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  • French Camp, CA 95231

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Patient Health Navigator

Health Plan of San Joaquin • French Camp, CA

Posted 1 month ago

Job Snapshot

Degree - High School
Other Great Industries

Job Description

Under general supervision, the Patient Health Navigator is responsible for using established protocols to help evaluate members and to help ensure that assigned members understand and can comply with prescribed care plans.
Essential Functions
  • Conducts initial health risk assessments for selected members; triages as appropriate.
  • Conducts initial and ongoing education of, outreach to and follow-up with members to help ensure they understand and adhere to their care plan.
  • Assists the member in identifying, completing and/or obtaining the required documents, tests and other items required for medical appointments.
  • Assists the member in identifying and addressing barriers to their ability to access and keep medical appointments, including arranging for the provision of transportation, DME and translation services.
  • Collaborates with primary care physicians and HPSJ care management staff to identify members requiring specialty care services.
  • Refers and connects members to appropriate community resources and support services.
  • Documents and maintains activities and records in appropriate HPSJ system(s) according to standards.

Job Requirements

Required Skills
  • Produces work that is accurate and complete.
  • Produces the appropriate amount of work.
  • Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
  • Rebounds from setbacks and adversity when facing difficult situations.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • Strong knowledge of community healthcare, financial and social resources.
  • Basic knowledge of medical policy benefits and exclusions.
  • Basic knowledge of the managed care delivery system.
  • Basic knowledge of the healthcare issues facing the underserved.
  • Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Skills in and ability to use tact and diplomacy to diffuse emotional situations.
  • Strong communication skills, with the ability to communicate professionally to diverse individuals inside and outside of HPSJ, and effectively explain complex information.
  • Strong listening skills.
  • Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
  • Ability to identify and solve problems in an efficient and effective manner.
  • Ability to work independently and as part of a team.
  • Basic analytical skills.
  • Strong assessment skills.
  • Basic skills in Word, Excel and Outlook.
  • Ability to enter data into and navigate through multiple systems.
  • Ability to speak and be understood in English.
  • Ability to handle confidential information with appropriate discretion.

  • Knowledge of and ability to apply basic medical terminology.
  • May require proficiency in one of HPSJ’s threshold languages (as defined by HPSJ’s Cultural and Linguistic Program).
  • Basic knowledge of the principles, practices and regulatory requirements of managed care.
  • Knowledge of Medi-Cal or other government sponsored programs and regulations as they apply to social work.

Required Experience
  • High school diploma or equivalent.
  • At least two years working as a community health advocate, patient advocate, patient coordinator or similar.

  • Associate’s Degree.
  • Experience working with Medi-Cal and other government sponsored programs.
  • Experience working in a managed care setting.

Licensure, Certification, Registration
  • Valid California driver license and reliable transportation, or the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.
  • Medical Assistant Certification.

Job ID: 1351-942
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