Care Navigator

Essen Medical Associates•Bronx, NY

4d•$19 - $21

About The Position

The Care Navigator for Healthcare House Calls plays a critical role in assisting patients in identifying, enrolling in, and accessing government benefits and community resources which can help them and their families better navigate health and lifestyle challenges faced by high-needs seniors. You will understand the patient’s needs and concerns, educate them about resources available to address those concerns, , answer questions about their plan of care, and assist in problem-solving patients’ barriers to care. The specialist will coordinate with healthcare providers and patients’ families to ensure that all necessary documentation is completed accurately and efficiently for seamless service delivery.

Requirements

Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
Experience: Experience in healthcare administration, sales/outreach, or customer service (preferably in a home health, house calls, or outpatient setting).
Technical Skills: Proficiency in Microsoft Office and other office tools required. Familiarity with electronic health records (EHR) systems and healthcare software preferred.
Knowledge: Understanding of healthcare and health insurance terminology (including Medicare, Medicaid, home care ).
Communication Skills: Excellent verbal and written communication skills to interact with patients, healthcare teams, and insurance providers.
Attention to Detail: Strong attention to detail and accuracy in processing enrollment data and insurance information.
Problem Solving: Ability to address patient concerns and resolve issues effectively.
Customer Service: Strong customer service skills, particularly in assisting elderly or homebound patients.

Nice To Haves

Experience with home healthcare services or house calls.
Knowledge of Medicare, Medicaid, and commercial insurance policies for home health services.
Bilingual in Spanish speaking.
Track record of exceeding activity and sales goals preferred.
Healthcare background a plus.
Problem solving and customer service skills required.
Knowledge of healthcare and direct marketing to community agencies and/or physicians preferable.
Sales/marketing specific background or education with focus on consultative selling.

Responsibilities

Explain our care management and Dementia Care programs to eligible patients
Guide patients through the enrollment process for care management services, assiting them in completing required forms and questionnaires
Input and maintain accurate patient data in the system (e.g., Electronic Health Records - EHR).
Discuss with patients their plan of care and aspects of the journey ahead
Act as the main point of contact for patients inquiring about accessing care and community resources
Assist patients in navigating the healthcare system, from appointment bookings to accessing prescriptions and DME, to assisting in coordinating transportation when necessary
Educate patients about Dementia and how families can cope with related lifestyle changes
Work closely with house call healthcare teams (nurses, doctors, and other medical professionals) to ensure patients get the care they need
Ensure all documentation is compliant with healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and other federal/state healthcare policies.
Maintain accurate and up-to-date records for all patients receiving house call services.
Ensure proper processing of claims related to house call services.