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CONSMR SL PT NAVIGATOR

Covenant Health Inc.

Karns, TNFull-timePosted 6mo agoSeen in employer's feed 4 days ago

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At a glance

Compensation
No compensation found
Location
Karns, TN
Schedule
Full-time
Work Authorization
Not specified

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Job overview

Covenant Health Inc. is hiring a CONSMR SL PT NAVIGATOR. The Consumer & Service Line Patient Navigator works in the call center to support patient‑centered care coordination, acting as a liaison among hospitals, clinics, and leadership while advocating for patients and ensuring timely referrals and follow‑up. The role involves scheduling, data collection, barrier mitigation, and participation in quality improvement initiatives.

Key focus areas include Serve as primary liaison between hospital, clinic, specialty services, and Covenant Leadership, Advocate on behalf of the patient, and Initiate referral process and respond quickly to assure rapid access.

Successful candidates bring 2+ Years Healthcare Administration. Important skills include Patient-Centered Care Coordination, Liaison, Patient Advocacy, Referral Process Initiation, Patient Scheduling, and Data Provision. Preferred (not required): Associate's Degree In Directly-Related Field.

Skills & qualifications

RequiredNice to have

Skills

Patient-Centered Care CoordinationLiaisonPatient AdvocacyReferral Process InitiationPatient SchedulingData ProvisionRelationship DevelopmentTimely FeedbackBarrier IdentificationSupport Services ReferralPhysician and Patient RapportInsurance Criteria KnowledgePrecertification ProcessesProcess ReviewSolution ImplementationMedical Records GatheringImaging Studies GatheringEvaluations GatheringData SummariesPolicy AdherenceProcedure AdherenceSafety Standards AdherenceQuality Improvement InitiativesAssociate's Degree in Directly-Related Field

Qualifications

High School Diploma or GED2 Years Healthcare Setting Administration/Clerical Experience

Full job description

Overview

Consumer & Service Line Patient Navigator, Call Center

Full Time, 80 Hours Per Pay Period, Day Shifts

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.

Position Summary:

Provides support in coordination of patient-centered care to benefit the patient, family, and multidisciplinary physicians while helping achieve optimal outcomes for Covenant Health patients.

Responsibilities

  • Serves as primary liaison between hospital, clinic, specialty services, and Covenant Leadership.

  • Advocates on behalf of the patient.

  • Initiates the referral process and responds quickly to assure rapid access into the system.

  • Assures scheduling of patients upon referral from within/outside health systems for evaluation and work up for potential healthcare services within the office setting.

  • Performs scheduling if appropriate of outpatient/inpatient testing, including laboratory, imaging, and other services.

  • Participates and provides necessary data for patient evaluation profiles among the appropriate Care Team physicians and/or assigned providers to provide the best treatment strategy for each patient.

  • Develops relationships and provides timely feedback to referring physicians, patients, and hospital affiliates.

  • Addresses tangible barriers to care and facilitates referrals to appropriate support services.

  • Works to develop and maintain physician and patient rapport.

  • Maintains working knowledge of insurance criteria and precertification processes for these patients.

  • Reviews processes to identify areas of improvement and implements solutions.

  • Gathers all medical records, imaging studies, and evaluations to make a chart for each patient when applicable. Provides data summaries on each case for physician review when applicable.

  • Assists with any barriers to care (i.e., transportation, lodging, inadequate support at home, etc.).

  • After discharge, begins treatment plan for follow up (i.e., phone call during 1st week, appointment scheduled when applicable, follow-up support services)

  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.

  • Performs other duties as assigned.

Qualifications

Minimum Education:

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing an Associate’s degree in a directly-related field from an accredited college or university.

Minimum Experience:

Two (2) years of experience in a healthcare setting in administration/clerical setting

Licensure Requirement:

None

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Job Title CONSMR SL PT NAVIGATOR

ID 4466106

Facility Covenant Health Corporate

Department Name CALL CENTER

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