Care Navigator

Position Summary

This individual will serve as a liaison between KSOSN, partner facilities, dialysis organizations, transplant, and surgeons to successfully assist patients in having an optimal dialysis start, being placed on the transplant list and receiving care and education. The Care Navigator will be committed to creating a quality environment, promoting the patient experience and patient safety, creating an exceptional work experience for our clinical team and patients. The Care Navigator will partner with the leadership team to achieve KSOSNs goals.

Essential Job Functions:

• Serves as the primary contact for the initial administration of patient referrals and admission to dialysis center for KSOSN providers, vascular access placement and transplant list placement

• Acts as a liaison with the referral sources, centers, patients, and discharge planners; obtains medical information in a timely manner to ensure an expedited and efficient placement process to a preferred center location

• Responsible for maintaining the dialysis census, dialysis reports and database vascular access and transplant placements

• Uses knowledge of KSOSN, patient, and referral source locations for proper navigation

• Schedules high priority patients for continuous health examinations.

• Responsible for following the patient admission process, patient transplant placement and vascular access placement; communicates to appropriate parties according to the established procedures and in compliance with all regulatory requirements

• Collects all data or packet for placement according to KSOSN policy to ensure efficient processing of placement, including insurance and other financial information; completes the preliminary paperwork and standard placement forms including assisting with collection and documentation of comorbid information

• Obtains necessary approvals to ensure the efficient processing of placement data according to KSOSN policies and procedures

• Utilizes appropriate systems to ensure accuracy, tracking, and reporting

• Coordinates internally and externally with Intake/Authorizations to establish appropriate placement of patients

• Follows up in a timely manner, and escalates urgent needs such as placement denials from centers or billing groups to management as needed

• Communicates in a timely manner with individual centers based on placement and prompt scheduling processes

• Collaborates with center staff and other internal departments to effectively to resolve issues impacting a patient’s placement process

• Recommends updates or changes to the admission criteria, policy, and procedure

• Maintains effective and professional relationships with all referral sources by providing outstanding customer service

• Develops and maintains effective relationships through effective and timely communication

• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner

• Other duties as assigned.

Disclaimer

The duties, functions and responsibilities described above are not a comprehensive list. Additional tasks may be assigned from time to time or the scope of the job may change as necessitated by business demands.

Minimum Requirements:

• High School Diploma required
• Minimum three (3) years of related experience in a fast-paced healthcare environment that includes familiarity with contract and network benefits.
• Must have intermediate knowledge of Microsoft Office applications
• Must possess excellent customer service, communication, organizational and interpersonal skills
• Must be detail oriented with data entry proficiency
• Must have the ability to adapt to change and support new policies and procedures in a positive manner
• Must be able to read, write, speak, understand and satisfactorily communicate with others in English in person, over the phone and via email
• Associates Degree preferred; and Bachelors Degree strongly preferred
• Spanish a plus