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Patient Care Specialist

Patient Care Specialist

Compass Health NetworkUSA, Missouri, Columbia
26 days ago
Job type
  • Full-time
Job description

The Patient Care Specialist is part of the person-centered integrated care team and provides case management support to patients with no insurance or commercial insurance who receive services in the primary care setting.

This is a full-time, benefit eligible position working Monday-Friday, 40 hours weekly.

ESSENTIAL FUNCTIONS - JOB SPECIFIC :

  • Maintains the Referral for Testing / Procedures / Referral List

o Gathers pertinent information from physicians, nurse practitioners, nurses, and medical assistants to complete referrals / pre-certifications / prior authorizations

o Contacts various offices / facilities to obtain necessary information to accurately complete referral requests

o Prepares and processes all referral paperwork, including pre-certification and prior authorization requests

o Works with the patient to schedule the test / procedure and follow up to see the appointment has been completed and request results / documentation from the provider

o Responds to patient inquiries regarding health plan referrals

o Assists patients in enrolling in Patient Assistance Programs for medications prescribed by their Medical Provider

o Maintains inventory of Patient Assistance Program medications per patient, including log in / log out information

o Maintains Patient Assistance Program enrollment and inventory

  • Completes call backs to patients regarding their test results per directives of the Medical Services Provider
  • Completes timely and accurate documentation of all support services provided to patients
  • See culturally competent services and service providers to meet the unique cultural needs of each patient and family member
  • Collaborates with Behavioral Health Services Department and / or Community Support Workers, as applicable
  • Maintains an accurate referral database
  • Assists with collection of specific patient data for annual Uniform Data System (UDS) report
  • Attends all trainings and / or staff meetings as required by Compass Health
  • Completes Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed
  • Obtains results from referrals, diagnostics, and other documentation from outside providers and entering in Electronic Health Record charting appropriately
  • Maintains confidentiality with client and company data
  • Assists with information related to community resources specific to patient needs outside of standard Primary Care
  • Performs other duties as assigned
  • High School / GED required

  • Associate's / Bachelor's in nursing preferred
  • WORK EXPERIENCE

  • At least two (2) years of equivalent work experience required if an associates degree or medical assistant certification is not obtained
  • At least two (2) years medical office experience required
  • Social work and behavioral health knowledge experience preferred
  • Knowledge of Microsoft Office Suite required
  • Ability to maintain confidentiality required
  • LICENSURE / CERTIFICATION

  • Medical Assistant Certification required if (at least) two years of college or equivalent work experience is not obtained
  • Licensed Practical Nurse (LPN) and licensed under Chapter 335, RSMO preferred
  • Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health, substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC). Operating only from the highest ethical and professional standards, we provide access to innovative care designed to meet the health needs of the communities we serve.

    About Compass Health Network

    At Compass Health Network, we are a nonprofit organization committed to making a meaningful impact on communities across Missouri. We offer a wide range of essential services, including behavioral health, substance use treatment, family medicine, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), we are dedicated to providing high-quality care that addresses the diverse needs of those we serve. Our mission is simple but powerful : Inspire Hope. Promote Wellness.

    Why join us?

    At Compass Health Network, we're proud of the dedicated team we've built. We believe our people are our greatest strength - passionate, skilled, and committed to making a positive impact in the lives of others. Here, you'll find a workplace that values collaboration, growth, and the opportunity to be part of something bigger.

    We offer more than just a job; we provide a platform for personal and professional growth. As a member of our team, you'll enjoy :

  • Competitive Benefits
  • Opportunities for career advancement
  • Professional development and licensure supervision
  • Mentorship programs
  • Tuition reimbursement & scholarships
  • Employee Assistance Program
  • Headspace Access for mental well-being
  • Generous paid time off and holidays
  • NHSC Loan Repayment eligibility
  • We're looking for individuals who are eager to bring their talents and dedication to a team that's focused on making a real impact. If you're ready to contribute to meaningful work and grow alongside a passionate group of professionals, we'd love to hear from you! If you're looking for a place where your work truly matters & where you can grow, we look forward to hearing from you!

    Compass Health is an Equal Opportunity / Affirmative Action Employer and an E-Verify participant.

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    Patient Care Specialist • USA, Missouri, Columbia

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