Diabetes & Technology Patient Navigator at Mass General Brigham in Boston, MA

Job description

Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Working under the supervision of the Director of the BWH Diabetes Program, the Diabetes Technology Patient Navigator enables the coordination of multidisciplinary follow up care for patients and the coordination of diabetes technology devices for insulin pumps and Continuous Glucose Monitors (CGM). This individual will also serve as the liaison for specialty services and will work closely with our other Diabetes Program locations and clinicians to create an efficient and patient-centered system for scheduling multidisciplinary new diabetes clinic appointments as well as providing the necessary loop closure for referring physicians. Reports directly to Director of Brigham Diabetes Program. Interacts extensively with Brigham and Women's Hospital providers and staff. Does this position require Patient Care? No Essential Functions 1. Receiving requests from Providers via Epic inbasket for specific diabetes technology prescriptions for their patients 2. Interfacing with several applications as required by insurance companies, pharmacies, and supply companies to initiate prior authorization requests. These applications may include but are not limited to Parachute Health, CoverMyMeds and Masshealth’s specialized prior authorization for Diabetes supplies. 3. Oversight of the Diabetes Faxcom, an electronic facsimile (e-fax) web application that receives faxes from Pharmacies and Durable Medical Equipment (DME) Companies who service BWH diabetes patients seen in BWH Endocrinology. 4. Communicating with Access Center staff when faxes are identified to be medication prescription requests rather than device requests, and appropriately forwarding directly to the Pharmacy Technician teams through Faxcom 5. Gathering and securely submitting (by electronic file, e.g. PDF) necessary patient data to fulfill prior authorization requirements, which are specific to the insurance company. This may include but is not limited to laboratory data and clinical notes in Epic, as well as patient-collected data found on web-based secure portals. 6. Maintaining relationships and open lines of communication with representatives at DME companies as needed for rapid processing of prescriptions. 7. Contacting patients when devices are authorized and instructing them on how to obtain their devices. 8. Maintaining patient communication as needed via Gateway or by phone to support ongoing access to prescribed devices or device supplies. 9. Cross trained with the Diabetes Patient Navigator for Special Programs to provide coverage during planned vacations. 10. Assists patients with scheduling multidisciplinary new diabetes clinic appointments, procedures, and/or appointments. Coordinates with multidisciplinary services to help patients navigate the system and schedule these appointments. 11. Work closely with the Practice Manager and clinical staff to identify patients that appear to have barriers to care (i.e.: multiple missed appointments) and offer scheduling assistance to meet their individual needs, identifying patients who are appropriate for Social Work involvement to achieve compliance. 12. Works closely with clinicians and follows the triage protocols to ensure patients are seen by the right clinician at the right place and at the right time. Ensures that patients are knowledgeable about next steps in care and future appointments. 13. Responsible for patient navigation (e.g. ensuring appropriate visit scheduling, facilitating