge and Skills: Knowledge of medical terminology required.  Knowledge of age-appropriate vital sign parameters. Knowledge of all medical insurances and how they are used in a hospital/clinical based facility required.  Full knowledge of ICD-9 and CPT codes and how they are used in HMO authorizations required. Essential Technical/Motor Skills: Able to use a variety of office equipment and tools.  LLEAP functions (scheduling, referrals, outpatient documentation); Trace fax system, CCS PEDI system. Must utilize Microsoft Work, Excel, PowerPoint, Outlook and LLEAP systems. Essential Interpersonal Skills: Able to communicate effectively; telephone skills and etiquette essential; effective communicator, especially on the telephone and with individuals of differing levels of comprehension, including those who do not speak English (and Spanish Preferred); resourceful in getting necessary help; respond positively under changing circumstances; maintain patient confidentiality and a positive, supportive attitude toward patients and their families, physicians, co-workers and staff from various departments. Essential Mental Abilities: Interpret and understand patient records and various reports including, but not limited to, diagnostic procedures, laboratory findings; think critically; problem-solve; make sound decisions using common sense; work well under pressure; organize and prioritize workload effectively; multi-task; recall information with accuracy and pay close attention to detail; perform basic math functions; assess, evaluate, analyze data; communicate synthesis of information.  Must work independently with minimal supervision. Essential Sensory Abilities: Able to distinguish colors as necessary; write, hear, read and speak sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with workplace; see adequately to read computer screens and written documents necessary to position. Licensures and Certifications:  Medical Assistant or Certified Nurse Assistant (CNA) certification required. Basic Life Support (BLS) Certification issued by the American Heart Association required. Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities. We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001. Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant’s consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management. We appreciate your interest in Loma Linda and wish you success in your job search!