Care Navigator- Westside Family Health Center

Denver Health•Denver, CO

22h•Onsite

About The Position

Under general supervision, provide patient navigation services as it relates to care coordination, referral management, service continuity including but not limited to assisting with navigating the health care system, re-engaging patient care, specialty specific health education, provided service education, and access to services and or resources available for all patients. The care navigator will facilitate patient compliance around: ambulatory care, HIV care, patient discharges, follow-up care, home care and or community resources. Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled. Our purpose shapes our culture and guides how we show up—for our patients, our communities, and one another. Every role at Denver Health contributes to improving lives, advancing health equity, and strengthening the communities we serve. Together, we strive to transform the health of our patients and to be the most trusted health care provider in Colorado. Our values—respect, belonging, transparency, and accountability—are the foundation of our culture and are reflected across every position, clinical and nonclinical alike. No matter where you work at Denver Health, your role has a meaningful impact on patient health—often in ways you may not even realize. We invest in our people through resources designed to support both immediate success and long-term growth. Mentorship programs, tuition assistance, and our Workforce Development Center help employees transition seamlessly into their roles while preparing for future advancement. We also lead the market with a competitive benefits package, including retirement contributions with a match of up to 9.5%. Recognizing the emotional and physical demands of many jobs in health care, we created the RESTORE Center—a leading-edge space that provides intentional peer-support, and an innovative environment designed to reduce burnout and support employee well-being. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Learn more about Denver Health.

Requirements

High School Diploma or GED
1-3 years Experience in a clinical care setting
Intermediate knowledge of the community resources needed for reentry at Denver Health’s integrated care system
Strong oral and written communication skills
Proven ability to work effectively, both individually and as a team, with populations experiencing disadvantages, persons involved with the criminal justice system, persons experiencing homelessness, and recent immigrants.
Must be empathetic to the needs of all patients.
Intermediate knowledge of the community resources needed to support individuals in the Denver Metro area.

Nice To Haves

Bilingual in English/Spanish preferred
Knowledge of Epic and other electronic health records systems
Knowledge of Microsoft Office suite products

Responsibilities

Manages appropriate transitions of care for patients regardless of payer from ED, inpatient, SNF, specialty to primary care
Addresses barriers in an effort to facilitate care-coordination, improve patient experience, connect to care as appropriate, and retention-in-care as stipulated by grant funder programmatic requirements.
Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
Assembles information concerning patient’s clinical background and referral needs. Per referral guidelines, provides appropriate clinical information as applicable.
Contacts review organizations and insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis, and prognosis. Provides specific medical information to financial services.
Acts as an extender for the care team by assisting patients in problem solving potential issues related to the health care system, financial or social barriers (e.g. requests interpreters as appropriate, transportation services or prescription assistance) in an effort to facilitate care coordination and support plans of care.
Acts as the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the care team to ensure approval of the necessary supplies/services for the patient in a timely fashion.
Identifies and utilizes cultural and community resources. Serves as a liaison for internal and external care providers and/or families/caregivers.
Identifies opportunities and collaborates with care team to implement solutions surrounding patient care coordination (e.g. scheduling appointments, transportation, interdisciplinary communication, insurance informational support). Reminds identified patients of scheduled appointments.
Tracks individual patient referral process, including but not limited to; ensuring appointment is scheduled, necessary follow- up is completed and any barriers addressed with patient and family/caregiver
Uses motivational interviewing and teach back tools to assist patient understanding of care plan, including but not limited to discharge instructions, medication follow-up, behavior change, etc.

Benefits

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer