Software Guidance & Assistance, Inc., (SGA), is searching for a Patient Navigator - Case Management for a Contract assignment with one of our premier Healthcare clients in San Francisco, CA.

Responsibilities :

• Provides high-level patient care coordination support for clinical practice and serves as a liaison between the patient and their practitioners. Recommends changes or new processes to increase patient satisfaction in navigating across the healthcare system for services. Addresses patient grievances at point of service. Analyzes patient satisfaction reports and metrics to identify areas for improvement. Collaborates with managers and colleagues across the healthcare system to formulate and implement changes to processes and / or action plans.
• Serves as a communication liaison and guides the patient to a broad range of services such as scheduling, pre-clinic workup, verifying completion of questionaire, med reconciliation, pre-chart lab documentation and post visit care (referrals to other depts, scheduling of additional tests, mail out post visit folder)
• Liaising with referring providers to obtain medical records from multiple institutions/private practice/imaging facility and clinic authorizations
• Provide in clinic support with checking patients in/out and any other MD requests.
  Collects, evaluates and presents meaningful use and / or relevant operations data and metrics for leadership. Establishes recommendations for follow up and action plans for improvement.
• Provides new patients with an overview of resources and general information on billing, scheduling, and locating resources for clinical questions or concerns. Handle incoming fax folders, scan medical records, manage all department mail, manage and order supplies

Required Skills:

• Bachelor's degree in related area and / or equivalent experience / training.
• Experience in research, clinical research, data collection, compilation, and analytical techniques
• Experience with EPIC EMR
• Strong Knowledge of Patient Rights & Responsibilities, Joint Commission standards, and Centers for Medicare / Medicaid regulations.
• Strong skills to comprehend and assess patient's grievances to quickly locate appropriate resource for assistance. In-depth knowledge of the organization and how to get issues resolved
• Proficiency with Windows-based software including Microsoft word, Excel, Outlook. Knowledge of computer systems and software used in functional area.

Preferred Skills:

• Experience or exposure to with insurance verification (plans), patient financial services, medical record data abstraction, or data analysis
• Knowledge of TBI Medical Terminology.
• Experience working with patients and families affected by TBI
• Bilingual with verbal and written fluency in Spanish