Care Management Navigator II - Transitional Care Leader

Rush University Medical Center; Chicago (IL); Presencial; USD 30.000 - 47.000; Jornada completa

Descripción de la vacante

Rush University Medical Center is seeking a Care Management Navigator II to work within the Value Based Program. You will collaborate with physicians, nurses, social workers, and payers to plan transitional care, perform utilization reviews, and support outreach for a patient panel.

The role emphasizes coordinating care, educating patients about resources, and ensuring compliance with HIPAA and quality measures. A strong background in navigation and EMR is required.

Formación

• - High School diploma or GED and 3+ years in a healthcare ambulatory setting.
• - 2 years navigator or navigator/care coordinator experience.
• - 2 years experience with electronic medical records.
• - Proficiency with basic Microsoft Office programs.
• - CMA certification highly preferred.
• - Bachelor’s or Associate degree in health-related area preferred.
• - QBS Certification preferred if bilingual.

Responsabilidades

• Develops action plans and basic care planning for low-risk patients.
• Monitors a list of inpatient discharges, ER discharges, and referrals; assists with transportation needs and barriers to attend appointments.
• Monitors and provides patient outreach to ensure timely care delivery.
• Assists in understanding insurance needs and connects patients with resources for enrollment.
• Educates patients on available resources and SDOH programs.
• Ensures HIPAA compliance and related protocols; supports care transitions and coordination.

Conocimientos

EMR experience

Interpersonal communication

Healthcare navigation

Microsoft Office

Communication

Educación

High School diploma or GED

Bachelor's or Associate degree in health-related field

CMA certification

QBS Certification (bilingual)

Herramientas

Microsoft Office

Descripción del empleo

Rush University Medical Center is seeking a Care Management Navigator II to work within the Value Based Program. You will collaborate with physicians, nurses, social workers, and payers to plan transitional care, perform utilization reviews, and support outreach for a patient panel.

The role emphasizes coordinating care, educating patients about resources, and ensuring compliance with HIPAA and quality measures. A strong background in navigation and EMR is required.