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News & World Report has named us one of America’s Best Hospitals! About the Department: Our Inflammatory Bowel Disease (IBD) team provides specialized, multidisciplinary care for patients primarily being treated for Crohn’s disease and ulcerative colitis. The team works collaboratively to help patients navigate complex healthcare services, remove barriers to care, and coordinate access to treatment.
This Patient Navigator position has a strong Medical Assistant (MA) and specialty medication coordination focus. The role joins a dedicated team that includes an MA, LVN, and non-licensed Patient Navigator within the larger multidisciplinary IBD clinic. Responsibilities
As a Patient Navigator, you will use your medical office and MA-related experience to support patients through the complex process of accessing biologic therapies. A significant focus of the position is biologic medication authorizations and back-office care coordination. You will work closely with physicians, pharmacists, infusion centers, patients, and other members of the care team to: Coordinate and support biologic medication authorization workflows.
Obtain and maintain documentation needed to facilitate medication and treatment authorizations. Communicate with patients regarding authorization and care-coordination needs. Collaborate with physicians, pharmacists, infusion centers, and other members of the multidisciplinary care team.
Proactively track new and follow-up patients and help address insurance-related barriers. Serve as a liaison between patients and their care teams to facilitate timely communication and problem resolution. Coordinate appointments, referrals, consultations, ancillary procedures, and interdepartmental services as applicable.
Provide advanced back-office and administrative support for patient care workflows. Manage multiple priorities while maintaining accuracy, confidentiality, organization, and timely follow-through. Identify workflow challenges and opportunities to improve the patient experience and access to care.
Required High school diploma or GED. Three years of support experience in a medical office, ambulatory care facility, or medical group practice. Three years of experience providing a high level of customer service in a fast-paced environment, including handling confidential information with discretion.
Basic Life Support (BLS) certification issued by the American Heart Association upon hire. Strong organizational, problem-solving, time-management, and communication skills. Ability to manage complex and competing priorities and work effectively under pressure.
Preferred Graduate of an accredited Medical Assistant program. Certified Registered Medical Assistant. California CPT1 Phlebotomy Certification.
Bachelor’s degree in a healthcare-related field. Three years of experience with insurance contracts and payor requirements. Experience supporting medication authorizations, insurance navigation, or other complex healthcare coordination workflows.