Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.
As a Population Health Navigator, you will coordinate population health activities in collaboration with the primary care team. In this role, you will take a comprehensive, holistic, and proactive Patients First approach, demonstrating outstanding customer service while managing responsibilities such as appointment scheduling, connecting patients to resources, navigating the Cleveland Clinic Health System network, and following up on general or health related questions. You will assist with coordinating care, processes, activities, and duties of the Ambulatory Care Management Department, Cleveland Clinic Community Care, and the Quality Alliance in order to ultimately improve patient outcomes, enhance the patient and caregiver experience, and reduce the overall cost of care.
A caregiver in this role works days from 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m.
To be considered for this position, caregivers must reside in Florida and may be required to come onsite or meet a few times per year within the area.
A caregiver who excels in this role will:
Collaborate with caregivers across the continuum to assist in patient navigation for low, moderate and rising risk patients.
Perform activities to proactively close care gaps, assist with health maintenance, schedule office and preventative care visits and assist with navigating health insurance benefits and coverage. Outreach can occur via telephone, letter, or MyChart.
Perform data gap closure in the payor portals.
Assist with coordinating population health activities to help improve quality and safety outcomes for an assigned patient population.
Assist with PCP fidelity.
Perform onboarding and off-boarding activities to assist patients with seamless provider-related transitions.
Facilitate care and connection to Cleveland Clinic services with benefit alignment.
Pend orders for PCP and schedule follow up appointments.
Serve as liaison between the navigation and primary care team members, insurance companies, and patients.
Provide coaching, support and coverage to peers.
Review clinical documentation and coding to determine that conditions are actively being managed including staff messages to providers.
Participate in educating patients about Cleveland Clinic services and network navigation, promoting available programs and services.
Maintain departmental workflow and communications with external and internal customers.
Assist with Ambulatory Care Management, Value Based Operations, Cleveland Clinic Community Care and Quality Alliance initiatives.
Complete duties with minimum direct supervision.
Perform other duties as assigned.
Minimum qualifications for the ideal future caregiver include:
High School Diploma or GED and three years of recent experience working with patients in a clinic setting or other equivalent position, including interacting with patients, physicians, and other departments in a collaborative manner
OR Associate’s or Bachelor’s Degree and two years of experience
Knowledge of data collection, analysis, and proficiency in Microsoft Office
Experience in providing exceptional customer service and conflict resolution
Working knowledge of HIPAA regulations
Preferred qualifications for the ideal future caregiver include:
Associate’s or Bachelor’s Degree
Knowledge of medical terminology
EPIC knowledge
Physical Requirements:
Must be able to sit for prolonged periods of time.
Possess good visual acuity through normal or corrected vision.
Possess dexterity to operate a PC and other office equipment.
Light driving to outside locations within the region.
Personal Protective Equipment:
Follow standard precautions using personal protective equipment as required.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/
Please review the Equal Employment Opportunity poster.
Cleveland Clinic is pleased to be an equal employment opportunity employer.