Care Management Navigator II

• High School diploma or GED and 3 or more year of experience in a healthcare or hospital ambulatory related setting.

• 2 years of navigator or a combination of a navigator and care coordinator experience with Comprehensive knowledge of multiple aspects of the program to provide coverage as needed for missing navigators

• 2 years of experience with electronic medical records

• Demonstrated knowledge and/or experience with case management-related service functions such as: patient interviews, discharge planning/social service basic assessment and referral processes, community resources, finance and payer communication processes and information systems.

• Proficiency with basic Microsoft Office programs required

• Advocacy, Cultural Mediation/Competency

• Written, verbal and exceptional interpersonal communication skills including providing emotional support and information for patients, helping patients understand their diagnoses, and maintaining communication with patients, families and health care providers to monitor patient satisfaction with the care experience

• Ability to multi-task, function independently, organize, and be self-motivated.

Preferred Job Qualifications:

• Bachelors or Associates degree (health related area of focus such as social work, psychology or medical terminology) preferred.

• QBS Certification preferred if bilingual

Physical Demands:

Competencies:

Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
Job Responsibilities:

• Provide bilingual navigation services to patients, families, and caregivers engaged with breast surgery clinics.
• Work directly with patients and their families to address acute barriers to care.
• Monitor new referrals and existing caseload of patients on a daily basis.
• Provide in-person and telephonic outreach as necessary to ensure care is delivered on a timely basis.
• Assess patients’ transportation and care coordination needs, along with any other barriers impacting their ability to attend appts.
• Develop action plans and basic care planning for low-risk patients.
• Implement interventions to ensure patients have support and resources to support successful appointments.
• Educate patients on available resources and be knowledgeable of available programs to address SDOH and other barriers to care.
• Provide assistance with insurance as needed, including connecting patients with resources for enrollment or lapses and problem-solving insurance challenges.
• Improve and further develop existing workflows.
• Ensure compliance with quality measures to improve identified outcomes (i.e. Health Risk Assessment, high utilizer patients, etc.).
• Collaborate with Supportive Oncology team, breast surgery staff, and other providers as needed regarding patient care needs.
• Acquire comprehensive knowledge of Supportive Oncology navigation services in order to provide navigation coverage and assist with team caseloads as needed.
• Engage in American Cancer Society’s Leadership in Oncology Navigation trainings and other professional development opportunities as offered to strengthen oncology navigation skills and knowledge.
• Document all patient interactions in Epic electronic health records system.
• Promote the Rush Supportive Oncology program and refer patients to internal Rush services as appropriate.
• Other duties as assigned.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.