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Patient Care Navigator

Patient Care Navigator

Park DuValle Community Health CentersLouisville, KY, US
23 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Description :

Park DuValle Community Health Centers (PDCHC) is seeking an experienced Patient Care Navigator to help support members through education, coordination, and follow-up to ensure access to physical and mental health services, preventive care, and necessary resources. This role acts as a liaison between the health plan, providers, and members to close gaps in care and improve overall health outcomes.

Essential Duties & Responsibilities Include :

Member Education & Engagement

  • Educate members about physical and mental health, preventive care, and the importance of scheduled health assessments, screenings, and vaccinations.
  • Conduct outbound calls to educate members and schedule appointments, including comprehensive health assessments within ninety (90) days of identification through health plan quality reports.
  • Remind members of upcoming appointments and answer questions related to their care.

Care Coordination & Follow up

  • Take inbound calls from members to answer questions about scheduled or missed appointments.
  • Conduct outbound calls following provider appointments when necessary.
  • Complete follow-up calls after a member’s discharge from inpatient or emergency care to ensure appropriate follow-up appointments are scheduled within seven (7) to thirty (30) days.
  • Refer members to the health plan for benefit-related questions, including covered services and transportation needs.

    • Collaboration & Compliance

  • Work with the health plan to submit applicable medical records and ensure care delivery meets quality standards.
  • Report suspected member fraud to the health plan.
  • Participate in ad hoc teleconferences and respond to health plan requests within two (2) business days or sooner, as required by law.

    • Requirements :

  • High school diploma or equivalent; associate or bachelor’s degree in health-related field preferred.
  • Experience in care coordination, patient navigation, or a healthcare-related role.
  • Strong knowledge of preventive care, health screenings, and care management processes.
  • Excellent verbal and written communication skills.
  • Ability to work independently and as part of a team.
  • Proficient with electronic health record systems, scheduling software, and Microsoft Office Suite.
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    Patient Navigator • Louisville, KY, US

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