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Family Health Centers of San Diego
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Quality of Care Navigator (Medical Assistant)
$42k-51k (estimate)
Full Time | Ambulatory Healthcare Services 2 Months Ago
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Family Health Centers of San Diego is Hiring a Quality of Care Navigator (Medical Assistant) Near San Diego, CA

Impact Lives, Impact Community

Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 62 sites, over 227,000 patients, and over 417,000 visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff.

Job Roles

  • In collaboration with the interdisciplinary care team, assist patients in establishing care with primary care provider to improve each patient’s physical and mental health that has deteriorated with the onset of the COVID-19 pandemic.
  • Provide needed support to ensure access to care, maintain compliance with preventative and quality care tests, screenings, and visits.
  • Assist with establishing managed care patients’ medical homes and care with a primary care provider within 90-120 days of insurance coverage date.
  • Conduct routine queries of the FHCSD electronic health record (EHR) system to identify patients that need preventative screenings (T2DM, cancer screening, wellness visits, immunizations, etc.) to improve quality measure performance.
  • Improve quality measure performance through engaging members, schedule clinic appointments, providing an overview of the preventative screening processes, advocate patients on following up for screening appointments.
  • Assist patients via telephone and in person with assessing potential barriers to care and identifies supportive steps to overcome these barriers, assisted and unassisted referrals, resources, and follow-up; including linguistic needs, learning style preferences and transportation needs. Assists with navigational support to overcome identified barriers depending on patients' presenting needs.
  • Provide patient care within scope.
  • Support provider productivity, complete patient orders accurately. Document patient Vital Signs and pre-assessment questions. Discharge patients with appropriate instructions. Consistently follows Policies and Procedures to ensure positive patient outcomes.
  • Work closely with medical providers to assist with the completion of prior authorization and Patient Assistance Program requests.
  • Complete all required documentation accurately and thoroughly in accordance with department standards, and ensure documentation complies with the patient’s insurance requirements.
  • Assist in preparing monthly, quarterly, and annual reports to the corresponding supervisory and funding sources.
  • Attend nursing in-services or complete make-up assignments.
  • Perform thorough follow-up on select referral orders from providers, maintaining timely accurate documentation of all efforts and outcomes.
  • Ensure applicable regulatory and department standards are met or exceeded and adhered to on an on-going basis (JCAHO, OSHA, PCMH, etc.).
  • Provide non-biased assistance to managed care patients including but not limited to modifying and/or selecting their primary care provider or assigned clinic, assisting patients in filing appeals/grievances, communicating with managed care plan staff and acting as a liaison between FHCSD and managed care plans.
  • Consistently follow policies and procedures to ensure positive patient outcomes.
  • Make reminders and follow-up telephone calls.
  • Grant-funded program. This position is funded through 03/31/2023; continuation of employment is dependent upon availability of and/or renewed funding.
  • Perform other duties as assigned.
  • Education/Certifications/Licenses/Registrations
  • A Medical Assistant diploma from an approved course is required.
  • Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training required.
  • High school diploma or GED equivalent required.
  • Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
  • Ability and means to travel as needed in a timely manner within San Diego County, to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Age 21; Licensed for a minimum of 3 years; No violations and/or accidents within 3 years; No vehicle-related suspensions/reinstatements; No DUI, reckless or felony Driving within 7 years.
  • Experience/Specialized skills (including Language)
  • At least 2 years’ experience in ambulatory care or similar setting is preferred.
  • Experience providing case management, care coordination/patient navigation and/or patient advocacy preferred.
  • Knowledge of adult health coaching and outreach techniques, best practices, and tools.
  • Knowledge of clinical services and support programs.
  • Knowledge of electronic health record (EHR) systems to include the ability to identify patients.
  • Knowledge of components found in various healthcare insurance plans.
  • Knowledge of health and social service systems in San Diego County is preferred
  • Ability to maintain good interpersonal interactions with patients and co-workers as a member of a multi-disciplinary community health team with a diverse multi-cultural population.
  • Ability to work effectively with patients from diverse social, cultural, and economic groups.
  • Bilingual English/Spanish preferred.
  • Strong interpersonal and customer services skills.
  • High level of Intermediate written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.
  • In the spirit of pay transparency, we are excited to share the base range for this position, exclusive of fringe benefits or potential bonuses. The base salary compensation will be determined based on geographic location, jurisdictional requirements, skills, education, and experience. In addition to these factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is what we reasonably expect to pay for the role. Hiring at the maximum range would not be typical to allow for future and continued salary growth. We also offer a generous compensation and benefits package (more information on our benefits offerings is available here: FHCSD Wellness – Employee Hub (gobenefits.net)

Job Type: Full-time

Pay: $23.00 - $28.25 per hour

Benefits:

  • 403(b) matching
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Opportunities for advancement
  • Paid time off
  • Referral program
  • Retirement plan
  • Vision insurance

Medical specialties:

  • Internal Medicine
  • Primary Care

Schedule:

  • Monday to Friday

Work setting:

  • In-person

People with a criminal record are encouraged to apply

Experience:

  • Medical Assistant: 1 year (Required)

Language:

  • Spanish (Required)

License/Certification:

  • BLS Certification (Required)
  • Medical Assistant Diploma (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$42k-51k (estimate)

POST DATE

03/29/2024

EXPIRATION DATE

07/25/2024

WEBSITE

fhcsd.org

HEADQUARTERS

SAN DIEGO, CA

SIZE

500 - 1,000

FOUNDED

1970

CEO

GRACIE DURAN

REVENUE

$50M - $200M

INDUSTRY

Ambulatory Healthcare Services

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About Family Health Centers of San Diego

For 50 years, Family Health Centers of San Diego has provided caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. Our staff provides care to over 215,000 patients each year, of whom 91% are low income and 29% are uninsured. We offer a range of health care services throughout the region, including: * 23 primary care clinics * 8 dental clinics * 10 behavioral health facilities * 3 mobile medical units * 2 mobile counseling centers * 3 vision clinics * A physical rehabilitation depa...rtment * A pharmacy * An outpatient substance use treatment program The breadth of our clinic locations, services and programs have grown over the last five decades, making us: * The 10th largest community clinic organization in the nation. * The #1 enrollment entity for Covered California in San Diego County. * The largest provider of comprehensive HIV services, school-based and mental health services in San Diego County. * The largest provider of primary care and wrap-around services to the homeless in San Diego County through the Healthcare for the Homeless program. * Designated as a Health Center Quality Leader by Health Resources and Services Administration (HRSA). * A 2019 and 2020 Cigna Well-Being Award Recipient for our Employee Wellness Program. More
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