Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.

As a Full Time Care Navigator, you'll provide care to client employees and their dependentsin our new Health Center located in Las Vegas, NV. 

PURPOSE OF THE POSITION

As a component of Premise Health’s Advanced Primary Care model, the Care Navigator helps members, and their families traverse a complex healthcare system by providing concierge support to those individuals needing access to high-value specialty care in their communities and ensuring they never have to navigate their healthcare needs alone. Premise Care Navigators serve as patient advocates, simplifying the healthcare journey by sending and reconciling health records, identifying high-value specialists, scheduling appointments, and answering questions. Care Navigators are there for members before, during, and after care to create an exceptional experience.

ESSENTIAL JOB FUNCTIONS

Works with the member, primary care provider, and other members of the care team to identify and prioritize member's health care needsDevelops understanding of and leverages Epic's referral and scheduling capabilities and other available toolsDocuments all encounters and follow up plans in EpicDevelops understanding of where member populations live and work, as well as high-value providers and facilities in key geographiesProactively builds relationships with community specialists, alongside other health center team members, to educate them on Premise Health and our expectations, and facilitates streamlined referral access and information sharingWorks in collaboration with Premise Health Primary Care team members and providers in the community including but not limited to: specialty medical services, behavioral health services, disease care management specialists, social workers, and community-based organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.Regularly interacts with Premise providers to understand member referral needsNavigates client networks and providers and interprets information to members and their familiesCoordinates information flow of benefits between dental, medical and other healthcare providers within the medical communityFosters communications and coordinates benefits with insurance companies with the goal of creating a smooth patient centered experienceInteracts with members via multiple modalities (phone, email, portal message , etc.) to identify appropriate referral target(s)Works with community specialists and members to schedule appointments and ensure bi-directional medical records transferFollows up with member post-specialist visit, ensure member and specialist notes return to Premise, and coordinate ongoing care needs as appropriateRemains in close coordination with Care Navigation product team to leverage new tools and processes as the strategy evolvesAdheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.Manages, prioritizes, and completes multiple referrals simultaneously, expediting urgent referrals as appropriateMaintains knowledge of available and appropriate client services and benefits in order to provide advocacy and guidance to members and their families.Maintains positive and productive personal presentation with internal and external contacts, ensuring all engagements with staff/coworkers, members, and community partners are professional, courteous, and respectfulIs familiar with the Premise Health policies and procedures to assure quality assurance and quality improvement are properly implemented as neededPartners with onsite health center staff to promote wellness center programs or represent the health center in scheduled or ad hoc employer meetings regarding health and wellness events or strategic initiativesAll other duties as assigned.

BASIC QUALIFICATIONS

Education:

High School diploma/GEDAssociate degree or equivalent from an accredited Medical Assistant training program with externship completed and passed OR National Certification in Medical Assisting from American Association of Medical Assistants, American Medical Technologists, National Center for Competency Testing, American Registry of Medical Assistants or National Health Career Association (Preferred)Current certification in AHA or ARC Basic Life Support for health care providers preferredAdvanced Cardiac Life Support may also be preferred based on contract scope of services

Experience:

3+ years working in corporate wellness/health promotion or with health system logistics/schedulingEpic experience preferredReferral experience preferred

Knowledge and Skills:

Ability to handle sensitive information confidentiallyAbility to closely adhere to policies, practices, and proceduresAbility to convey information and ideas effectively both verbally and in writingBe able to work in and create a positive attitude environment, manage caseload, complete task/duties and address conflicts as they ariseCommunicate effectively with supervisory personnel in a cooperative and supportive mannerBe able to tolerate the ambiguity during transition time and take on other assignment as neededExcellent problem-solving skills and ability to build positive relationshipsExcellent verbal and written communication skills in a customer service environmentExcellent time management, organization, research, analytical, negotiation and interpersonal skillsKnowledge of prior authorization processes and how to execute a prior authorization

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits.

Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

Premise provides its reasonable and genuinely expected range of compensation for this job of $23.21 - $29.01 per hour. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors.
Should you have questions regarding this job posting, please contact askhr@premisehealth.com.