Community Health Navigator I

Bassett Healthcare•Oneonta, NY

37d•$22 - $32

About The Position

The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services. In this role a Navigator I is expected to assist members and coordinate members services with community resource, engage members in healthcare services, advocate for member's needs, and assist members with reaching their person centered goals. A Navigator will work with their member to achieve self-sufficiency and graduation from the program by providing education and assistance in developing skills to navigate services and daily living skills to be more independent in their decision making. The Community Health Navigator is required to follow policy and procedure set by the lead Health Home to ensure quality and service alignment with NYS DOH guidelines. A Navigator must have good communication skills, time management and organization skills, have knowledge of and be able to collaborate with other community organizations, and work well with a team. It is expected that Navigator will maintain a caseload of 30 to 50 members at any given time, and assist with member coverage when the need arises.

Requirements

High School Diploma or GED, required with an additional 4 years experience in the healthcare, human services field, maybe considered
Minimum one year experience in Human Services or Healthcare field providing direct care to individuals. With experience providing direct services to people with Serious Mental Illness, Developmental Disabilities, alcohol and substance abuse, required
Current NYS Driver's License, required
Accountability
Computer Skills
Time Management
Self-Motivated

Nice To Haves

2 year/Associate Degree, preferred with an additional 2 years of experience in the healthcare, human services, maybe considered
4 year/Bachelor's Degree in human service or nursing related field, preferred
Minimum two years experience in Human Services or Healthcare field providing direct care to individuals. With experience providing direct services to people with Serious Mental Illness, Developmental Disabilities, alcohol and substance abuse, preferred
LPN, preferred
CASAC Certification, preferred

Responsibilities

Required to carry a caseload of a minimum of 30 members monthly while maintain quality according to the Bassett Health Home Policies.
Provide Core Care Management Services to assigned caseload.
Comprehensive Care Management
Care Coordination & Health Promotion
Comprehensive Transitional Care
Patient & Family Support
Referral to Community & Social Support Services
Completion of Care Plans, Assessments, updated documentation, home visits and billing.
Complete outreach for assigned members per the HH Policy and Procedure, to enroll new members in the program.
Providing education/guidance to patients and families on tools to manage chronic illnesses, develops individual and web-based tools and resources to improve compliance.
Conducts thorough needs assessment and assist the member in setting goals and develops a service/care plan to address unmet needs.
Develops, implements and monitors care plans with members and their families.
Assists members engagement in their healthcare by connecting members with the appropriate medical services, closing care gaps, and ensuring transportation to medical appointments.
Review monthly chart audits with Supervisor to ensure quality of charts.
Attend required meetings to remain up-to-date on changes, and new DOH guidelines.
Communication with Supervisor related to use of job duties and use of time off.
Coordinate care through effective communication with other providers, community resources, and supports.
Knowledge of County, State and Federal resources.
Positive communication and schedule flexibility to appropriately support the needs of the team and the members being served.
Collaborate with Bassett RN Care Managers for clinical oversight, as needed.
Complete monthly member tracking on spreadsheets to ensure billing, requirements, and health and quality metrics are being met.
Maintains current and accurate documentation of services provided to clients.
Ensures all members information is entered into Medicaid Health Home data systems.
Compliance with policy, procedure and regulatory requirements
Meet minimum billing requirements for caseload by providing billable services as described in the Bassett Health Home policies and procedures.
Attend webinars, and trainings as required by the DOH and the HH.
Adheres to HIPAA confidentiality regulations 100% of the time as observed by manager.
Assists with interviewing, and training new employees.
Participate in rotating on-call activities.
Assist with coverage of caseloads for other Navigators who are on Leave or Vacation to provide continuity of care.
Assist in the development of resources and procedures that relate and impact job duties, as needed.
Attends meetings and serves on committees, as requested.