PATIENT NAVIGATOR - QIP - FULL-TIME DAYS E/O Weekend (24722)

Bergen New Bridge Medical Center•Paramus, NJ

2d•$42,000 - $60,000•Onsite

About The Position

New Bridge Medical Center is seeking a Patient Navigator to join their team, dedicated to providing high-quality, compassionate care in a supportive and inclusive work environment. The Patient Navigator will be responsible for contacting patients post-discharge, coordinating with care team members, executing medical and support service plans, and acting as a primary liaison with medical providers to ensure patient adherence to care. This role involves tracking appointments, coordinating treatment plans, monitoring internal data, identifying and referring patients to community resources for social determinants of health, maintaining program databases, and ensuring strict confidentiality. The position requires flexibility to cover weekend/evening shifts and involves attending professional conferences and training.

Requirements

Experience working as a Community Health Worker, care coordinator, or patient navigator serving complex or vulnerable populations
Strong knowledge of SDOH, including housing instability, food insecurity, transportation barriers, benefits access, and other non-clinical drivers of health
Demonstrated experience with community-based referrals and resource navigation, including follow-up to ensure successful connections (closed-loop referrals)
Ability to work with high-utilizers and patients with complex medical, behavioral health, and social needs
Familiarity with community-based organizations, county social services, and benefit systems
Strong communication, engagement, and documentation skills, particularly in interdisciplinary care settings
Experience working in healthcare, social services, or community-based settings, preferably within a safety-net or Medicaid-focused environment
Excellent communication and interpersonal skills
Experience working with behavioral health and/or substance use population.
Strong attention to detail
Proficient with computer databases
Analytical problem-solving skills
Ability to manage time, prioritize, and meet deadlines
Ability to work independently and as a team member
Good attitude, professionalism, promote team attitude
Bachelor's Degree in behavioral health field required

Nice To Haves

Experience working in a medical or social services environment preferred
Proficiency in Spanish preferred
Master's Degree in behavioral health field preferred

Responsibilities

Contacts patients post discharge per QIP-NJ contractual requirements.
Communicates with patient Care Team members (physicians, behavioral health team and/or other health care providers) to provide patient with integrative care.
Carries out tasks to execute the medical and support service plans including but not limited to guiding patients to appointments and accompanying them when necessary.
Acts as the primary liaison with medical providers to ensure patient adherence to care.
Tracks patient attendance for medical appointments, initiates outreach as well as adhering to missed appointment procedures.
Coordinates treatment plan adherence.
Coordinates deliverables per HORIZON ISC program.
Monitors internal data dashboard to coordinate patient care.
Identifies community resources to address patients' social determinants of health.
Provides referrals to community resources as needed and follow up to ensure referral completion.
Maintains program database of community partners and referrals.
Maintains documentation of all patient encounters and completes reporting requirements according to organizational and contractual requirements.
Maintains strict confidentiality in accordance with state and agency policies.
Attends and represents the organization at professional conferences, in-service training, and meetings at the request of or with the approval of supervisor.
Flexibility with covering weekend/evening shifts.
Performs other duties as assigned to support the overall objectives of the department and organization.