Patient Navigator – REMOTE / Work From Home – Referral Management SWHR CIN at Southwestern Health Resources CIN in Pittston, Pennsylvania

Job Description:

Patient Navigator - REMOTE / Work From Home - Referral Management

Southwestern Health Resources, a national leader in population health, is looking for a qualified Patient Navigator to join our Referral Mangement team.

If you're looking for a rewarding career at a patient-centered organization with work-life balance and comprehensive benefits, we want to hear from you.

Position Highlights

• Work location: This position is a Remote / Work from Home Opportunity

• Travel required 2 days or more monthly in office at SWHR Corporate Headquarters, 1603 LBJ Freeway, Farmers Branch, Texas 75234


• Work environment: Referral Management
• Work hours: Full-time, 40 hours weekly, Monday through Friday, 8:00am - 5:00pm

• 6 weeks Training, Monday through Friday, 8:00am - 5:00pm


• Salary range: $15.70 - 23.17 per hour (based on relevant experience)

• Please note: The Patient Navigator is employed by SWHR. SWHR is a clinically integrated network formed by Texas Health and UT Southwestern.

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health and UT Southwestern, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas. SWHR is also the parent organization of Care N' Care Insurance Co., a regional Medicare Advantage Plan serving more than 13,500 members in the region.

The SWHR network includes physicians from UT Southwestern and Texas Health, and independent community primary care and specialty physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, resulting in lower costs and high-quality care. In 2020, the Centers for Medicare & Medicaid Services released the annual financial and quality results and, based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations, having saved nearly $120 million since joining the program in 2017.

Qualifications

• High school diploma or equivalent (required)
• 6 months Healthcare Scheduling or Health Care Office Experience (required)
• Referral Processing or Scheduling Experience (preferred)
• Demonstrated knowledge of Intermediate Computer Skills (preferred)

Position Responsibilities SWHR Patient Navigator is a critical role in ensuring that individuals in our community are provided with every opportunity to have all the necessary care required for themselves and their family. These individuals make a difference by guiding patients through the complex medical system by processing and completing referrals as directed by Primary Care Providers, following Patient Navigation protocols and expectations, utilizing exceptional customer service skills to communicate with patient, referring and service providers, and clinic staff to complete referrals accurately and expediently to minimize errors and reduce delays in care. Document referral information in tracking program to be consistent with documentation in the EMR and communicates appropriately with all stakeholders. Messages primary care providers or designated clinic staff any and all patient care related concerns or relevant information, redirecting clinical conversations to clinical personnel, utilizing Patient Navigation team for assistance to complete referrals by utilizing appropriate communication forms and templates. Submits documentation to obtain insurance referral authorizations and pre-certification for ancillary services, diagnostic testing and imaging and coordinates pre-admission testing requirements with clinic personnel and patient. May educate patient on expectations and follows up on set tasks and pending or incomplete referrals.

In addition to the required qualifications, a successful Patient Navigator will:

• Have exceptional customer service skills
• demonstrate strong organizational skills, ability to prioritize
• follow protocols and standards
• be accurate, efficient and dependable
• have strong verbal and written communications with all levels of people; bi-lingual a plus
• demonstrate good judgment
• consults with others and shares knowledge
• have computer skills using Microsoft Excel, Word, and Outlook

Why Southwestern Health Resources
As a Southwestern Health Resources you'll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Moving healthcare forward
At the heart of SWHR are people who help people. We care about those we serve and each other. To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

We invite you to learn more about us at www.southwesternhealth.org .

Let's move healthcare forward - together.

Highlights:

• Combining the strengths of UT Southwestern Medical Center, Texas Health Resources and more than 2,500 community physicians, we offer the largest provider network in North Texas. SWHR covers approximately 700,000 patient members across 16 counties in North Texas.
• SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Additional perks of being a SWHR Patient Navigator

• Gain a sense of accomplishment by contributing in a teamwork environment
• Positively impact patients' quality of life
• Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources
• Enjoy opportunities for growth

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org .

Apply Now