Job Description

Job Summary 

Responsible for improving patient’s level of engagement, overall experience with acute and post-acute care services and ensuring appropriate utilization of in-network health system services. Care Management Navigator is responsible for ensuring effective coordination of healthcare services from both the acute and post-acute care settings, bridging care and communication with the patient’s primary care physician post-discharge and actively engaging the patient in overall healthcare management. The role of the Care Management Navigator is crucial to increasing patient engagement and establishing a continuum of care, increasing in-network utilization and the improvement of value based and publicly reported scoring.

Essential Functions

Works in a medical setting with physician practices, hospital teams, Post-Acute Care Providers and the ACO to manage the full continuum of care in the provider network. Understanding of the clinical capabilities of Post- Acute Care Providers to assist patients and families in the event secondary placement decisions must be made. Provides assistance to the patient in establishing a PCP and scheduling of post-discharge appointments. Effectively utilizes care coordination and tracking software to understand and influence readmission factors and utilization patterns. Review patient care concerns and identify resolution of issues to meet patient care needs. Provide weekly reporting to Continuum of Care Coordinator on activity with Case Management, ED, Nursing and the Post-Acute Care Network. Documents interactions with patient, family hospital staff, and providers in accordance with the facility-specific documentation policies.

Qualifications

Associate Degree in Education, Healthcare Administration, or a related field required Experience in a hospital or healthcare setting preferred

Knowledge, Skills and Abilities

Strong organizational skills to manage schedules, records, and multiple priorities. Effective communication and interpersonal skills for engaging with students and staff. Familiarity with credentialing, compliance, and regulatory requirements for clinical placements. Proficiency in Microsoft Office Suite and hospital information systems or similar software.