Care Navigator - Remote in Colorado ONLY

Western Healthcare Alliance•Grand Junction, CO

13d•$25 - $31•Remote

About The Position

The Care Navigator position supports the work of the care coordination program, navigating care within assigned populations as determined by CCA (Medicare, Medicaid, etc.). This position functions as part of an interdisciplinary team. Responsibilities are performed in alignment with the scope of practice, payer requirements, and organizational policies. Responsibilities will be carried out by organizing, collecting, reviewing, and reporting health and social information through phone outreach, while demonstrating multicultural sensitivity and effective communication skills with members. This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education. Deliver culturally appropriate information regarding the availability of health and community resources that will reduce barriers to care. This position will work to improve the quality of life for enrolled patients by supporting quality outcomes, facilitating smooth care transitions, coordinating care across the health continuum, and encouraging healthy lifestyle choices to reduce the long-term effects of chronic illness. This position is accountable for working with and representing our organization across multiple constituents.

Requirements

Two (2) years of progressive related experience working with diverse populations.
Healthcare setting experience preferred.
Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved.
Knowledge of healthcare business preferred.
Knowledge of local area preferred.

Nice To Haves

Bachelor’s degree in related field and/or related certification (MA, CNA, LPN) preferred.
Or the combination of education and experience that would enable performance of the full scope of the position.

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.
Exhibit competence in the Seven Domains of Care Coordination in the primary care setting: 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 needed clinically based activities to patients managing various chronic health conditions and to 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 and identify participants’ readiness, willingness, and ability to change.
Identify patient coaching, support, and educational needs by focusing on what is important to their quality of life.
Determine and connect with relevant community and/or health care resources to support solutions; provide educational tools to promote self-management.
Conduct health and wellness coaching sessions to assist participants in making lasting changes to their health and wellness.
Monitor and document the patient’s progress toward his or her optimal level of wellness.
Promote wellness and provide education regarding preventative care measures.
Act as a liaison between referral sources, facilities, and outside entities to prevent and/or resolve a continuum of care issues.
Communicate with service delivery partners, providers, and other health professionals to provide care coordination to ensure the plan of care facilitates the efficient use of health care resources.
Demonstrate skills in effectively coordinating and monitoring care to promote quality and cost-effective outcomes.
Proactively follow up with patients discharged from all hospitals, rehab facilities, and emergency rooms to recruit patients into the care management services to ensure the patient has an appointment with their provider and reviews any unmet needs prior to the upcoming appointment.
Analyzes clinical data from EHR/Registry systems to identify patients with care gaps and uses risk stratification metrics to support care coordination recruitment.
Communicate identified 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.
Remains current on industry trends, best practice operational models, and changing patient and provider needs.
Collaborate across various platforms for documentation and be familiar with, including but not limited to, Microsoft Teams, Excel, and Word.

Benefits

Medical - Low premium cost and multiple plan options to best fit your needs.
Dental - Delta Dental
Vision – VSP
401k with 5% company match after 60 days!
Flexible Spending Account (FSA) to help you save on healthcare and dependent care expenses
7 Paid Holidays during the year
Paid Time Off: accrue 3 weeks your first year; 4 weeks after year 5; and more each year after!
Sick Leave: Up to 6 Days accrue each year.
Employer Paid Life and Long-Term Disability Plans, with options to purchase additional coverage
Employee Assistance Program for you and members of your household
Pet Insurance
Access to Group Discounts including mobile phone, rental cars, and more!