Nashville General Hospital is hiring an Ambulatory Navigator for our Clinics for Full-time day!    We are seeking a compassionate and resourceful Navigator to join our ambulatory primary care and specialty clinic. The ideal candidate will assist patients in navigating the healthcare system, ensuring they receive coordinated, accessible, and patient-centered care within a Patient-Centered Medical Home (PCMH) model. This role involves direct patient interaction, care coordination, and collaboration with the healthcare team to enhance patient outcomes and experience.

Job Duties and Responsibilities:

Care Coordination:

· Preparation of statistical data, financial statements, and reports to granting entity.

· Preparation of correspondence, various reports, policy manual, and other administrative reports relating to the clinic.

· Care coordination for physician patients, interviewing and directing visiting personnel and patients to appropriate offices.

· Answers telephone makes appointments and perform related receptionist duties.

· Maintains records of appointments and meetings for the physicians as needed.

· Ensures a high level of customer service in the clinic and resolves issues promptly that may arise.

o Provide suggestions for service improvement.

· Enters patient data into designated registry/documentation system and generate reports as needed.

· Coordinates scheduling of patient visits and referrals.

· Actively supports and participates in community events that the physicians are supporting.

· Provide follow-up when transitions occur, possibly including performing telephonic follow up or home visits for applicable patients and ensure a smooth transition from hospital/community facility to home.

· Assures the consistent implementation of the treatment plan with the CCT through ongoing coordination and communication with various health care team members.

o Collaboratively functions across the continuum of care.

· Utilizing health behavior change techniques, identify patient readiness for self-management and barriers to optimal care, and implement interventions that address patient needs with the goal of improving or maintaining the health status of the patient. Document care into electronic health record or registry.

· Participate in hospital committees and initiatives as they relate to improving operations, patient education, gap closure and reducing preventable hospital readmissions.

· Actively participate and support initiatives in any Payer Pay for Performance or Quality Improvement Plan as designated by the CCT Director.

· Effectively communicates with the physicians to ensure an effective continuum of care:

o Daily communication with the physicians

o Provides financial interventions/recommendations to the CCT and physicians

o Assists the physicians to recognize and resolve care gaps

o Scribes for physicians as needed to optimized patient flow

· Quality Assurance Oversight

o Responsible for acquiring knowledge of accountable care act requirements to maintain compliance and improve value-based proposals and pay for performance measures, ensures accountability of assigned insurers outcomes and improvements

o Works with Marketing on MD education programs and community education and marketing

o All other duties as required or assigned

Experience:

· Experience in coordination care for individuals with chronic conditions and complex medical and social needs.

· Experience participating in hospital care transition improvement programs.

· Ability to adapt to evolving goals and requirements and to test new approaches to improved patient care.

· Displays evidence of excellent leadership skills along with verbal, written, and interpersonal skills.

· Displays critical thinking and clinical problem-solving skills.

· Computer skills with proficiency in Electronic Health Record, Microsoft Products (Word, Excel, Outlook, Access and PowerPoint). Experience with database and patient registries.

· Five years of experience in the healthcare field, navigating the exchange, and/or financial counseling experience, preferred.

Education: Two (2) years of college education or equivalent experience, required. BS degree, preferred.

Certifications: n/a

About Nashville General Hospital  Nashville General Hospital (NGH) is Nashville’s original community-based hospital. Joint Commission accredited, NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues to maintain its strong commitment to the healthcare needs of Nashville and Davidson County underserved, while also providing care to all segments of the community    Our benefits include:  

• Medical, Dental, and Vision Insurance within first 31 days of employment 
• Programs to reduce share of deductible and total out-of-pocket expenses 
• Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses 
• Short and Long-Term Disability - up to 60% of eligible weekly pay 
• Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
• Retirement Plan - eligible up to IRS max limits and includes company contribution 
• Shift and Weekend Differential Pay Offered on Nights and Weekends 
• Tuition Reimbursement for employee and dependents 
• 12 paid holidays - any holiday worked is another holiday banked 
• Flexible Spending Accounts 
• Free Parking for all employees 

  Nashville General Hospital is an Equal Opportunity Employer/Disability/Veteran