Clinical Navigation, Nurse Practitioner/Physician Assistant

The Clinical Navigation NP/PA will connect with members using various modalities to assess their needs and goals, provide clinical guidance, and navigate members to resources to improve their health outcomes. This clinician will work with a multidisciplinary team to help optimize patients’ health outcomes.

Responsibilities:

• Talk with patients, assess their needs, gather important clinical history, provide appropriate clinical guidance, and navigate them to Included Health services and external benefits as appropriate
• Demonstrate strong clinical acumen across a variety of Included Health Service Lines, including Expert Medical Opinion, Treatment Decision Support, Healthy Days, and other service lines based on business needs 
• Meet Volume Targets: Ensure that the volume of patient encounters meets the established targets. This includes scheduling and conducting a specified number of encounters as outlined by departmental goals.
• Maintain Quality of Services: Deliver high-quality clinical services that adhere to established standards and protocols.
• Continuous Improvement: Participate in continuous improvement initiatives aimed at optimizing the efficiency and effectiveness of clinical services. This includes staying current with best practices and emerging trends in healthcare delivery.
• Collaboration and Coordination: Work closely with other healthcare professionals and administrative staff to coordinate care and ensure that service delivery aligns with overall organizational objectives.
• Collaborate across a multidisciplinary team with clinical and non-clinical members to deliver a seamless, top-quality care experience to our patients.
• Evaluate, triage and manage pediatric and adult patients for both acute, chronic and mental health conditions
• Collaborate on pilots, projects, and workflow changes to increase efficiency and improve member experience
• Demonstrate empathy and excellent patient advocacy. You’ll work with patients and their families who are going through challenging times. You need to maintain perspective, demonstrate empathy, and be efficient and reassuring.
• Function autonomously and document findings appropriately and timely
• Strictly follow security and HIPAA regulations to protect our patients’ medical information
• Scheduling flexibility to include evenings and weekends
• Other responsibilities based on business need

Required Qualifications

• Be a licensed NP/PA provider in good standing with your state board.
• Maintain board certification
• At least 3 years of NP/PA experience in a clinical setting is required
• Willingness to obtain and maintain additional licenses as necessary.
• Strong communication skills, with an emphasis on clear and detailed medical documentation.
• High empathy and the ability to reassure patients and their families during challenging times.
• Strong judgment and efficiency in balancing priorities.
• Flexibility to work cross-functionally in a fast-paced environment.
• Proficiency and …