PACE Care Navigator
About The Position
Under the direction of the Center Manager, the PACE Care Navigator is responsible for supporting the IDT by coordinating the Service Delivery Request process and documenting the meeting discussions. As an integral member of the Retention Committee, the Care Navigator also provides direct assistance to participants by connecting them to PACE system of care and proactively reaches out to participants to resolve concerns to prevent disenrollment. Communicates appropriately to the interdisciplinary team members, management, and participants to resolve concerns. Promotes professional working relationships with both internal and external customers. Adheres to and supports all organizational policies and procedures and standards.
Requirements
- High school diploma or GED equivalent required.
- Active driver license.
- Clean driving record.
- Proof of auto insurance.
- Two years of health care experience working with frail and/or chronically ill elderly population.
- Knowledge of community resources available to seniors and their families.
- Experience in providing case management services, including motivational and/or clinical interviewing skills.
- Must have excellent written and verbal communication skills and demonstrate the ability to interact clearly and effectively with both internal and external customers.
- Must submit to and pass a pre-employment drug/alcohol screening and criminal background check.
- Must have a current California Driver's License and driving record must be in compliance with Company policy. Must maintain current automobile insurance.
- Proficient in Microsoft Word and Excel.
- Medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
- Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.
Nice To Haves
- Bachelor's Degree in health or human services, preferred.
- CRM and EMR experience preferred.
- Skilled in establishing and maintaining effective working relationships with participants, co-workers, vendors, medical staff, and the public.
Responsibilities
- Participate in IDT meetings and provide support to the IDT.
- Scribes IDT meeting agenda for each pride and assists with coordinating meeting.
- Coordinates transportation schedule in IDT and tracks cancellations.
- Manages Service Delivery Requests to include initiation in EMR, documentation, NOA letters for denials, and service provided dates.
- Collaborates with medical assistant scheduler for centralized assessment and transportation scheduling.
- Leads Retention Committee and acts as a liaison between different disciplines, services, and participants to ensure continuity of care and services.
- Interfaces directly with participants identified as being at risk for disenrollment from the program.
- Clarifies areas of need, available resources, and sources of support, and develops a plan in collaboration with IDT members and the participants, participants families/caregivers.
- Facilitates communication among service providers, family, participants, caregivers.
- Maintains courteous, helpful, and professional behavior on the job.
- Supports the success of the entire IDT team by promoting a collaborative work environment.
- Special projects including implementation of satisfaction surveys.
- Consistently contributes to problem-solving and cooperates with identified resolutions.
- Brings issues and process improvement ideas to the attention of the Supervisor.
- Maintains verbal and written skills required for the position.
- Attends meetings and participates in committees as required.
- Adheres to all GMWP Policies and Procedures, GMWP Safety Policies and Procedures and OSHA safety guidelines.
- Communicates clearly and concisely with sensitivity to the needs of others.
Benefits
- Generous pay and a comprehensive benefits package focused on your health and wellness.
- 11 paid holidays, 13 days of PTO, and 5 days of sick time.
- A 5% employer match to our 403(b) retirement plan.
- No on-call time
- An annual education allowance
- Commitment to professional growth
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
