Care Navigator, Transitions of Care

Role Overview

• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs
• Assesses member compliance with medical treatment plans via telephone or through on-site visits
• Identifies barriers to plan compliance and coordinates resolutions
• Identifies opportunities that impact quality goals and recommends process improvements
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider
• Coordinates identification of and referral to local, state or federally funded programs
• Coaches members on ways to reduce health risks
• Prepares reports to document case and compliance updates
• Establishes and maintains relationships with agencies identified in appropriate contract

Requirements

• Requires a H.S. diploma or equivalent and a minimum of 1 year related experience
• bilingual or multi-language skills may be required
• Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred
• strong oral, written and interpersonal communication skills
• problem-solving skills
• facilitation skills
• analytical skills

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources