Population Health Navigator II

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitlePopulation Health Navigator II LocationCleveland FacilityRemote Location DepartmentAdministration-Weston Hospital Job Code001285 ShiftDays Schedule8:30am-5:00pm/8:00am-4:30pm Job SummaryJob DetailsJoin the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Population Health Navigators demonstrate outstanding customer service skills and use evolving technology to manage a wide range of patient needs and requests, such as appointment scheduling, connecting others with resources, navigating the Cleveland Clinic Health System network, following up with general and/or health-related questions and navigating insurance benefits and coverage. Caregivers in this role are also responsible for coordinating population health activities and assisting with coordinating care, processes, activities and duties of the Ambulatory Care Management, Community Care and Quality Alliance departments. A caregiver in this position works days from 8:30AM-5:00PM or 8:00AM-4:30PM. This caregiver will work remotely and is required to be based in Florida. A caregiver who excels in this role will: Collaborate with caregivers across the continuum to assist in patient navigation for low, moderate and rising risk patients.Perform activities to proactively close care gaps, assist with health maintenance, schedule office and preventative care visits, and assist with navigating health insurance benefits and coverage. Outreach can occur via telephone, letter, or MyChart, amongst others.Perform data gap closure in the payor portals.Assist with coordinating population health activities to help improve quality and safety outcomes for an assigned patient population.Assist with PCP fidelity.Perform onboarding and off-boarding activities to assist patients with seamless provider-related transitions.Facilitate care and connection to Cleveland Clinic services with benefit alignment.Pend orders for PCP and schedule follow up appointments.Collaborate effectively with all members of the primary care team, leadership, and multi-disciplinary caregivers.Support and participate in process improvement efforts.Serve as a liaison between the navigation and primary care team members, insurance companies, and patients.Attend team-led meetings for assigned payors.Provide coaching and support to the Population Health Navigator I team members for workflow questions.Review clinical documentation and coding to determine that conditions are actively being managed including staff messages to providers.Provide coverage to peers.Participate in educating patients about Cleveland Clinic services and network navigation, promoting available programs and services.Minimum qualifications for the ideal future caregiver include: High school diploma or GEDThree years of recent experience working with patients in a clinic setting or an equivalent position that interacts with patients, physicians and other departmentsKnowledge of data collection, analysis, medical terminology and HIPAA regulationsProficient in Microsoft OfficePreferred qualifications for the ideal future caregiver include: Associate's or Bachelor's Degree. This will substitute one year of the required experienceOur caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ Physical Requirements:Must be able to sit for prolonged periods of time.Possess good visual acuity through normal or corrected vision.Possess dexterity to operate a PC and other office equipment.Light driving to outside locations within the region.Personal Protective Equipment:Follow standard precautions using personal protective equipment as required.The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities