Jobs
>
Hyannis

    patient care navigator - Hyannis, Barnstable, MA , USA, United States - Harbor Health ESP

    Harbor Health ESP
    Harbor Health ESP Hyannis, Barnstable, MA , USA, United States

    4 days ago

    Default job background
    Description

    Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health.

    Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod.

    Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 450 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program.

    To help further the mission of Harbor, we are looking for a talented Patient Care Navigator to join our Care Team at the Harbor Community Health Center - Hyannis

    We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more


    Role:


    The Patient Care Navigator (PCN) works with the patient's primary care and behavioral health team to address the complex non-medical needs that can negatively affect a person's health and well-being.

    The PCN promotes patient-centered comprehensive and coordinated care supporting the patient and their family in navigating medical, social services and legal systems.


    Responsibilities:

    • Establishes trusting relationships with patients and their families.
    • Establishes good working relationships with patients' primary care teams, the Behavioral Health team, MAT team, Client Services, Financial Counselors, Interpretive services, front desk staff, Referrals Department, Call Center, the WIC program, Food Pantry staff, and other clinical specialists so that all team members are empowered to refer to the PCN.
    • Connects patients with concrete community resources, including food resources, subsidized childcare, housing, legal services, financial assistance, IEP's with school systems and immigration services.
    • Actively listens to patients/clients, analyzes needs and concerns and applies knowledge of health center and community resources to assist in resolving issues.
    • Provides direct assistance to patients with completing paperwork to access resources and benefits when literacy, language or comprehension is a barrier.
    • Assists patients with completing applications and registration forms.
    • Assists patients with navigating services of third-party agencies, such as Inspectional Services, Massachusetts Commission for the Blind and Deaf/Hard of Hearing, MassHealth, Personal Care Attendant Services, Senior Services, Fuel Assistance, Low Income Housing applications, SNAP benefits, Transportation Services and homeless shelters.
    • Assists patients with complex medical needs coordinate appointments, assists with scheduling transportation, and with any other barriers for patients getting to their appointments, including assisting with appointment reminders.
    • Connects patients to and assists with accessing Social Security Disability and Department of Transitional assistance benefits, including support with the application process, interview preparation, completing needed paperwork and follow up.
    • Actively participates in complex care team meetings, MAT team meetings, and care conferences at the Behavioral Health department meetings, and other team meetings as assigned.
    • Coordinates services to ensure quality standards are met for Accountable Care Organization.
    • Documents and manages clear care plans, goals and referrals in EPIC Electronic Medical Record (EMR).
    • Maintains updated information on contacts with community partners/agencies.

    Requirements:

    • Bachelor's degree in Social Work, Psychology, Human Services or related field
    • 2 years of experience working in a community-based setting preferred
    • Current BLS (Basic Life Support for Healthcare Providers) Certification
    • Written and oral fluency in English required, fluency in Portuguese or Spanish preferred
    • Experience working in a multi-cultural setting
    • Knowledge of Microsoft Office 365 proficiency including Word, Excel and Outlook; basic computer skills, experience using EMR (EPIC) preferred.
    • Ability to initiate and maintain positive working relationships with Harbor staff and staff at other organizations.
    • Knowledgeable with the local community resources.
    • Good communication skills.
    • Must be able to travel in a timely manner to other HHSI sites and other outside agencies as needed


    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

  • Harbor Health ESP

    patient care navigator

    1 week ago

    Harbor Health ESP Plymouth, MA , USA, United States

    Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harb ...

  • Aware Recovery Care

    Client Recovery Advisor

    1 week ago

    Aware Recovery Care Barnstable, United States

    Why You'll Love This Client Recovery Advisor Job · Do you have passion for meeting people where they are and supporting them on their road to recovery? Do you have a passion for coming alongside and supporting people? Want to use your personal experience to make a difference in t ...

  • State of Maine

    Marine Patrol Officer

    1 week ago

    State of Maine Yarmouth, United States

    **MARINE PATROL OFFICER**: · **Opening Date**: April 09, 2024 **Closing Date**: April 24, 2024 · **Location**:Yarmouth/Falmouth/Chebeague Island **Position #**: · **Position Type**: Permanent** **Full Time **Class Code**:9501 · **Grade/Salary**:Grade** **20 - $54, $72,883.20/Ann ...

  • Artistic Grounds

    Machine Operator for Residential Landscape

    1 week ago

    Artistic Grounds Osterville, United States

    **Machine Operator** · Are you looking for an opportunity for growth and success in your career with a manageable work/life balance? Tired of being burnt out with little to no appreciation, motivation, or professional support? Artistic Grounds, Inc. seeks qualified small machine ...

  • U.S. Army Corps of Engineers

    Small Craft Operator

    4 days ago

    U.S. Army Corps of Engineers Buzzards Bay, United States

    **Duties**: · - Perform as an assistant Operator on one of four Patrol Boats less than 65 feet in length and 450 to 950 Horse Power to transport personnel to and from work sites, and various inspection trips in the Canal and adjacent waters. · - Assist recreational and small craf ...

  • Vinfen

    community health navigator

    1 week ago

    Vinfen Hyannis, Barnstable, MA , USA, United States

    Schedule: Mon-Fri 9:00am-5:00pm · Salary: $50,000 / year · Sign on Bonus: $2000; $666 upon completion of 30 days, $666 upon completion of 6 months, $667 upon completion of 9 months · The Community Health Navigator on the Community Partner team provides care coordination and conne ...

  • Vinfen

    Community Health Navigator

    1 day ago

    Vinfen Hyannis, United States

    Job Description · Schedule:Mon-Fri 9:00am-5:00pm · Salary:$50,000 / year · Sign on Bonus:$2000; $666 upon completion of 30 days, $666 upon completion of 6 months, $667 upon completion of 9 months · The Community Health Navigator on the Community Partner team provides care coor ...

  • Advocates

    Family Partner

    4 days ago

    Advocates Hyannis, United States

    Overview: · Salary: $45, ,000 · $3,000 Sign-On Bonus · (applicable to external applicants only) · Family Continuity is rapidly expanding its energetic workforce to lead fast paced, innovative clinical programming in our six different sites throughout Northeast, Southeast and ...

  • Partnership Employment

    Support Staff

    3 days ago

    Partnership Employment Hyannis, MA, United States

    We are seeking a dedicated Shelter Advocate - Support Staff to join our compassionate team. The ideal candidate will possess a combination of strong customer service skills, empathy, organizational skills, and the ability to navigate through chaotic situations with resilience. As ...

  • Amedisys

    Registered Nurse Case Manager Hospice

    2 days ago

    Amedisys Hyannis, MA, United States

    Overview · Full Time Days · Coverage area: Falmouth, Bourne area · Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in ho spice as a case manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted ...

  • Amedisys Inc.

    registered nurse case manager hospice

    3 days ago

    Amedisys Inc. Hyannis, Barnstable, MA , USA, United States

    Overview Full Time Days Coverage area: Falmouth, Bourne area Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in hospice as a case manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home h ...

  • Vinfen

    Peer Specialist

    1 day ago

    Vinfen Hyannis, United States

    Schedule: Sun-Thu, 9am-5pm · Salary: $20.91 / hour · The ACCS Peer Specialist promotes the engagement, hope and the full integration and functioning of adults with receiving psychiatric rehabilitation services needed to live successfully in the community. As an ACCS Peer Speciali ...

  • Amedisys

    Social Worker

    1 week ago

    Amedisys Hyannis, United States

    Overview Part Time Days Are you a highly skilled and compassionate medical social worker looking for a rewarding career in hospice? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay ...

  • Aware Recovery Care

    Client Recovery Advisor

    6 days ago

    Aware Recovery Care Barnstable, United States

    Job Description · Job DescriptionWhy You'll Love This Client Recovery Advisor Job · Do you have passion for meeting people where they are and supporting them on their road to recovery? Do you have a passion for coming alongside and supporting people? Want to use your personal ex ...

  • Partnership Employment

    Support Staff

    1 day ago

    Partnership Employment Hyannis, United States

    Job Description · Job DescriptionWe are seeking a dedicated Shelter Advocate to join our compassionate team. The ideal candidate will possess a combination of strong customer service skills, empathy, organizational skills, and the ability to navigate through chaotic situations wi ...

  • Advocates

    Family Support Navigator- Bilingual

    6 days ago

    Advocates Barnstable, United States Regular Full time

    Overview · Family Continuity is seeking a Family Support Navigator to provide specialized and enhanced services to children and their families who receive services through an IFFS program. · Family Continuity is rapidly expanding its energetic workforce to lead fast paced, inn ...

  • Amedisys Inc.

    social worker, hospice

    2 days ago

    Amedisys Inc. Hyannis, Barnstable, MA , USA, United States

    Overview Part Time Days Required: Master's Degree in Social Work 1 Year in a healthcare environment as a Social Worker Are you a highly skilled and compassionate medical social worker looking for a rewarding career in hospice? If so, we invite you to join our team at Amedisys, on ...

  • Justice Resource Institute

    Family Partner

    1 week ago

    Justice Resource Institute Yarmouth Port, United States

    Job Description · Job DescriptionWho we are looking for: · Are you the Family Partner we have been looking for? In this position you will be able to convey your passion for helping others by supporting our clients to achieve their goals JRI's Community Service Agencies are dedic ...

  • Justice Resource Institute

    Intensive Care Coordinator

    1 week ago

    Justice Resource Institute Yarmouth Port, United States

    Job Description · Job DescriptionWho we are looking for: · Are you the Intensive Care Coordinator we have been looking for? · Do you have a talent for connecting with youth and their families? Do you hope to use your work to make the lives of others better? If yes, then JRI is l ...

  • Independence House

    Domestic Violence and Sexual Abuse Shelter Advocate- Multiple shifts

    3 days ago

    Independence House Dennis, United States

    Job Description · Job DescriptionDOMESTIC VIOLENCE SHELTER ADVOCATE - Multiple shifts · This position is located on the Outer Cape, in the Harwich area · Multiple positions: · Weekend, day and overnight shifts · Hours: Part-time · Hourly Non-exempt position · The Shelter Advocate ...