Hourly Pay Range: $21.50 - $32.25 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Patient Navigator Location: Warrenville ; Corporate Center Full Time Hours: Monday-Friday (8:00-4:30) What you will do: Provides initial response to clients reaching out to the hospital. Conducts initial assessment of clients and schedules mental health appointments. Responds to and triages crisis calls. Registers, reviews and corrects patient registration information in the computer system. Verifies insurance coverage and eligibility on all Blue Cross HMOI members Verify insurance coverage and benefits for patients scheduled for services or admissions. Contact insurance companies to obtain up-to-date information on policy details and eligibility. Accurately document insurance information in the hospital's database. Maintain organized and detailed records of verification activities. Communicate insurance information to patients, healthcare providers, and other hospital staff. Ensure that all insurance verification activities comply with relevant regulations and guidelines. Stay informed about changes in insurance policies and requirements. Reviews the clinical needs of customers seeking behavioral health services and provides treatment referrals which are consistent with the customer’s medical and psychiatric status/symptoms. Is in constant review of where patients are in the system who need inpatient behavioral health beds or services and work to place them in clinically appropriate in system beds. This role works to connect the behavioral health service line across the NS-EEH health system. Call Center: a. Answers phone inquiries to determine needs of the client. b. Responds to and triages crisis calls. Partners with team to respond immediately to urgent situations. c. Assists the client in determining what services are appropriate and if services meet the eligibility requirements per the HMOI plan. d. Schedules client appointments or refers client to contracted providers where appropriate. e. Enters data necessary for registration of client using departmental software program(s). f. Uses software program to assist in benefit verification, claims adjudication and other aspects of the HMOI contract support function when appropriate and needed. g. Assists in the communication to providers and/or clients regarding issues, such as, scheduling, releasing information, and assessment recommendations. Registration Functions: a. Reviews various forms (i.e. Release of Information, Agreement and Authorization, etc.) with clients telephonically as necessary. What you will need: Education: Required – Associate’s Degree plus a minimum of three years of experience or a Bachelor’s Degree Preferred – Bachelors Degree in a Behavioral Health related field Certification: CPI certification within 90 days of start date into position Current CPR Certification issued by American Heart Association within 90 days of start date into position Experience: Maintain information as highly confidential Ability to maintain professional boundaries and willingness to seek supervision One year of previous experience in healthcare or a behavioral healthcare setting Unique or Preferred Skills: Crisis line or crisis intervention experience Substantial knowledge base of insurance plans such as commercial, managed care , and capitated plans (Medical/Medicaid/Workers Compensation. Benefits (For full time or part time positions): Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance. (For AIP eligible positions) Premium pay such as shift, on call, holiday and more based on an employee’s job (For eligible positions) Incentive pay for select positions Opportunity for annual increases based on performance Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. Welcome to Endeavor Health Careers At Endeavor Health, we believe every role plays an important part in advancing our mission to help everyone in our communities be their best. Whether you’re just beginning your career journey or are a seasoned professional, you’ll find opportunities here to learn, grow, and thrive. Your Career is our Endeavor. Current Endeavor Health employees: Please do not apply through this site. To be considered, log into Workday and apply using an internal application via the Jobs Hub. For step-by-step instructions, visit ServiceNow and search for the article “Access and View Internal Job Postings.”

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