What are the responsibilities and job description for the Population Health Navigator - Part-Time position at McLaren Health Care?
The Population Health Navigator directly assists patients with care coordination and promotes patient-centered healthcare delivery within McLaren Health Care and the community. The Population Health Navigator works collaboratively with the MPP care coordination team and health plan care managers to promote optimal patient safety and quality care. This position serves as an initial contact for primary care physicians to refer patients for care coordination and care management services.
Essential Functions and Responsibilities:
1. Under the direction of the RN or MSW care coordinator, performs care coordination services for MPP including but not limited to the use of ADT systems, patient outreach, and communication across the care continuum with physician offices, home care providers, hospitals, skilled nursing facilities, and health plans.
2. Conducts initial patient screening for at risk patients based on standardized assessment tools.
3. Refers patients to the appropriate care coordinator based on needs assessment.
4. Establishes trusting relationships with patients and their caregivers while providing general support and encouragement.
5. Identifies and addresses potential patient barriers to care plan adherence.
6. Facilitates timely PCP appointments following discharge from the hospital, ED, or SNF and helps patients overcome barriers to accessing care.
Qualifications:
Required:
- High School Diploma or CMA certification.
- Five (5) years’ experience in healthcare setting serving chronically ill patients.
Preferred:
- Associate degree in health care or related field.
- Experience in a health plan or Physician Organization environment with Care Coordination, Utilization Management, disease management, and/or population health.
- Motivational Interviewing Training.