Care Navigator

• Are you looking for meaningful, rewarding work that provides access to exceptional, comprehensive, and integrated health care for all. Join our growing team here at Choptank Community Health.

Job Summary: The Care Navigator will provide Chronic Care Management and Care Coordination to patients with multiple chronic conditions. Functioning as an integral part of the care team, this role provides ongoing activities and follow-up to the patient population that occurs beyond the walls of the health center and provider visits. The Care Navigator will perform appropriate assessments, assist in goal setting and self-management, and follow care plans over the telephone. This position's homesite is at the Denton Health Center providing support to Federalsburg Health Center.

Education and Experience:

• High School diploma or equivalent
• Certificate of completion from an accredited nursing assistant or medical assistant program; certificate must remain current
• Minimum 2 years medical office experience preferred
• Minimum 2 years EMR system experience preferred Strong communication skills
• Strong organizational and time management skills
• Basic understanding of medical terminology
• Ability to understand and carry out written, oral and/or graphic instructions
• Ability to interact with patients, medical and administrative staff, and the public effectively
• Intermediate proficiency with computers and telephone use
• Positive and proactive attitude; team player!
• Goal orientated
• Must be punctual and have reliable transportation

Standards of Behavior:

• Commitment To Service
• Respect
• Quality
• Teamwork
• Patient Focus
• Integrity
• Accountability
• Caring & Compassion
• Professionalism
• Listening & Responding
• Safety
• AIDET

Job Related Competencies:

• Empathetic Outlook- The ability to perceive and understand the feelings and attitudes of others; the ability to place oneself “in the shoes” of another and to view a situation from their perspective.
• Attention to Detail- The ability to process detailed information effectively and consistently.
• Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.
• Communicates Effectively- Developing and delivering multi-mode communication that conveys a clear understanding of the unique needs of different audiences.
• Values And Ethics- Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.
• Time Management- The ability to effectively manage one’s time and resources to ensure that work is completed efficiently.

Duties/Responsibilities:

• Enroll patient in the specific programs via telephone by conducting initial outreach calls, assessments, and development of patient-centered care plans.
• Provide timely telephonic follow-up by keeping track of scheduled tasks.
• Adjust care plans as needed based on patient changing conditions and provider’s recommendations.
• Maintain on-going communication with Care Coordinator Nurse, provider, and clinical staff electronically and by sharing patient care plans and summaries.
• Provide patient services, including:
• Maintain and monitor assigned patient roster.
• Conduct patient outreach and telephonic care coordination with chronically ill patients.
• Provide motivational support to maximize adherence to care plan.
• Effectively utilize Electronic Health Record systems to gather patient medical history.
• Track time spent for Chronic Care Management cases.
• Effectively identify any patient issues and escalate them as appropriate.
• Use appropriate community resources to address patients’ needs.
• Completes all necessary documentation in the patient’s medical record required for Chronic Care Management.
• Performs Other Duties as Required
• Consistently displays professionalism during interaction with CCHS customers, staff and clinicians.
• Responsible for conducting themselves in an ethical manner and reporting possible violations through the appropriate channels. Employees must be careful in both words and conduct to avoid placing or appearing to place pressure on subordinates or coworkers that could cause them to violate these standards of conduct or to deviate from accepted norms of ethical business practice.
• Required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Regular, reliable attendance is a requirement of this job.

Commitment to Inclusion

Choptank Community Health System (CCHS) is committed to creating an inclusive healthcare environment that reduces health disparities and values and respects the unique experiences and perspectives of both patients and staff by:

• Prioritizing equitable access for individuals of all backgrounds, beliefs and cultures;
• Offering ongoing training for staff to promote health awareness, preventive measures
• and early detection for a patient population of all backgrounds and cultures;
• Actively engaging with patients, families and staff;
• Fostering a workplace culture in which everyone is treated with dignity.

Benefits:

• Tuition and education assistance
• Certification scholarships available
• Paid holidays
• Flexible paid time off and vacation scheduling
• 403(b)
• 403(b) matching
• Employee assistance program
• Flexible spending account
• Health insurance
• Dental insurance
• Vision coverage
• Life insurance
• Referral program
• Employee wellness program
• Discretionary Bonuses

Job Type: Full-time

Schedule: 8 hour shift - Monday to Friday

Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.