Care Coordination Navigator for High-Risk Patients

Northwell Health; New York (NY); On-site; USD 52,000 - 82,000; Full time

Job summary

Northwell Health is seeking a Care Management professional to coordinate and participate in activities related to Care Management services for family members and caregivers. The role emphasizes patient-centered approaches to improve health outcomes and access to care.

The position requires 1-3 years of relevant experience, a high school diploma or equivalent, and preferred Bachelor's or Master's degree. Bilingual Spanish and NYS driver's license are strongly preferred, with deep collaboration

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Bachelor's or Master's degree in relevant field strongly preferred.
• Health home or care management experience strongly preferred.
• NYS Driver's license strongly preferred.
• Bilingual Spanish preferred.

Responsibilities

• 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 the number of patients lost to care, non-compliant in follow up care or disconnected from primary care. Participates in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
• Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
• Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
• Identifies and tracks patients discharged from the inpatient service or the emergency department.
• Uses team-based communication strategies to close the loop on referrals, hospital follow-ups and any outstanding items identified in the patient's care plan. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.

Education

Bachelor's or Master's degree in relevant field

Job description

Northwell Health is seeking a Care Management professional to coordinate and participate in activities related to Care Management services for family members and caregivers. The role emphasizes patient-centered approaches to improve health outcomes and access to care.

The position requires 1-3 years of relevant experience, a high school diploma or equivalent, and preferred Bachelor's or Master's degree. Bilingual Spanish and NYS driver's license are strongly preferred, with deep collaboration