Patient Navigator UEMS

Advocate Health and Hospitals Corporation•Monroe, NC

2d•Onsite

About The Position

The Patient Navigator will coordinate and conduct patient assessments utilizing community paramedics for community, 9-1-1, and third-party referrals, as well as qualifying inpatient discharges prior to hospital release. This role involves collaborating with hospitals and facility staff to support on-site discharge planning and care transitions. The Patient Navigator will work closely with physicians, PA-C’s, RNs, behavioral health providers, case management, pharmacy, and insurance plans to ensure continuity of care. They will perform SDOH and inpatient assessments to identify clinical, behavioral, social, and environmental needs, and develop, implement, and monitor individualized care and aftercare plans. This position facilitates referrals to various primary care, behavioral health, community-based, social services, faith-based, governmental, and third-party agencies. The Patient Navigator will coordinate resource management for patients and families across the continuum of care, provide patient and family education, and implement and support appropriate clinical interventions delivered by community paramedics. They will manage complex, high-risk, high-utilizer, and non-compliant patient cases, including crisis response, and develop targeted outreach strategies for patients lacking consistent primary or behavioral healthcare engagement. Identifying barriers to care and collaborating with patients, families, and support networks to establish integrated plans of care is crucial. The role also includes participation in referral conferences, interagency meetings, treatment planning, and departmental initiatives, ensuring timely, accurate case management and documentation, and identifying system and provider issues to contribute recommendations for service and process improvement.

Requirements

Bachelor’s degree in nursing or related field required.
Prior experience in behavioral health or SUD.
Experience with community-based case management.
Experience in behavioral health.
Experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required.

Nice To Haves

Master’s degree in nursing, social work, or related field.
Current NCOEMS certification as EMT, AEMT, or Paramedic.

Responsibilities

Coordinate and conduct patient assessments utilizing community paramedics for community, 9-1-1, and third-party referrals.
Qualify inpatient discharges prior to hospital release.
Collaborate with hospitals and facility staff to support on-site discharge planning and care transitions.
Work closely with physicians, PA-C’s, RNs, behavioral health providers, case management, pharmacy, and insurance plans to ensure continuity of care.
Perform SDOH and inpatient assessments to identify clinical, behavioral, social, and environmental needs.
Develop, implement, and monitor individualized care and aftercare plans.
Facilitate referrals to primary care, behavioral health, community-based case management, social services, faith-based, governmental, and third-party agencies.
Coordinate resource management for patients and families across the continuum of care.
Provide patient and family education related to clinical conditions and care plans.
Implement and support appropriate clinical interventions delivered by community paramedics to achieve optimal outcomes.
Manage complex, high-risk, high-utilizer, and non-compliant patient cases, including crisis response.
Develop targeted outreach strategies for patients lacking consistent primary or behavioral healthcare engagement.
Identify barriers to care and collaborate with patients, families, and support networks to establish integrated plans of care.
Participate in referral conferences, interagency meetings, treatment planning, and departmental initiatives.
Ensure timely, accurate case management and documentation in accordance with established standards.
Identify system and provider issues and contribute recommendations for service and process improvement.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program