- Under general supervision and guidance from the CM leadership team, the Navigator supports clinical staff through the completion of components of case management and disease management programs.
- Assist members in getting appointments & access to appropriate health care and community programs.
- Provide one to one guidance, support, education, coordination of care and other assistance to members as they move through the healthcare continuum.
- Initiate follow-up to confirm and coordinate additional needs.
- Participate in case conferences and meetings with the CM team and medical directors to support effective care coordination.
- Effectively establishes rapport with team members, patients/families, and physicians.
- Ability to provide a high level of customer service to members, internal and external customers in a professional, service-oriented, manner
- Educate and answer inquiries from members and or their caregivers about benefits, services, eligibility and referrals with a positive and professional approach, promoting member satisfaction and retention.
- High school diploma or equivalent education, experience or training required.
- Minimum Experience: two (2) years in an acute care facility, preferably case management or emergency department.
- Strong organizational skills.
- Strong verbal and written communication skills.
- Ability to effectively cope with stressful situations, manage, multiple, and sometimes conflicting priorities simultaneously.
- Knowledgeable of managed care, including contracted and non-contracted providers.
- Spoken and written fluency in English.
- Maintains confidentiality of all PHI in compliance with state and federal law, and BTP policy.
- You are passionate about improving the healthcare experience and want to be part of the Altais mission.
- You are bold and curious- willing to take risks, try new things and be creative.
- You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
- You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
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Health Navigator - Oakland, United States - Altais
Description
Job Description
Job DescriptionAbout Our Company
At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.
About Your Team
Are you looking to work with a high performing, fast growing and dynamic Health and Innovation team? We are 4,000+ physicians, working in over 40 cities in California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.
About Your Work
The Health Navigator (Ambulatory Care) assists members in navigating and connecting to clinical and community resources. Supports clinical staff in identifying and providing outreach, and baseline assessment services to members. Establish and maintain effective, ongoing relationships by facilitating communication and coordination with members, their caregivers, PCPs, and other providers. Connects members with health screening programs, and other resources. The Health Navigator will focus on care coordination and short-term case management for members needing support in accessing medical, social or behavioral services.
You will focus on:
The Skills, Experience & Education You Bring
You Share Our Mission & Values:
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.
Altais is a leading network of independent doctors focused on delivering personalized and high-quality health care in over 40 cities in California. Its network of more than 3,000 physicians, serving more than 355,000 HMO, ACO and PPO patients, is dedicated to improving care and reducing costs through innovative care management and care coordination programs, use of health care technology, and population health management strategies. For more than 30 years, Altais and its family of companies has proudly collaborated with leading hospitals and health plan providers to provide high quality care in California
Please note that Brown & Toland Physicians is a wholly owned subsidiary of Altais Clinical Services, a division of Altais. Other subsidiaries in the Altais family of companies include Altais Medical Group Riverside and Family Care Specialists Medical Group.
