Patient Navigator - Behavioral Health - Day Shift

• Sign on bonus: (if applicable)
• Position: Patient Navigator
• Location: Warrenville ; Corporate Center
• Full Time/Part Time: Full Time
• Hours: Monday-Friday (8:00-4:30)
• Required Travel:N/A

Provides initial response to clients reaching out to the hospital.  Conducts initial assessment of clients and schedules mental health appointments.  Responds to and triages crisis calls.  Registers, reviews and corrects patient registration information in the computer system.  Verifies insurance coverage and eligibility on all Blue Cross HMOI members

• →Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served.  This includes knowledge of the physical and psychological needs of patients served and the ability to respond appropriately to those needs.

2.      Call Center: 

a.      Answers phone inquiries to determine needs of the client.

b.      Responds to and triages crisis calls.  Partners with team to respond immediately to urgent situations.

c.      Assists the client in determining what services are appropriate and if services meet the eligibility requirements per the HMOI plan.

d.      Schedules client appointments or refers client to contracted providers where appropriate.

e.      Enters data necessary for registration of client using departmental software program(s).

f.        Uses software program to assist in benefit verification, claims adjudication and other aspects of the HMOI contract support function when appropriate and needed.

g.      Assists in the communication to providers and/or clients regarding issues, such as, scheduling, releasing information, and assessment recommendations.

3.      Registration Functions:

a.      Reviews various forms (i.e. Release of Information, Agreement and Authorization, etc.) with clients telephonically as necessary.  

4.      Other Duties:

a.      Assists team on telephonic safety checks for acute clients.   

b.      Other duties as assigned.

• →Education:

• →Required – Associate’s Degree plus a minimum of three years of experience or a Bachelor’s Degree
• →Preferred – Bachelors Degree in a Behavioral Health related field

• →Certification:

• →CPI certification within 90 days of start date into position
• →Current CPR Certification issued by American Heart Association within 90 days of start date into position

• →Experience:

• →Maintain information as highly confidential
• →Ability to maintain professional boundaries and willingness to seek supervision
• →One year of previous experience in healthcare or a behavioral healthcare setting

• →Unique or Preferred Skills:

• →Crisis line or crisis intervention experience
• →Substantial knowledge base of insurance plans such as commercial, managed care , and capitated plans (Medical/Medicaid/Workers Compensation.