Population Health Care Navigator

JOB SUMMARY:

Through an equity driven approach, the Population Health Care Navigator drives high-volume outreach interventions designed to engage new and existing clients to access the right care at the right time. Working closely with Population Health leadership, the Care Navigator seeks to close preventative care gaps in close coordination with clients, care teams, and specialty offices, and by leveraging available data repositories such as CRISP. Care Navigators also collaborate with clients to achieve health goals. They may serve as a liaison to, link to, or intermediary between health and social services and the community to facilitate access to services. Daily responsibilities include conducting outreach via phone calls and text messaging to schedule appointments, respond to client inquiries, address barriers, and support the client and care team for successful gap closure, continuity of care, and linkage to additional supportive services.

MAJOR DUTIES AND RESPONSIBILITIES:

Patient Focus

• Provides education, coaching, and support to new and existing clients to achieve health goals and close care gaps, including those due for preventative health services such as cancer screenings, wellness exams, and chronic disease management.

Communication

• Utilizes best practices in motivational interviewing to support client engagement. 

• Communicates clearly with clients, care teams, and partners to convey pertinent information.

• Responds to inquiries in a timely, courteous, and efficient manner.

Workplace Computers and Equipment  

• Schedules medical appointments accurately according to organizational guidelines; inputs registration information when appropriate.

• Retrieves and indexes clinical information from multiple sources to ensure continuity of care for clients.

• Accurately documents and routes care coordination and phone notes in EMR.

• Utilizes required platforms (Microsoft Office Suite, EMR, CRISP, EZAccess, ExactSciences, and more) appropriately and in accordance with HIPAA standards.

Teamwork

• Collaborates with RN Care Coordinators, VBC Practitioners, Nurse Care Managers, and others, in support of addressing needs of shared clients.

• Collaborates with other members of the Navigation team for peer learning, feedback, and support.

• Consistently positions self as resource for client and care team for successful gaps closure.

SKILLS AND ABILITIES:

• Excellent customer service skills

• Good interpersonal skills

• Proficient in Microsoft Office Outlook, Word, and Excel

• Attention to detail

• Ability to learn quickly 

• Ability to adapt to change

• Team player

• Able to take and follow through with delegated tasks 

• Bi-lingual skills a plus

EDUCATION: 

• Required: High School Diploma or GED

• Required: Successful completion of a Community Health Worker certification training program 

• Accredited by the Maryland Department of Health at time of hire or achieved within five months after successful completion of probationary period.

• Preferred: Some college

EXPERIENCE:

Required: One year experience working in healthcare setting