Dementia Care Navigator & Community Liaison

Amg-Senior-Medical-Group; Murray (UT); Presencial; USD 32.000 - 48.000; Jornada completa

Descripción de la vacante

Amg-Senior-Medical-Group is seeking a Community Health Worker to support the CMS GUIDE model, serving as the primary contact for patients with dementia and their caregivers. The role focuses on outreach, education, care navigation, and coordination with partner organizations to promote continuity of care.

The CHW will handle monthly outreach, documentation, claims support, and caregiver engagement, with responsibilities expanding to administrative tasks, scheduling, and data reporting to CMS

Formación

• Experience in healthcare, social work, public health, or community outreach preferred.
• Familiarity with dementia care, caregiver needs, and health system navigation an asset.
• Strong communication, organization, and documentation skills.
• Comfort using EHRs, tracking tools, and CMS-aligned documentation systems.
• Ability to work independently while collaborating with interdisciplinary team members.

Responsabilidades

• Serve as primary contact for patients living with dementia and caregivers, focusing on outreach, education, care navigation, and coordination with partner organizations.
• Perform monthly outreach, documentation, claims support, and caregiver engagement.
• Track and document all interactions, caregiver needs, referrals, and service updates in CMS GUIDE documents.
• Assist with administrative tasks including ensuring GUIDE visit completion, documentation compliance, and preparing visit records for billing review.
• Collaborate with billing and coding teams to ensure GUIDE-related encounters are submitted with supporting documentation.
• Coordinate annual assessments, caregiver service delivery, and respite referrals as required.
• Prepare and support GUIDE-related reporting and quality improvement initiatives with data entry and summaries.
• Act as liaison between patients, caregivers, providers, and community organizations to promote continuity of care.

Conocimientos

Communication

Documentation

Care navigation

Caregiver engagement

Herramientas

EHR systems

Descripción del empleo

Amg-Senior-Medical-Group is seeking a Community Health Worker to support the CMS GUIDE model, serving as the primary contact for patients with dementia and their caregivers. The role focuses on outreach, education, care navigation, and coordination with partner organizations to promote continuity of care.

The CHW will handle monthly outreach, documentation, claims support, and caregiver engagement, with responsibilities expanding to administrative tasks, scheduling, and data reporting to CMS