Care Navigator - Part Time (20 Hours)

Brown Medicine • East Providence, RI

98d

About The Position

The Care Navigator (CN) is responsible for helping persons living with complex illness and their caregivers navigate and access health care, home and community-based services, and adapt to the challenges of complex illness. The CN collaborates with physicians, nurse practitioners, social workers, and case managers in an integrated approach to care management and community outreach. The CN supports innovative clinical programs such as Guiding an Improved Dementia Experience (GUIDE). The CN provides social support and informal counseling, utilizes motivational interviewing, applies condition-specific care management protocols, advocates for individual and community health needs, and provides introduction and assistance with accessing resources. This is a part-time, 20 hour position supporting the Division of Geriatrics & Palliative Medicine.

Requirements

• Good organizational skills to handle multiple priorities while remaining professional and calm.
• Ability to work with many diverse people, including individuals with Alzheimer’s disease and related dementias, serious mental illness, behavioral challenges, and other disabilities.
• Knowledge of Care Navigation in general and specific to the condition.
• Effective telephone skills.
• Ability to make constructive suggestions on workflow or system efficiency and effectiveness.
• Ability to work independently and achieve an appropriate balance of self-direction and teamwork.
• Ability to prioritize and follow through on commitments.
• Ability to perform routine components of the Care Navigator role with minimal supervision.
• Ability to work at a high-volume level of accuracy.

Nice To Haves

• Proficiency in Spanish.
• Experience working in a multi-cultural setting.
• Experience working in a community-based setting for at least 1 to 2 years.
• Basic computer skills; electronic medical record (EMR) experience.
• Good communication skills, such as listening well, and using language appropriately.
• Education: Successful completion of formal training and/or certification as a Community Health Worker or Navigator.
• Medical terminology and/or background.

Responsibilities

• Establish trusting relationships with patients and their families while providing general support and encouragement.
• Work collaboratively with the Interdisciplinary Care Team by clearly and accurately presenting to the team and consulting the team and its individual members when appropriate.
• Perform a person-centered (and caregiver centered) assessment of strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and unmet social determinant of health (SDOH) needs.
• Participate in the development of a care plan including patient-driven goal setting and an action plan.
• Provide ongoing follow-up, motivational interviewing, and goal-setting with persons living with complex illness and their families.
• Provide health education, teach self-advocacy and behavioral change techniques, and use condition-specific care management protocols.
• Monitor a panel of persons living with complex illness, maintaining follow-up contact via telephone, video, and in-person visits.
• Observe and assess/reassess instrumental and basic activities of daily living skills and teach caregivers methods to adapt to incapacities.
• Identify unmet care needs and provide referrals for services and support to community agencies.
• Maintain knowledge of community resources relevant to the target audience of the care navigation program.
• Assist in the development of advance directives.
• Work collaboratively with staff, clinicians, students, and trainees at all levels of health professions training.
• Document patient information and encounters in the electronic health record according to standards.
• Attend regular staff meetings, trainings and other meetings, as requested.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED