AccessHealth Program Navigator, Access Health Columbia, Full-Time, Days

Prisma Health • Columbia, SC

2d

About The Position

The Program Navigator identifies and enrolls eligible patients into the AccessHealth (AH), provides healthcare navigation services to enrolled AH patients, coordinates medical home placements and first appointments, collaborates with a multi-disciplinary team to address the social determinants of health, and arranges supportive services and referrals to other Accountable Communities resources for improved health outcomes and to prevent avoidable hospital admissions/emergency department visits. The Program Navigator may provide limited health coaching and advocacy to improve AH patients' appropriate healthcare utilization, and may assist them with applications for hospital sponsorship, prescription assistance and/or other benefit programs. The Program Navigator will have an assigned caseload and will be expected to make quarterly contact with patients at a minimum. He/she will participate in community outreach events, support AH leadership with requests for data for reporting to funders and State agencies, and will perform other duties as assigned and to meet the goals of the program. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Receives referrals and enrolls eligible patients from the Emergency Department, inpatient, clinic, and/or other settings. Confirms eligibility and re-enrolls eligible patients every year. Completes assessments and creates care plans to assist with identified needs including medical home placement and prescription assistance. Makes referrals to Community Health Workes, Social Workers and other Accountable Community resources as indicated. Monitors patient activity in the system to support appropriate utilization of services. Mains a caseload of patients with whom they communicate at least once per quarter or more depending upon need. Completes regular care plan reviews and updates as necessary. Serves as the liaison between participants, Prisma Health departments/services, medical homes and other providers to help provide effective health navigation services to participants. Assists in developing and maintaining a network of human services and community resources that partner with Access Health to provide supportive services to clients. Works with team(s) to collect and report outcomes, referrals and other relevant data to partners and funders. Performs other duties as assigned.

Requirements

• Education - High school diploma or GED.
• Experience - Five (5) years of care coordination, non-profit, community health or related experience.
• Knowledge of office equipment (fax/copier)
• Proficient computer skills (word processing, spreadsheets, database)
• Data entry​ skills

Nice To Haves

• Experience with or in medical settings
• Bilingual (English and Spanish)

Responsibilities

• Receives referrals and enrolls eligible patients from the Emergency Department, inpatient, clinic, and/or other settings. Confirms eligibility and re-enrolls eligible patients every year. Completes assessments and creates care plans to assist with identified needs including medical home placement and prescription assistance. Makes referrals to Community Health Workes, Social Workers and other Accountable Community resources as indicated. Monitors patient activity in the system to support appropriate utilization of services.
• Maintains a caseload of patients with whom they communicate at least once per quarter or more depending upon need. Completes regular care plan reviews and updates as necessary. Serves as the liaison between participants, Prisma Health departments/services, medical homes and other providers to help provide effective health navigation services to participants.
• Assists in developing and maintaining a network of human services and community resources that partner with Access Health to provide supportive services to clients.
• Works with team(s) to collect and report outcomes, referrals and other relevant data to partners and funders.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees