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Job description

At Wayspring, we are committed to furthering our value of Equity & Inclusion throughout our recruiting practices. We seek diversity of background and opinion, as we think these attributes improve the performance of our company and are the right thing to do for our communities. We recognize and remove barriers to success within our company and communities. We seek to build a recruiting process that is inclusive and fosters diversity.

Why Wayspring?

We are passionate about breaking barriers alongside those facing substance use disorder. Whether you’re in the field or in the corporate office – our mission is felt, and your impact is recognized. There is no inner circle, and we all have a seat at the table. Leaders are accessible and silos are avoided. We respect your craft and love to be challenged. We invest not only in our mission, but in each other. Internal promotions and cross departmental trainings are the norm – you grow, we grow. At Wayspring, we don’t just see you as an employee, we see you for who you are. a whole-person – with hobbies, pets, families, and lives outside of work.

Overview of the Clinical Care Navigator

The Clinical Care Navigator’s primary responsibility is to facilitate the optimal delivery of care for members enrolled with Wayspring’s program. Our program is focused on providing addiction medicine services integrated with medical and mental health services to provide a holistic care program for enrolled patients. The Clinical Care Navigator will be an essential aspect of the program, serving as the primary clinical support and will collaborate with providers, members, and Wayspring team members.

Primary responsibilities include case management, scheduling appointments, completed prior authorizations, process medication refills, handling referrals, etc. The Clinical Care Navigator will assist physicians, nurse practitioners and other professionals to provide in-person and virtual clinic services. This role will own administrative and office supply related duties. Monday-Friday, normal business hours - no weekends (working in the clinic 4 days a week and working remotely 1 day a week).

Responsibilities of the Clinical Care Navigator

• Establish member’s Usage Event Prevention Plan to improve engagement and retention in treatment; review, and when appropriate, execute Usage Event Prevention Plan should members stray from prescribed treatment or experience an usage event.
• Manage supply ordering and all office administrative duties as assigned.
• Monitor, both through evaluation of pharmacy and medical claims, as well as through regular communication with Wayspring recovery team, progress in member’s recovery plans
• Prepare members for internal and external client rounds
• Scheduling and re-scheduling management - Initial appointments from call in, referrals and consult requests; Management of rescheduling if cancellation, PTO (Paid Time Off), late due to crisis; and Management with Clinicians around appointments if urgent or crisis need for patient.
• Referral and authorization management - Work to obtain referral and authorizations from plan for activity outside the clinic
• Collate information and respond in conjunction with guidance from providers; and ensure and track all requests to gain response back from plan
• Process all approvals and communicate with patients
• Work with provider for all denials and process appeals if required
• Intake management - Ensure that the patient and all appropriate records are gathered for intake process with NP; Obtain all releases for engaging with patient and any co-managing provider; Verify that the patient has video/telephonic capabilities; and
• Coordinate with care teams on appointment and follow up post appointment
• Ancillary services management - Will provide coordination for ancillary services that are ordered (Lab, radiology, home health and other); Ensure all testing results and consult results are obtained and integrated into EHR; and Respond to all queries for clarification of orders, timing and follow up with providers guidance
• Coordination of home visits with NP - Work with NP to identify those patients that will require home visit for medical services;
• Develop materials required for the visit including clinical records, any medical supplies and other; Assist in creating schedule that allow for blending of multiple external visits together and map out timing and travel routes for optimization of trips;
• Confirm with patients one week, two days, one day and day of appointment availability and accessibility (As part of initial contact ensure that there can be privacy if required for any part of examination or discussion to be held at remote location); and
• Confirm with NP after every visit for safety, follow up requirements, testing or other requirements
• Adhere to Wayspring information security and privacy requirements

Requirements & Preferred Qualifications

• One (1) or more years of experience working as a Medical Assistant, preferably in the behavioral health or substance use space
• Active MA Licensure/Certification
• A passion for helping individuals struggling with substance use disorder
• Ability to function in an interdisciplinary setting
• Ability to work in a progressive, fast-paced environment
• Excellent communication and customer service skills
• Ability to work effectively as part of a team
• Intermediate computer skills in Microsoft products and Athena (preferred)
• Belief that status quo can be improved upon, and an innate desire for process improvement, problem solving, and results

Company and Benefit Summary

Wayspring has reimagined substance use disorder treatment. We provide individualized care, delivered with a peer-centered approach. We focus on making sure patients have their basic needs met, like access to care, economic stability, and connection to relationships and community. Then we help each person find their own way to wellness.

• Medical, Dental and Vision Insurance Options
• Company funded HSA
• Monthly Gym Allowance
• Paid parental leave – all parents included!
• Company paid short term disability, long term disability and life insurance
• Generous 401k match
• Premium Employee Assistance Program, inclusive of counseling sessions
• Company Contributions to Future Minded Savings (think 529, HSA, Student Loan Reimbursement, and Emergency savings fund)
• Generous PTO package (accrual policy based on years of service) and an additional 10 paid company holidays

Job Type: Full-time

Pay: $24.00 - $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Addiction Medicine
• Internal Medicine
• Primary Care

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Work setting:

• Clinic

Work Location: Hybrid remote in Wilmington, DE 19804

Apply Here

About Wayspring

CEO: Carter Paine
Revenue: Unknown / Non-Applicable
Size: 51 to 200 Employees
Type: Company - Private
Website: www.wayspring.com
Year Founded: 2012