Patient Advocate - Columbia - Proactive MD

    Proactive MD
    Proactive MD Columbia

    2 days ago

    Default job background
    Full time Healthcare
    Description

    Job Title

    The Patient Advocate (PaD) role is crucial in facilitating continuity in patient care and serving as a conduit of care between the health center and the community.

    The PaD will engage employees and their dependents before, during, and after visits to the center to ensure personalized, informative, and compassionate care.

    This position is supported by and reports to the Director of Patient Care Navigation, working closely with the Client Relations, Clinical Operations team, Health Center Provider, and Client HR Team.

    Key Responsibilities:

    • Coordinate care with external specialists, imaging centers, labs, medical equipment providers, counselors, and community resources under the direction of the Provider.
    • Ensure electronic medical records are provided to Proactive MD's Provider following any specialist visit and that Provider records are sent to specialists prior to patient visit.
    • Receive prior authorizations required by the insurance company for tests or procedures and send prior notification to insurance regarding procedures or referrals.
    • Continuously refine and update the list of value-based providers suitable for referral in the community the Health Center serves.

    Patient Engagement:

    • Engage with patients to encourage use of the Health Center.
    • Encourage and coordinate follow-up visits at the Health Center.
    • Work in coordination with the on-site Provider, Client Relations, and Client representative to develop outreach campaigns and educational resources.

    Patient Education:

    • Be knowledgeable about and provide information to patients regarding available community services that could enhance their care.
    • Coordinate patient care and treatment plans; provide educational materials/consultation; follow up on patient well-being.

    Health Center Synergy:

    • Coordinate with Clinical Operations in times of high Health Center utilization to ensure that patients are greeted, checked in, and roomed, and phones are answered.
    • Engage with provider in role of 'embedded' case manager for optimal utilization of skills and abilities.

    Required Knowledge, Skills & Abilities:

    • 2+ years of experience working in a healthcare setting, Medical or Healthcare Social Work in a similar setting, or Case Management role.
    • Bachelor of Social Work Degree.
    • Current BLS certification through American Heart Association valid for at least 90 days after start date.
    • Medical terminology, including understanding of specialists.
    • Knowledge of the concepts and principles of medical case management.


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