Patient Navigator- ENT/Oral Surg Clinic

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job—it’s a passion to serve and improve lives every day.

Primary Purpose: Patient Navigator provides individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers and facilitate timely access to quality medical and psychosocial care. The Navigator will collaborate with internal and external teams to provide access to exceptional care delivery. Facilitates clinic-based services as well as any available community resources to support a patient's socioeconomic needs and quality of life.

Minimum Specifications

Education:

• Must have high school diploma or GED.

Experience:

• Minimum of six (6) years of health care in an office/clinic/hospital setting or human services experience.

Equivalent Education and/or Experience:

• May have an equivalent combination of education and experience in lieu of specific experience as stated above.

Certification/Registration/Licensure

* ONCOLOGY ONLY *

Global Cancer Program (88670) must obtain Oncology Patient Navigator Certified Generalist (OPN-CG) within the first 12 months of employment.

Required Tests for Placement Skills or Special Abilities:

• Must be able to demonstrate time management, organizational, and interpersonal skills with emphasis on attention to detail including oral, written, communication, and advanced computer skills.
• Must be able to support care that is culturally sensitive and linguistically appropriate.
• Must be able to utilize motivational interviewing skills to stress the importance of adherence to care/treatment plans.
• Must be able to demonstrate the ability to instruct and/or lead patient education.
• Must be able to assist with patient care coordination to ensure the continuation of care.
• Must have EPIC EMR system experience.

Responsibilities:

1. Communicates with patients, caregivers, and care teams to ensure patient adherence to care plans. Serves as a patient advocate, focusing on patients needs, rights, confidentiality, and cultural preferences.

2. Promotes collaborative practice among patients, their families, and multidisciplinary healthcare team members. Serves as a resource person for specific clinical and patient care issues, helping to negotiate desirable patient outcomes.

3. Conducts patient assessment and refers to appropriate resources to facilitate access to care (i.e., transportation, childcare, and financial counselors).

4. Provides education in various settings to increase patient/community knowledge of Parkland services, referral process, authorization process, plan coverage, and community resources

5. Refers patients to primary care/referring/specialty providers as needed to ensure quality and continuity of patient care.

6. Maintains proper documentation in EPIC and other relevant software.

7. Attends meetings and acts as a resource for the care team and other staff.

8. Maintains a positive relationship with all Parkland internal and external partners.

9. Identifies and implements process improvement opportunities.

10. Supports required reporting for accreditations, grants, and other entities.

11. Develops training and monitors annual goals and objectives set forth by department/program administration.

12. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impacts the relevant department areas. Develops effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans. Seeks advice and guidance as necessary to ensure proper understanding.

13. Stays abreast of the latest developments, advancements, and trends in the relevant fields by attending seminars and meetings, and reading professional journals.

14. Performs other duties as assigned.

Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.