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Patient Care Navigator (Remote)


  • Cohort Intelligence
  • 07/23/21
  • Framingham, MA
  • 01701
  • 35,000.00+ / Yearly
  • Full-Time
At Cohort Intelligence, we provide exceptional quality of care to patients living with two or more diagnosed chronic conditions. If you join our team as a Patient Care Navigator, you will talk with your patients by phone and create ongoing, long-term relationships as you provide them with Chronic Care Management services. You will act as an extension of the clinical staff of physician practices to help patients better understand their disease, set and achieve healthcare targets, and improve and maintain their overall quality of life. In addition, you will work with supporting clinicians to help them operate as efficiently as possible by coordinating and communicating patient notes and updates.

You will also be joining an organization that wants to help you grow as a healthcare worker, that lives its core values in every way, and builds its strategies around how to give patients better care. We are excited and enriched by the work we do at Cohort and we go home every day proud of the difference we make.

Mission:

Cohort Intelligences mission is to transform patient lives by building lifelong relationships with them.

Through these ongoing relationships, we help patients prevent avoidable hospital stays, fight loneliness and anxiety, and relieve the stress and confusion that come from trying to navigate a complex health system.

Duties will include:

Engage eligible patients, educate them on CCM value, obtain verbal consent and provide ongoing services including:
Assess patients current health status and identify concerns and areas for improvement
Provide education related to patient regarding medical conditions and factors that impact their health
Set health-related goals based on the patients medical conditions
Identify and close, or facilitate closure of both clinical and non-clinical care gaps
Empower patients to make sustainable health behavior changes to improve their well-being
Continually provide motivation, encouragement, and support
Communicate with patients medical providers per protocols regarding important items such as new or worsening symptoms or medication access and adherence
Provide community resource options (both clinical and non-clinical) to help patients access the necessary resources at the right time
Proactively reach out to patients no less than once monthly to provide ongoing support and continual assessment of health status
Provide responses to patients, providers and team leaders
Create, update, and maintain care plans using Cohorts proprietary software
Maintain production and quality metrics as defined
Requirements:

High School Diploma/GED
1 or more years of medical office experience- 3-5 years preferred
Family practice experience preferred
Full-Time (40 hours per week)
Home Office with reliable internet and quiet working space
Strong Communication and interpersonal skills (written and verbal)
Proficient computer skills including Electronic Health Record, Microsoft programs and Google Suite
Ability to work well independently in a fast- paced environment
Empathic and active listener
Effective at managing time to achieve goals
Preferred Skills:

Certified/Registered- Medical Assistant or Nursing Assistant (required if less than 3 years in medical office)
Experience with Chronic Medical Conditions
Strong assessment skills
Critical thinking and problem solving
Bi-lingual Spanish speaking is a definite plus


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