Patient Support Assistant (43158)

Under general supervision of the Purchased Referred Care (PRC) Nurse Manager, the Patient Support Assistant assures PRC fiscal accountability working closely with various departments to ensure coordination between the referring PCP and specialist. Responsible for determining PRC eligibility and coordinating specialty medical service for Dilkon Medical Center (DMC) and Winslow Indian Health Care Center (WIHCC) when WIHCC is unable to meet these healthcare needs. Participates and follows PRC policy and guidelines to meet program goals. Upholds the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Maintains regular attendance and punctuality.
• Greets visitors, patients, families, staff and physicians. Uses appropriate, professional courtesy for all telephone interactions.
• Obtains necessary medical information for the RN Case Manager or Clinical Director (CD) to determine medical priority.
• Follows up on appointments, pending referrals and potential AHCCCS.
• Responsible for referral tracking utilizing the PRC referred spreadsheet template.
• Refers patients to Patient Benefits Coordinator (PBC) to apply for alternate resources when they are potentially eligible and documents efforts.
• Maintains familiarity with the contracts or rate quotes of frequently used vendors.
• Receives daily PRC notifications from patients and/or facilities by fax, phone, mail, email, or walk-ins. Date stamps all correspondence on date of receipt.
• Assists in researching in the pertinent electronic record system to identify existing PRC client documentation records, date of service (DOS) per notification and to prevent any duplication. Notes PRC client record number, notifications and other documents for quick referencing and forwards to PRC Associate for processing.
• Assists PRC associates to gather the needed documents within the incumbent’s scope of work to determine and evaluate patient eligibility in accordance with PRC five eligibility criteria: medical priority, residency, notification, alternate resources, and eligibility, and ensuring applicable processes.
• Assists in patient scheduling for elder and disabled persons as needed.
• Provides reports as required by the HSS or PRC Nurse Manager (backlog report).
• Assist in entering notes into RCIS Business Office Comments (BOC) sequencing events of actions taken for each case interaction, i.e. phone calls, providers, purposes, etc.
• Works with PRC Associates to gather data on a periodic basis to ensure proper follow-up which may include contacting vendors via telephone or written correspondence on status of purchase orders.
• Requires completion of tasks or duties assigned by a supervisor.
• Reports any high-risk cases or barriers to care to the RN Case Manager.
• Teaches and trains employees; evaluates program performance, and training needs.
• Provides front office assistant coverage during times of the staff absence.
• Assists with solving computer software and technical issues that may arise.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all WIHCC General Work Rules and Standards of Ethical Conduct.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.