Clinical Navigator

Job Title: Clinical Navigator

Location: Newark Beth Israel Medical Ctr

Department Name: GR-Ped HIV Infectious Project

Req #: 0000210008

Status: Salaried

Shift: Day

Pay Range: $100,000.00 - $127,500.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

The Clinical Navigator helps patients negotiate the healthcare system, especially those facing complex and chronic medical conditions or navigating challenging healthcare environments. They provide education, coordinate care, address barriers to adherence, offer emotional support, and assist with retention in treatment. The CN serves as a guide and advocate for patients, ensuring they receive the necessary support and resources to access and manage their healthcare effectively.

This person often acts as a liaison between medical staff and patients to ensure continuity of care, enhanced patient experience and improved treatment outcomes. The CN facilitates communication and coordination between patients, healthcare providers, and pharmacies to ensure patients receive and properly utilize prescribed medications. This role focuses primarily on improving medication adherence and access, often involving tasks like prescription processing, insurance verification, and patient education. Bridging the gap between healthcare providers, pharmacies and patients, facilitates effective medication management and promotes patient adherence to prescribed treatment plans.

Responsibilities would include tasks such as:

Communication and Coordination:

Serving as a point of contact between patients, doctors, pharmacies and other interdisciplinary care team members to clarify medication instructions, resolve issues, and ensure smooth transitions between care settings.

Medication Access:

Assisting patients with eliminating barriers to prescription processing, accessing refills, facilitating prior authorizations, and navigating adequate insurance coverage to obtain prescribed medications, potentially including financial assistance programs.

Ensuring timely processing and coordinating delivery of medications in alignment with appointment schedules.

Patient Education and Support:

Providing patients with information about their medications, including dosage instructions, potential side effects, and adherence strategies.

Relationship Management:

Establishing and maintaining relationships with healthcare professionals, pharmacies, pharmaceutical company representatives and insurance providers to optimize patient care and streamline medication-related processes.

Compliance and Documentation:

Adhering to relevant regulations and standards, maintaining accurate records, and documenting patient interactions and medication information.

Specific examples of tasks might include:

• Prior Authorizations:

Managing prior authorization requests for specialty medications with insurance companies and other payers. Completing associated paperwork and communicating with all parties throughout the process to obtain approval for medications requiring pre-authorization. Assist physicians in insurance peer-to- peer reviews; providing supporting documents and sitting in on conference calls.

• Refill Coordination:

Managing prescription refill requests, ensuring timely processing and delivery of medications.

• Financial Assistance:

Identifying and assisting patients in applying for medication assistance programs offered by pharmaceutical companies or other appropriate organizations.

• Medication Adherence Monitoring:

Tracking medication usage and proactively addressing any adherence issues or concerns.

• Injectable Medication Management:

• Develop and implement injectable medication use policies, procedures and best practices
• Coordinate relevant staff training
• Initiate/complete pharmaceutical company Patient Assistance Forms
• Collaborate lead in medication processes with clinical team
• Coordinate and manage injectable medication shipments and inventory from specialty pharmacies to clinic
• Manage patients target dates and expectant injection dates

• Scheduling:

Coordinating patient appointments for medication administration or follow-up visits.

• Clinical Documentation:

Ensuring accurate and timely documentation of medication-related information in patient charts.

• Quality Improvement:

• Participating in initiatives to improve medication-related processes and patient outcomes.
• Contributing to the overall quality of medication management by participating in audits, identifying areas for improvement, and implementing best practices.
• Impacting overall departmental clinical disease specific metrics

• Training and Education:

Providing education and training to other healthcare professionals and/or patients on diagnosis and medication-related topics.

Knowledge, Skills and Abilities required:

• Demonstrated ability to work effectively in a team environment.
• Demonstrated problem solving skills in a complex environment.
• Demonstrated effective interpersonal relationship and customer service
• skills.
• Good organizational and time management skills
• Good working knowledge of local social service resources or skills to
• acquire and use this knowledge and information expeditiously.
• Desire to work with the HIV positive community and carry out the mission of
• the organization
• Ability to work effectively with people from diverse cultures and
• Diverse socioeconomic situations
• Basic level of skill with Microsoft Word, Excel, electronic health records and ability to use
• other computer programs and applications
• Understanding of general medical terminology

Education and Experience required:

• Master's level professional with a degree in public health, social work, counseling or related field preferred.
• Minimum of two years prior experience working with underserved populations in a medical setting preferred.
• Excellent Communication skills, both spoken and written.
• Knowledge of HIV Disease, treatments and local community resources preferred.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to supports our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer