Care Coordination Navigator for High-Risk Patients

Northwell Health; Melville (NY); Hybrid; USD 52,000 - 75,000; Full time

Job summary

Northwell Health is seeking a Care Management professional to coordinate services for patients and families. You will use patient-centered motivational interviewing to build rapport and improve health outcomes, supporting a primary care team with panel management and care plans that address medical and social barriers.

The role includes liaison work among hospitals, primary care providers, and community resources to ensure seamless, patient-centered care coordination.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience required.

Responsibilities

• Coordinates and participates in activities related to Care Management services to family members and caregivers.
• Uses patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
• Supports the primary care team by providing panel management to decrease patients lost to care and non-compliance.
• Develops, maintains, and adjusts individualized care plans addressing medical and social barriers.
• Acts as liaison between hospitals, primary care providers, specialists and community resources for patient-centered care coordination.
• Identifies and tracks high-risk populations and other groups due for preventive or chronic care services.
• Monitors patients discharged from inpatient or emergency services.
• Uses team-based communication to close referrals and follow-ups; conducts outreach in clinics, homes, hospitals, and neighborhoods.
• Onsite at Forest Hill Hospital after training; training onsite/remote M-F 9a-5p in Melville, then onsite after training.

Skills

Motivational interviewing

Care coordination

Team-based communication

Education

High School Diploma or equivalent

Job description

Northwell Health is seeking a Care Management professional to coordinate services for patients and families. You will use patient-centered motivational interviewing to build rapport and improve health outcomes, supporting a primary care team with panel management and care plans that address medical and social barriers.

The role includes liaison work among hospitals, primary care providers, and community resources to ensure seamless, patient-centered care coordination.