Population Health Navigator I

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title Population Health Navigator I Location Cleveland Facility Remote Location Department Value Based Operations VBO-Finance Job Code U99885 Shift Days Schedule 8:00am-4:30pm Job Summary

Job Details

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 I, you play a key role in supporting population health initiatives by coordinating care and resources in collaboration with Primary Care Providers and the healthcare team. Using a comprehensive, holistic, proactive and “Patients First” approach, you will help patients and their care partners navigate the Cleveland Clinic Health System, schedule appointments, connect to community resources and address health-related needs.

A caregiver in this role works remotely from 8:00 a.m. – 4:30 p.m. Candidates must reside in Ohio and be available to attend in person for equipment pickup and any required on-site meetings.

A caregiver who excels in this role will:

• Build relationships with an assigned patient population within the primary care practice to ensure optimal health and wellness while collaborating across the continuum to assist in patient navigation for high, moderate and rising risk patients.
• Assist with coordinating population health activities to help improve quality and safety outcomes for an assigned patient population.
• 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 via telephone, letter, or MyChart.
• Assist with PCP fidelity.
• Pend orders for PCP and schedule follow up appointments.
• Manage in basket messages and incoming calls from patients and caregivers.
• Perform onboarding and off-boarding activities to assist patients with seamless provider-related transitions.
• Perform data gap closure in the payor portals.
• Collaborate effectively with all members of the navigation and primary care teams, leadership and multi-disciplinary caregivers.
• Support and participate in process improvement efforts.
• Provide coverage to peers.
• Assist with Cleveland Clinic Community Care, Value Based Operations and Ambulatory Care Management initiatives.
• Complete duties with minimal direct supervision.
• Adhere to policies and procedures to control and mitigate risks associated with job function.

Minimum qualifications for the ideal future caregiver include:

• High School Diploma or GED and two years of recent experience working with patients in a clinic setting, or other equivalent position, which includes interacting with patients, physicians and other departments in a collaborative manner
• OR an Associate’s or Bachelor’s degree and one year of experience
• Ability to adapt to changing technology, processes, policies and procedures while effectively managing priorities and time
• Strong organizational, communication (verbal and written) and relationship-building skills
• Proficient in data collection and analysis and Microsoft Office
• Experience delivering exceptional customer service and resolving conflicts professionally
• Working knowledge of HIPAA regulations

Preferred qualifications for the ideal future caregiver include:

• Associate’s or Bachelor’s Degree
• Knowledge of medical terminology
• PSS (Patient Service Specialist) and MA (Medical Assistant) experience

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.