Care Navigator

Overview of the role: Meeting and talking with members to see if they want to be apart of our services. If so, Care Navigators will be doing patient care (vitals, rooming, drawing labs, scheduling etc.)

What You'll Do

• Support fulfillment of recommended health services, including obtaining prescribed medicines, coordinating scheduling of health-related activities, attending scheduled health-related appointments, and testing
• Mitigating administrative and logistical barriers to obtaining recommended health services
• Attend regular staff meetings, trainings, and other meetings, as requested.
• Document all member encounters in the designated electronic platform in a timely manner, including records of navigation activities, clinical service plans, and outcomes achieved by the member
• Engage potential members by effectively communicating the services and value that Homeward can provide
• Build member health literacy and digital literacy
• Initiate communication with patients on completing pre-appointment requirements (e.g., registration forms, lab tests, x-rays, etc.)
• Initiate encounters with members to prepare for the visit, coordinate patient flow, gather and document pertinent data (vitals, medications, allergies) from the patient, and enter information into the medical record
• Conduct check-ins and/or visits with members telephonically, virtually, in-clinic, and/or in-home regularly
• Support fulfillment of recommended health services, including obtaining prescribed medicines, coordinating scheduling of health-related activities, attending scheduled health-related appointments, and testing
• Mitigating administrative and logistical barriers to obtaining recommended health services
• Maintain a member panel of seniors located within a specific set of counties and support successful completion of care plans, including individual member health goals
• Provide coaching to activate members in their self-care
• Reduce adverse social isolation or loneliness through connection to community social networks appropriate for the membership
• Collaborate with members' primary care providers and their teams to ensure cohesive care
• Build for scale by identifying and maintaining a list of community resources and contacts to meet our members' needs
• Support the team and fellow Navigators in maintaining member panels within the designated geography
• Attend regular staff meetings, trainings, and other meetings, as requested.
• Document all member encounters in the designated electronic platform in a timely manner, including records of navigation activities, clinical service plans, and outcomes achieved by the member

Territories:

Care team #1: Kandiyohi, Chippewa, and Renville counties

*talent need to be able commute throughout

- 2 openings

- Clinic is in Montevideo

Care Team #2: Douglas, Pope, and Grant counties

- 2 openings

• no day is the same, variety
• able to do something new and challenging
• growing company and a start up - a lot of growth
• value base care is growing and can make a huge impact on patients

• CMA/RMA or MA from an accredited program
  • CAAHEP | Find An Accredited Program
  • Directory of Institutions | ABHES
• Reliable transportation (talent will be going in home as well as to the clinic 3-4 times/ week)

• Lab draw experience
• expereince with the geriatric population
  
  

• Adaptable
• "Glass half full" mindset
• Flexible
• Collaborative

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