- Conducts agency visits to client's providers.
- Maintains a caseload as assigned by the Care Coordination Supervisor.
- Utilizes approved Health Home assessment tools and Health Information Technology (HIT) to complete initial and annual assessments and to develop an appropriate care plan of service needs.
- Completes an accurate monthly HML assessment for each assigned member.
- Provides referrals, develops linkages and follows up on client services including timely documentation in all Electronic Medical Records for corresponding Health Homes.
- Uses health Information Technology (HIT) dashboards to link services and communicate among care management team, providers, members and their families/caregivers.
- Conducts member outreach and engagement activities to designated Health Home members, including face-to-face, mail, electronic and telephone contact.
- Ensures that services provided to each member of his/her caseload meets core values of care management services as set forth in federal guidelines of Affordable Care Act.
- Assists members in accessing health care and social service systems including arranging for transportation, scheduling and accompanying member to appointments.
- Helps members in identifying available community-based resources and actively manage appropriate referrals, access, engagement, follow-up and coordination of services.
- Associates Degree in Human Services, Sociology, Psychology or a related field.
- Willingness to travel regularly in the community and to members' homes as needed.
- Computer literacy including proficiency in Microsoft Office Suite and EHR.
- Experience working directly with people from diverse racial, ethnic and socioeconomic backgrounds.
- Flexibility is needed as members may call outside of daily work schedule (24-hour call).
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patient care navigator - Bronx, NY , USA, United States - Samaritan Daytop Village
Description
Patient Care Navigator
Salary: $46,000
Healthcare staff can work anywhere....The BEST work with US
A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.
Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.
The Role
Under general supervision the Patient Care Navigator is responsible for providing care management for clients and their families/support system and advocates for clients to obtain the full range of needed services and ensures coordination of these services. The Patient Care Navigator is primarily responsible for addressing member needs (i.e. appointment monitoring, event notifications, linkage with other services providers), providing care plan updates. Patient Care Navigators must understand how to access services, communicate effectively and build strong relationships with members. This work is carried out in support of the mission and goals of Samaritan Daytop Village.
What You Will Do
Who You Will Be
