Care Navigator

OnPoint Medical Group is searching for an outstanding Care Navigator to join our team at our Corporate office! Come join a great group of medical professionals as our network continues to grow!

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.

Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The Care Navigator is accountable for assuring a high standard of quality and care management support for the value-based care (VBC) contracts with which OnPoint participates. This position is responsible for having a full understanding of the quality measure specifications and payment methodologies associated with the various VBC programs. The Care Navigator will be working to optimize performance in VBC contracts through the attestation of services rendered via payer portals, in collaboration with quality payer program representatives to achieve measurable outcomes.

This position is onsite at the Highlands Ranch Corporate Office.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Conduct chart reviews, data entry, documentation, and attestation submissions for value-based care gap closures.
• Conduct outbound calls to patients recently discharged from hospital to ER to ensure appropriate follow-up with primary care providers.
• Collaborate with the Population Health Team to identify barriers and develop solutions to meet quality metric targets, reduce costs and improve health outcomes for patients.
• Support clinic initiatives for care delivery interventions and outreach patients with gaps in care, as needed.
• Communicate quality metric notifications to providers and practice teams via EMR.
• Conduct outbounds calls to pharmacies and/or patients regarding medication adherence.
• Outreach specialists for consult notes, as needed.
• Review payer patient lists to supply clinics with the most up to date information on patients with open gaps.
• Manage daily distribution of the transitional care management patient file to clinics and upload monthly patient attribution to CORHIO.
• When the need arises, will perform other duties as assigned by supervisor.

Qualifications

Licensure/Certification/Education/Experience

• Experience in Population Health/Quality, care management/coordination, primary care or other related field.
• Commensurate experience in public health, social services or other health care field may take the place of this requirement.
• Competence in the ability to triage patients over the phone.
• LPN License or Medical Assistant Certificate preferred.
• Strong computer skills, particularly related to Microsoft applications (Word and Excel).
• Working knowledge of health information technology
• Comfort with exploring and learning to use new or unfamiliar applications or databases.
• Experience with Athena EMR preferred.
• Experience with Value-Based Care payer portals.

JOB ELEMENTS/WORKING CONDITIONS

• While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
• Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

Work Environment

The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

BENEFITS OFFERED

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

Salary: $25 - $30 / hour

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.

OnPoint Medical Group is an EEO Employer.

#ID22

#PM22

#ZR