**Job Summary** The Patient Navigator (non-RN) is responsible for improving patient's level of wellness, reducing unnecessary readmissions and ensuring appropriate utilization of in-network healthcare resources. The Patient Navigator collaborates with facility leadership and Care Managers to review trends in resource utilization. **Essential Functions** + Establishes and maintains a post-acute preferred provider network in conjunction with facility/ACO regulations and bylaws. + Evaluates the Post-Acute Referral process and identify opportunities for improvement in a knowledgeable, skillful and consistent manner. + Effectively utilizes care coordination and tracking software to understand and influence readmission factors and utilization patterns. + Provides education to physicians and other referral sources regarding post-acute services and in network utilization. + Reviews patient care concerns and identify resolution of issues to meet patient care needs. + Reviews readmissions rates and readmission retention rates of post-acute providers and initiate discussions with those providers to seek improvements in performance. + Review PAC utilization to include ALOS, RUG levels, ED visits, and multiple PAC transfers. + Provides monthly utilization reports to PAC providers and ACO leadership + Documents interactions with patient, family, hospital staff, and providers in accordance with the facility-specific documentation policies. + Regularly communicates progress in the development of the post-acute referral network. + Establishes relationships with community resources to mitigate patients’ socioeconomic issues that lead to an increase in readmission and healthcare utilization. + Supports the goal of continuous Quality Improvement by making pertinent suggestions to improve efficiency and/or to contain costs, improve In-network utilization/Readmission and to improve customer service and customer satisfaction. + Monitors the Accountable Care Continuum for patients discharged from the facility, which includes, but it not limiited to, discussing utilization patterns of participating and non-participating resources (including physicians, hospitals and post-acute care providers). + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + Associate Degree In Health Related Field preferred + 2-4 years strong clinical/healthcare experience required + 2-4 years Supervisory and project leadership experience preferred + 2-4 years Prior experience as a Care Navigator for high-risk patient populations preferred **Knowledge, Skills and Abilities** + Current working knowledge of discharge planning, utilization management, care management and disease management. + Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre-and post-acute care. + Knowledge of Medicare and ACO practice management preferred. + Demonstrated ability to communicate effectively in person and via telephone with patients, families/caregivers, physicians, physician office staff, and Post-Acute providers using appropriate dialogue and customer service competencies. + Can aggregate and evaluate patient level data focusing on medical, psychosocial, and the education needs utilizing established post- acute criteria. + Ability to perform multiple activities, meet deadlines, solve problems, utilize resources, make independent decisions, and work well in a team-based environment. + Hands-on individual with great attention to detail, high personal accountability, and strong drive to develop him/herself while learning business model. + Strong organizational skills. + Excellent written and verbal communication skills. + Proficient in Microsoft Office products such as Word Excel, PowerPoint, Outlook. **Licenses and Certifications** + A current, unencumbered Nursing or Social Work, license preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.