Care Navigator

TCC Health•Jamestown, NY

About The Position

Purpose: The Care Navigator will assist in follow up of appropriate care when patients transition from care levels, as well as ensure patients are receiving quality care through maintenance of quality metric reports . Job Duties: Maintain active HealtheLink access. R esponsible for following the patient's movement through the duration of their time in the Emergency department or Hospital Admission Will be utilizing and working with HEALTHeLink program to monitor alerts on patient's progress and documentations of occurrence during visits Assist with the completion of Transition of Care Management (TCM) visits for those patients that have been hospitalized. Complete s log of all Admission, Discharge and Tran sfer (ADT's) that demonstrates movement through systems, as well as follow up and discharge reports in patient charts. Maintains quality service by establishing and enforcing organization standards through management of quality compliance reports from insurance companies, ACO and SIPA. Maintains patient care database by entering new information as it becomes available; verifying findings and reports; backing up data. Assists all patients through the healthcare system by acting as a patient advocate and navigator. Provide transportation services on an as needed basis only after all other resources have been exhausted ( i.e., CARTS, medical transport, etc. ). Assist the Care Coordinators as needed. Participates in Patient Centered Medical Home team meetings and quality improvement initiatives. Contributes to team effort by accomplishing related results as needed. Willing to be diverse and mentor peers in all job duties. Performs other duties as assigned

Requirements

Associate degree in Public Health, Nursing, or Behavioral Sciences preferred or equivalent experience in the human services field.
Self-disciplined, energetic, passionate, innovative
Excellent interpersonal an d communication skills required
Leadership and organizational skills essential
Computer literate preferred
Demonstrate sound judgment, decision-making and problem-solving skills
Knowledge of medical office prac tices, procedures, and equipment
Knowledge of problem-oriented record keeping
Correct Engl ish usage, spelling, and grammar
Confidence to communicate and outreach to other community healthcare organizations and personnel
Knowledge of community resources

Nice To Haves

One year ambulatory or public health experience is preferred
Bilingual esp ecially in Spanish is preferred

Responsibilities

Maintain active HealtheLink access.
Responsible for following the patient's movement through the duration of their time in the Emergency department or Hospital Admission
Utilizing and working with HEALTHeLink program to monitor alerts on patient's progress and documentations of occurrence during visits
Assist with the completion of Transition of Care Management (TCM) visits for those patients that have been hospitalized.
Complete s log of all Admission, Discharge and Tran sfer (ADT's) that demonstrates movement through systems, as well as follow up and discharge reports in patient charts.
Maintains quality service by establishing and enforcing organization standards through management of quality compliance reports from insurance companies, ACO and SIPA.
Maintains patient care database by entering new information as it becomes available; verifying findings and reports; backing up data.
Assists all patients through the healthcare system by acting as a patient advocate and navigator.
Provide transportation services on an as needed basis only after all other resources have been exhausted ( i.e., CARTS, medical transport, etc. ).
Assist the Care Coordinators as needed.
Participates in Patient Centered Medical Home team meetings and quality improvement initiatives.
Contributes to team effort by accomplishing related results as needed.
Willing to be diverse and mentor peers in all job duties.
Performs other duties as assigned