Location: Kingston, NY and Poughkeepsie, NY (Covers Ulster and Dutchess County)
Hours: Monday- Friday 9:30 am - 6:00 pm (Flexible)
Pay: $28.84
OVERVIEW OF PRIMARY RESPONSIBILITES:
The position of Care Navigator (CN) is responsible for working closely with individuals to promote effective connection and collaboration to services. Care Navigators are committed to assisting in removing the barriers to care by identifying critical resources, navigating through health care services, insurance plans, and systems. Care Navigators help individuals "navigate" the maze of insurances, administrative systems and support services. They focus on integrating services around the needs of the individual.
Effective Care Navigators build working relationships, solve problems, direct to resources, and manage information.
PRIMARY FUNCTIONS:
Primary functions include coordination to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcomes.
Core Responsibilities
Act as an advocate and assist in coordination of care to minimize the fragmentation of health care delivery systems.
Gather insurance information.
Assist in navigating the complex healthcare and insurance systems.
Assist in securing health insurance.
Assist with completion of paperwork for the sliding scale fee.
Complete referrals to care management services and other internal and external services as needed.
For referrals to care management (internal) follow up with the individual until a warm hand-off to care management is complete.
Identify and effectively utilize community resources to meet the needs of the member/family. Facilitate access to community resources.
Care across the healthcare continuum and optimize clinical and financial outcomes.
Maintain a working knowledge of payer requirements. Negotiate on behalf of the member for cost-effective, high quality services and to maximize the efficient use of resources.
Serve as a liaison to providers, members and families for coordination of services.
Document all interventions using the Complex Care Management billable documentation.
Work collaboratively as part of a team.
Community Engagement and Outreach
Routinely engage with members and potential members in community settings, which may include homes, shelters, community centers, and other public locations, to address barriers to care and directly facilitate service access.
Conduct community-based resource identification and networking to establish and maintain strong partnerships with local organizations.
Represent the organization at community health fairs, meetings, and events to promote services and identify individuals needing care navigation support.
Provide safe and reliable transportation for clients to and from appointments, resource centers, and other essential services as required for care coordination.
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:
Build strong working relationships with internal and external partners.
Support organizational priorities through adaptability and process improvement.
Contribute to department goals by maintaining open communication and professional collaboration.
Utilize Electronic Health Records and other systems for accurate and timely documentation.
Participate in staff meetings, trainings, and other organizational development initiatives as required.
QUALIFICATIONS AND ATTRIBUTES:
Excellent written, verbal and listening abilities. Communicate appropriately and clearly to staff and providers.
Willingness to establish effective working relationships with internal and external providers / resources. Maintain a good working relationship within the department and with other departments.
Ability to manage conflict, stress and multiple simultaneous work demands in an effective and professional manner.
Ability to work well independently, while collaborating with other team members.
Ability and willingness to self-motivate, to prioritize and change processes to improve effectiveness and…