(Hybrid) Patient Navigator - Clinical and Translational Science Institute - West Virginia University Research Corporation

The WV Clinical and Translational Science Institute at West Virginia University Research Corporation is currently accepting applications for a (Hybrid) Patient Navigator

About the Opportunity

The Patient Navigator is responsible for the management of patients enrolled in the CHOICE study according to the protocol across the healthcare system being implemented at West Virginia Clinical and Translational Science Institute (WVCTSI) Clinical Trials Center of Excellence (COE). 

At WVU Research Corporation, we strongly believe in work-life balance and keeping time for things we love outside our work. WVU Research Corporation offers a comprehensive benefits package with a variety of options to suit your needs:

• 13 paid holidays (staff holiday calendar)
• Paid Time off (PTO)
• 403(b) retirement savings with a fully vested 3% employee contribution match, (Employees have the option of contributing an additional 1-3% of their earnings to the plan, which is also matched by the WVURC)
• A range of health insurance and other benefits
• Dependent Education Scholarship
• WVU Perks

What You'll Do

• Establishes close relationships with and serves as primary point of contact for participants.
• Strategizes to help find payor population based on regional payer mix by collecting and analyzing market data. Responsible for verifying insurance benefits and ensuring coverage for obesity treatment for participants.
• Maintain a working knowledge of insurance payors pre-certification requirements for medications, diagnostic testing, surgery, referrals, etc. Proactively review policies for changes to prevent delays in certification where applicable.
• Educates providers and staff on payor regulations in order to prevent denials.
• Removes barriers to care by identifying resources for participants and helping them navigate through healthcare services.
• Works with different service lines to assure coordination of appointments if applicable.
• Schedules participant appointments and adjusts as needed. This includes coordinating appointments with laboratory or diagnostic testing, ensuring adherence to appointments, reminder calls, and managing the patient wait-list.
• Will be aware if one of their assigned participants is admitted and will round on them daily / assists with scheduling discharge appointments.
• Assists with getting prescriptions filled. Assesses cost, availability etc.
• Documents patient information and obtains outside records, as needed.
• Engages family and/or community resources to meet the identified emotional, social, and financial needs of the participant
• Collaborates with available social services for appropriate resource and financial management which may include, but is not limited to, financial assistance coordination and referrals, entitlement program coordination and referrals, patient benefit coordination, assessment for appropriate usage of healthcare resources, and clinical cost efficiency.

• Associate’s degree in Healthcare Management, Public Health or related field.   Bachelor’s degree preferred.
• A minimum of two (2) years of experience in the following:
  • Healthcare field
• Any equivalent combination of related education and/or experience will be considered.
• All qualifications must be met by the time of employment.

Knowledge, Skills and Abilities

• Possesses excellent interpersonal communication and negotiations skills in interactions with patients, families, providers, and healthcare team colleagues.
• Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open- minded, and adaptable to change.
• Strong problem-solving, risk assessment and impact analysis abilities.
• Strong work processing skills and understanding and the ability to handle stress and work under pressure.
• Strong time management skills and ability to prioritize and manage multiple projects simultaneously.
• Computer proficiency and familiarity with use, including Microsoft Office
• Demonstrated ability to work effectively in both cross-functional teams and independently is required.
• Ability to effectively present information and respond to questions from groups of managers, clients, and co-workers.
• General knowledge of medical terminology
• Skilled at effective data collection and creating effective customized reports.
• Skilled at identifying and verifying appropriate clinical source documentation for data reporting.
• Excellent teamwork skills. 
  

The WVURC was created as a not-for-profit corporation in 1985 to support research (R1) at West Virginia University.  We provide evaluation, development, patenting, management, and marketing services for inventions of the faculty, staff and students of the University.

The WVURC receives and administers funds awarded by external agencies for research and other activities and is responsible for helping protect intellectual property through patents, copyrights and licensing agreements for start-up companies based on University research.

West Virginia University Research Corporation is proud to be an Equal Opportunity employer. We value diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.

Job Posting

Schedule