Community Care Case Manager & Navigator

Sacramento Native American Health Center; Sacramento (CA); On-site; USD 34,000 - 37,000; Full time

Job summary

Qualifications

• Two years or more in a Health, Social Services, or related field.
• Experience with Electronic Health Record (EHR) environment.
• Experience with populations including homeless individuals, low-income families, mental health patients, and those involved with the criminal justice system.

Responsibilities

• Coordinate referrals to appropriate programs based on eligibility criteria, patient needs, and provider assignment.
• Assists with durable medical equipment (DME) referrals for the medical department.
• Maintains ongoing and effective engagement with assigned patients through in-person meetings, text/telephone communication, and community outreach.
• Ensure all patients have accurate and up-to-date shared care plans.
• Participate in medical team huddles and internal case conferences.
• Track patient panels in the electronic Population Health Management System (i2i).

Skills

Computer skills (Windows, MS Office)

Telephone & communication skills

Organizational writing & verbal skills

Independent work & prioritization

Confidentiality

Professionalism

Cross-sector collaboration

Education

Bachelor’s degree or equivalent (Health/Social Services)

Tools

EHR environment

NextGen

i2i Population Health Management System

Job description