Patient Navigator

Job Description Help for Job Description. Opens a new window. General Description The Patient Navigator serves as a liaison and advocate between patients, caregivers, and healthcare providers to improve patient outcomes within a complex healthcare system. This role supports patients as they establish and maintain care, particularly during transitions from hospital to outpatient settings, and helps close gaps in care by addressing medical, social, and systemic barriers. Essential Duties & Responsibilities Act as an advocate for patient care needs by identifying opportunities for intervention and addressing gaps in care Build therapeutic relationships using motivational interviewing and reflective communication techniques Follow up with patients at high risk for complications and coordinate supported self-care with the care team Apply strategies to improve health, functional status, and quality of life, including disease and pharmacy management Monitor hospitalizations, emergency visits, admissions, and re-admissions and coordinate follow-up with the Patient-Centered Medical Home Conduct hospital visits prior to discharge to assist with coordinating post-discharge care Establish and maintain relationships with referral sources, community partners, and care providers Routinely assess patient progress and proactively adjust care plans, providers, or services as needed Assess, collect, and document social determinants of health (e.g., housing, food insecurity, transportation, literacy) Maintain an active community referral network Document patient encounters accurately in the EHR Complete required reports, work plans, and weekly schedules Track hospital follow-up visits and confirm patient needs are met post-visit Maintain confidentiality and ensure HIPAA compliance at all times Communicate issues that may disrupt patient flow to care team members Support community give-back initiatives and advocate for Premier's mission Uphold organization's core values and patient care standards Participate in departmental goals and Quality Improvement / Quality Assurance (QI/QA) initiatives Perform other duties as assigned Knowledge, Skills & Abilities Organizational skills and ability to manage confidential patient information Ability to prioritize tasks, meet deadlines, and adapt to changing patient needs Knowledge of cultural competency and community resources General knowledge of Electronic Health Records (EHR/EMR) Experience with office equipment, MS Office, and healthcare software systems Customer service skills with empathy and compassion Verbal and written communication skills Grammar, spelling, and interpersonal skills Commitment to organization's mission, vision, and values Qualifications High School Diploma or GED required One (1) year of experience in a medical clinic setting required Up to three (3) years of customer service, patient relations, or clinical experience preferred Ability to obtain and maintain Epic certification and annual compliance training Ability to obtain and maintain annual skills competencies Working Conditions & Physical Requirements Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally Ability to sit for extended periods Ability to travel across Pasco and Hernando counties for events, on-site support, and community relations Direct exposure to computer screens Possible exposure to contagious or infectious diseases Apply online via employer's website. Must click Apply for more information. AI Translation Assistant Opens in new window