Health Home Care Navigator for SMI

Northwell Health; Manhasset (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Northwell Health is seeking a Care Management professional to coordinate and participate in Health Home Plus activities, serving defined populations with SMI within HHSA. The role emphasizes patient-centered care, liaison work across hospitals and primary care, and proactive population management.

The position requires a High School Diploma, 1-3 years of relevant experience, and a preference for Bachelor's/Master's degrees.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Bachelor's or Master's degree in relevant field strongly preferred.
• CASAC credential with two years of experience; OR a Bachelor’s degree or higher with 3 years of experience as a Health Home care manager serving SMI/SED population is highly preferred.
• NYS Driver's License strongly preferred.
• Location: Putnam, Dutchess and Ulster County.

Responsibilities

• Coordinates and participates in activities related to Care Management services to family members and caregivers.
• Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
• Supports the primary care team by providing panel management to decrease the number of patients lost to care, non-compliant in follow up care or disconnected from primary care.
• Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
• Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
• Identifies and tracks patients discharged from the inpatient service or the emergency department.
• Uses team-based communication strategies to close the loop on referrals, hospital follow-ups and any outstanding items identified in the patient's care plan. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.

Skills

CASAC credential

Education

Bachelor's or Master's degree in relevant field

Bachelor’s degree or higher in ANY field

Job description

Northwell Health is seeking a Care Management professional to coordinate and participate in Health Home Plus activities, serving defined populations with SMI within HHSA. The role emphasizes patient-centered care, liaison work across hospitals and primary care, and proactive population management.

The position requires a High School Diploma, 1-3 years of relevant experience, and a preference for Bachelor's/Master's degrees.