Elderly Care Navigator — In-Home Support & Coordination

Fallon Health; Buffalo (NY); On-site; USD 26,000 - 37,000; Full time

Job summary

Fallon Health Weinberg in Buffalo, NY, is seeking a Care Navigator to advocate for Participants and caregivers, coordinating services under the plan of care and liaising with the interdisciplinary team. The role emphasizes timely referrals, patient advocacy, and clear communication.

Under the direction of the Clinical Nurse Manager, you will complete referrals and authorizations, conduct in-home visits, and support transitions from hospitalization to home or facility care.

Qualifications

• Education: High School Diploma is required.
• License/Certifications: CPR certification or willingness to be certified within 60 days of hire is essential.

Responsibilities

• Outreaches to all Fallon Health Weinberg Participants via telephone and/or in person as per state and organization recommendations.
• Ensure care plan provisional services are being met and satisfied.
• Acts as Participant advocate.
• Responds to Participant/caregiver/Facility questions or concerns regarding authorized in-home services.
• Makes in home/institutional/office visits as needed to introduce self/role and ensure Participant/caregiver/facility is oriented to the Program and benefits.
• Coordinates and ensures members of the IDT (Clinical Nurse Manager, Home Care Coordinator, and others) are involved and knowledgeable about Participant status based upon Enrollee always need and PCP/PCT direction.
• Ensures authorizations for specific covered services are entered into the EHR as appropriate based upon authorized services.
• Ensures the Home Care Coordinator follows up with Participant after an emergent/urgent care need and/or care transition such as a hospitalization or skilled nursing facility admission.
• Identifies and shares best practices and innovative care management strategies with the team.
• Supports department colleagues, covering and assuming changes in assignment as assigned by Supervisor/designee.
• Strictly observes HIPPA regulations and the FHW policies regarding confidentiality of member information.
• Performs other responsibilities as assigned by the Clinical Nurse Manager or designee.

Skills

Telephonic interviewing

In-person interviewing

Care coordination

Education

High School Diploma

CPR certification

Job description

Fallon Health Weinberg in Buffalo, NY, is seeking a Care Navigator to advocate for Participants and caregivers, coordinating services under the plan of care and liaising with the interdisciplinary team. The role emphasizes timely referrals, patient advocacy, and clear communication.

Under the direction of the Clinical Nurse Manager, you will complete referrals and authorizations, conduct in-home visits, and support transitions from hospitalization to home or facility care.