- Interpret and comply with quality assurance standards.
- Ensure ongoing abidance by industry regulatory and quality requirements.
- Documenting and reporting product or service quality levels.
- Complete health risk assessments as necessary.
- Monitor IPA data reporting requirements and upload all data to various IPA and payor data portals.
- Monitor all payer portals and respond to all insurance-driven requests for data, working with the clinical team as necessary to complete data requests.
- Conduct random chart audits for the clinical team.
- Data entry, Answer, refer and/or follow-up via telephone, fax, email and mail with patient questions related to the program and specific needs of the patients. Triage to the appropriate Care team.
- Maintains accurate documentation in google sheets or tracking logs.
- Performs routine specialized procedures, such as setting up the iHealth products for the patients under established protocols.
- Manages clinic inventories and medical supplies.
- Educates and advises patients on specific medical issues within established parameters to include obtaining prescription information.
- Directs patient flow following provider schedules/patient appointments.
- Coordinates routine office activities and administrative functions to support clinic activities.
- Other duties as assigned by QI Director
- College degree preferred, but not required if candidate has relevant work experience.
- Previous experience in member services/community outreach capacity; knowledge of regulatory requirements.
- Good verbal communication skills, including ability to effectively communicate with internal and external customers
- Knack for implementation of corrective action programs.
- Experience in eCW pressed, but not required.
- Superb computer competence, including experience with databases and Microsoft Office.
- Knowledge of QA terms, tools, and methodologies.
- Bilingual (English & Spanish) preferred.
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Patient Navigator
1 week ago
Pinnacle Fertility Inc. Los Angeles, United StatesPinnacle Fertility is the nation's fastest-growing physician-centric fertility care platform, supporting more than 25 high-performing fertility clinics and comprehensive fertility service providers nationwide. Under a united mission of fulfilling dreams by building families, Pinn ...
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Patient Navigator
4 days ago
Keck Medical Center of USC Los Angeles, United StatesThe Non-Nurse Patient Navigator assists with all aspects of patient care for clinic/unit. He/She serves as a primary contact caregivers who require assistance in understanding clinic processes and accessing necessary departments/personnel. Takes accountability for the patients' b ...
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Patient Navigator
4 days ago
Clinica Romero Los Angeles, United States**Position Title**: Patient Navigator · **Status**: Full-time/Union · **Department**: Quality Improvement/Quality Assurance · **Position Reports to**: Quality Improvement/ Quality Assurance Manager and Quality, Compliance & Risk Management Director · **Benefits**: · Healthcare In ...
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Patient Navigator
1 day ago
Syneos Health Commercial Solutions Los Angeles, United States**Description** · **Responsibilities**: · The Patient Navigator (PN) is a Field and Virtual based position that will provide reimbursement education to key stakeholders in multiple sites of care including physician practices, hospitals, and other sites of care as well as patients ...
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Patient Navigator, Westwood
1 week ago
UCLA Health Los Angeles, United States**Description** · Make a positive impact on one of the nation's top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health. · The Patient Navigator's role is to ...
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Patient Navigator-acx
1 week ago
JWCH Institute Los Angeles, United States**Position Purpose**: · The Patient Navigator will work closely with healthcare teams, resource providers and key stakeholders including the City of Hope (COH) to improve coordination of patient care to overcome barriers to cancer screening. The Navigator will assist clients and ...
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Patient Care Navigator
2 weeks ago
Rely Health Los Angeles, United States**Description**: · We are looking for a full-time temporary (8 months) Patient Care Navigator/Substance Use Navigator (SUN) to work in an emergency department in West Hills, CA. This position would be Monday-Friday 11 a.m. to 7:30 p.m. · As a Patient Care Navigator/Substance Use ...
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Patient Care Navigator
1 week ago
COPE Health Solutions Los Angeles, United StatesThe Patient Care Navigator provides telephonic and field-based case management services to clients enrolled in the CALAIM Enhanced Care Management and Community Support Program. This person is the main point of contact for clients. The Patient Care Navigator builds strong relatio ...
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Outreach Patient Navigator
1 week ago
California Hospital Medical Center Los Angeles, United States**Overview** · **Responsibilities** · The priority goal for the FOCUS (Frontlines of Communities in the United States) Patient Navigator is to provide linkage to care for patients diagnosed with Human Immunodeficiency Virus (HIV) Hepatitis B (HBV) and/or Hepatitis C (HCV) and Syp ...
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Patient Navigator-acx
1 week ago
JWCH Institute Los Angeles, United States**Position Purpose**: · The Patient Navigator will work closely with healthcare teams, resource providers and key stakeholders including the City of Hope (COH) to improve coordination of patient care to overcome barriers to cancer screening. The Navigator will assist clients and ...
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Patient Navigator
1 week ago
Comprehensive Community Health Centers Inc. Sunland, United States: · **PATIENT NAVIGATOR JOB SUMMARY** · Patient Navigators work closely with patients, develop trust and support patients while they learn to self-navigate their health information online. Patient Navigator will be responsible for directing patients to resources and manage inform ...
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Patient Navigator
1 week ago
Large Hospital System Santa Monica, United StatesJob Summary: · The Patient Navigator will assist patients and their families in managing through the vast array of services and programs. The Patient Navigator will tailor services to the unique wellness needs of the patients served. The Patient Navigator will participate in heal ...
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patient navigator
3 weeks ago
University of Southern California Los Angeles, CA , USA, United States Full timeThe Non-Nurse Patient Navigator assists with all aspects of patient care for clinic/unit. He/ She serves as a primary contact caregivers who require assistance in understanding clinic processes and accessing necessary departments/personnel. Takes acc Health, Navigator, Student, P ...
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patient navigator
3 weeks ago
Comprehensive Community Health Centers Los Angeles, United StatesPATIENT NAVIGATOR JOB SUMMARY · Patient Navigators work closely with patients, develop trust and support patients while they learn to self-navigate their health information online. Patient Navigator will be responsible for directing patients to resources and manage information. ...
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patient navigator
1 week ago
Comprehensive Community Health Centers Inc. Los Angeles, United StatesJob Description · Job DescriptionDescription:PATIENT NAVIGATOR JOB SUMMARY · Patient Navigators work closely with patients, develop trust and support patients while they learn to self-navigate their health information online. Patient Navigator will be responsible for directing p ...
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patient navigator
3 weeks ago
University of Southern California Los Angeles, CA , USA, United States Full timeThe Non-Nurse Patient Navigator assists with all aspects of patient care for clinic/unit. He/ She serves as a primary contact caregivers who require assistance in understanding clinic processes and accessing necessary departments/personnel. Takes acc Navigator, Cancer, Nurse, Pat ...
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Patient Navigator
3 weeks ago
UCLA Health Los Angeles, United StatesMake a positive impact on one of the nation's top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. · The Patient Navigator Per Diem role within the Radiation Oncology department is pivotal in gu ...
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patient navigator
1 week ago
Comprehensive Community Health Centers Inc. Los Angeles, United StatesJob Description · Job DescriptionDescription:PATIENT NAVIGATOR JOB SUMMARY · Patient Navigators work closely with patients, develop trust and support patients while they learn to self-navigate their health information online. Patient Navigator will be responsible for directing p ...
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patient navigator
3 weeks ago
Comprehensive Community Health Centers Highland Park, CA , USA, United StatesApply · Description · PATIENT NAVIGATOR JOB SUMMARY · Patient Navigators work closely with patients, develop trust and support patients while they learn to self-navigate their health information online. Patient Navigator will be responsible for directing patients to resources and ...
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patient navigator
2 weeks ago
UCLA Health LOS ANGLS AFB, CA , USA, United StatesGeneral Information · Press space or enter keys to toggle section visibility · Work Location: Los Angeles, USA · Onsite or Remote · Fully On-Site · Work Schedule · Variable days, Monday through Friday 8am to 5pm · Posted Date · 04/18/2024 · Salary Range: $ Hourly · Employment Typ ...
Patient Navigator - Los Angeles, United States - UNIVERSAL COMMUNITY HEALTH CENTER
Description
The Patient Navigator will be responsible for patient/member outreach activities, including various campaigns related to improving the patient's overall experience and compliance with office visits. This role is pivotal in guiding patients through their treatment journey. This role works as support to our Quality Assurance Specialist and will lead the remote patient monitoring program at UCHC.
Requirements
$23.00 hourly
Patient Navigator professionals in Los Angeles
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Alana Adelman
Pre-medical Professional Seeking Healthcare Role