Care Management Navigator for High-Risk Patients

Northwell Health; Manhasset, Northern (NY, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Northwell Health is seeking a Care Management professional to coordinate Health Home Plus services for defined populations with SMI, working to engage patients in appropriate follow-up care. The role emphasizes building rapport through patient-centered interviewing and collaborating with the care team to address medical and social barriers.

The position requires a high school diploma, 1-3 years of relevant experience, and a preference for a Bachelor's or Master's degree.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Bachelor's or Master's degree strongly preferred.
• CASAC plus two years' experience or a Bachelor's degree with 3 years' experience in Health Home care management preferred.
• NYS Driver's License strongly preferred.
• Location: Putnam, Dutchess and Ulster County.

Responsibilities

• Uses patient-centered motivational interviewing to build rapport and improve health.
• Supports the primary care team with panel management to reduce care gaps and non-adherence.
• Acts as liaison between hospitals, primary care, specialists and community resources.
• Identifies and tracks high-risk populations and those due for preventive or chronic care services.
• Tracks patients discharged from inpatient or ED services.
• Performs outreach in primary care sites, homes, hospitals and neighborhoods; closes loop on referrals.

Skills

Motivational interviewing

Panel management

Care coordination

Team communication

Outreach activities

Education

High school diploma

Bachelor's or Master's degree preferred

Job description

Northwell Health is seeking a Care Management professional to coordinate Health Home Plus services for defined populations with SMI, working to engage patients in appropriate follow-up care. The role emphasizes building rapport through patient-centered interviewing and collaborating with the care team to address medical and social barriers.

The position requires a high school diploma, 1-3 years of relevant experience, and a preference for a Bachelor's or Master's degree.