Care Navigator for Chronic & Behavioral Health

Community Healthcare Network; New York (NY); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Health, dental, vision insurance

Retirement plans

Employee assistance program

Job summary

Community Healthcare Network is seeking a Health Home Care Manager to guide chronically ill patients through the health care system, helping with access issues, building relationships with service providers, and tracking interventions and outcomes.

The HHCM acts as a team leader, coordinating care with the patient’s care team to ensure comprehensive service delivery and advocacy for clients within the agency and with external providers. The role emphasizes coordinated care and outcome monitoring.

Qualifications

• Bachelor's or Master's Degree in a health-related field with 2+ years in care coordination preferred.
• Associate's Degree or equivalent with 4+ years experience in care coordination.
• Bilingual Spanish is a plus for engaging diverse patients.

Responsibilities

• Provides direct service to a caseload of approximately 60 patients.
• Coordinate care with providers, pharmacies, MCOs, and other team members.
• Conducts initial assessments of medical, mental health, substance use, and social determinants of health within 60 days.
• Develops patient-centered care plans with input from providers and patients.
• Advocates for patients and coordinates services to meet medical and psychosocial needs.
• Maintains detailed documentation of encounters and updates plans of care as needed.
• Collaborates with the care team to implement plans and monitor outcomes.

Skills

Bilingual Spanish

Care coordination

Interdisciplinary teamwork

Patient advocacy

Education

Bachelor's or Master's Degree (healthcare coordination)

Associate's Degree or equivalent (care coordination)

Spanish bilingual (preferred)

Job description

Community Healthcare Network is seeking a Health Home Care Manager to guide chronically ill patients through the health care system, helping with access issues, building relationships with service providers, and tracking interventions and outcomes.

The HHCM acts as a team leader, coordinating care with the patient’s care team to ensure comprehensive service delivery and advocacy for clients within the agency and with external providers. The role emphasizes coordinated care and outcome monitoring.