Care Navigator - Remote in Colorado ONLY

Western Healthcare Alliance•Grand Junction, CO

11d•$25 - $31•Remote

About The Position

The Care Navigator supports the Community Care Alliance care coordination program by navigating care for assigned populations, such as Medicare and Medicaid members. This role is part of an interdisciplinary team and performs its work in alignment with scope of practice, payer requirements, and organizational policies. Through phone outreach, the Care Navigator organizes, collects, reviews, and reports health and social information while communicating effectively and demonstrating multicultural sensitivity. The position supports preventive and disease-management programs, provides culturally appropriate information about health and community resources, and works to reduce barriers to care. The Care Navigator helps improve enrolled patients’ quality of life by supporting quality outcomes, facilitating care transitions, coordinating care across the health continuum, and encouraging healthy lifestyle choices. The role represents the organization in work with multiple constituents and follows established safety protocols in community settings.

Requirements

Two years of progressive related experience working with diverse populations.
Knowledge of health education and motivational strategies, and an empathetic manner when working with underserved populations.
Ability to communicate effectively and demonstrate multicultural sensitivity when working with members.

Nice To Haves

Healthcare setting experience.
Bachelor’s degree in a related field and/or a related certification such as MA, CNA, or LPN; an equivalent combination of education and experience that enables performance of the full scope of the position is also considered.
Knowledge of healthcare business.
Knowledge of the local area.

Responsibilities

Work collaboratively to support individualized care plans addressing physical, behavioral, and social needs.
Work collaboratively with clinic staff to provide education and recruitment techniques.
Demonstrate competence in the Seven Domains of Care Coordination in primary care: Population Health Management; Comprehensive Assessment and Care Planning; Interpersonal Communication; Education/Coaching; Health Insurance and Benefit Knowledge; Community Resource Knowledge; and Research and Evaluation skills.
Provide outreach, disease management, education, and other clinically based activities to patients managing chronic health conditions, referral sources, and the community.
Coordinate referrals to medical, behavioral health, social, environmental, and community-based resources to reduce barriers to care.
Conduct assessments and ongoing reassessments to identify changing health and social needs.
Assess participants’ readiness, willingness, and ability to change.
Identify patient coaching, support, and educational needs with a focus on what matters to patients’ quality of life.
Identify and connect patients with relevant community and health care resources, and provide educational tools to promote self-management.
Conduct health and wellness coaching sessions to help participants make lasting health and wellness changes.
Monitor and document patients’ progress toward their optimal level of wellness.
Promote wellness and educate patients about preventive care measures.
Act as a liaison between referral sources, facilities, and outside entities to prevent or resolve continuum-of-care issues.
Communicate with service delivery partners, providers, and other health professionals to coordinate care and support efficient use of health care resources.
Coordinate and monitor care to promote quality and cost-effective outcomes.
Follow up proactively with patients discharged from hospitals, rehabilitation facilities, and emergency rooms; recruit them into care management services; help ensure they have a provider appointment; and review unmet needs before the appointment.
Analyze clinical data from EHR and registry systems to identify care gaps and use risk-stratification metrics to support care coordination recruitment.
Communicate issues requiring intervention to appropriate care team members, providers, and departments.
Assist clinics with billing questions related to services provided by the Regional Care Coordinator.
Stay current on industry trends, best-practice operational models, and changing patient and provider needs.
Collaborate across documentation platforms and use tools including Microsoft Teams, Excel, and Word.

Benefits

Medical insurance with low premium costs and multiple plan options.
Dental insurance through Delta Dental.
Vision insurance through VSP.
401(k) with a 5% company match.
Flexible Spending Account for health care and dependent care expenses.
Seven paid holidays per year.
Paid time off accruing at three weeks in the first year, four weeks after five years, and increasing thereafter.
Sick leave accruing up to six days per year.
Employer-paid life and long-term disability plans, with options to purchase additional coverage.
Employee Assistance Program for employees and household members.
Pet insurance.
Access to group discounts, including mobile phone and rental car discounts.