Health Navigator (Bilingual-Spanish)

Gold Coast Health Plan; Camarillo (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

Gold Coast Health Plan is seeking a Health Navigator to implement and coordinate a Health Navigator Program under the Health Education, Cultural and Linguistic Services division. The navigator will guide members through the healthcare system, support them in establishing a medical home, and assist in reducing barriers to care.

The role includes post-ER contact, scheduling follow-ups with PCPs, coordination with hospitals and clinics, and education on appropriate use of health services.

Qualifications

• BA in community health promotion, health education, sociology, psychology/health psychology or closely related field.
• Experience with low-income, diverse populations.
• Experience in healthcare settings including hospitals.
• Knowledge of Managed Care and health care principles.
• Ability to prepare reports and correspondence.

Responsibilities

• Contact designated members after ER discharge and assist follow-up with PCP and other medical appointments.
• Assist members with health education services within the health plan and community resources.
• Refer members to care management when needed.
• Maintain a tracking and evaluation system of all contacts and follow-ups.
• Educate members on using their PCP and when to go to the ER.
• Collaborate with hospital staff, plan partners, and community health clinics to educate and assist members.
• Assist members in scheduling follow-up appointments and filling prescriptions; help reduce barriers to care.
• Provide telephonic assistance as needed.
• Educate hospital and clinic personnel about the Health Navigator Program and its goals.
• Prepare reports and perform other duties as needed.

Skills

Cultural competence

Communication skills

Patient advocacy

Health education

Care coordination

Education

BA in community health promotion/health education/sociology/psychology

Job description

Under the direction of the Director of Health Education, Cultural and Linguistic Services, and Disease Management (Director of Health Education) this person will assist in the implementation and coordination of a Health Navigator Program. The Health Navigator services may include, but not limited to, guiding members through the healthcare system, help members establish a “medical home” and assist members in reducing barriers to obtaining their health care needs. The Health Navigator will establish contact with members who utilize the emergency room and assist members in reconnecting with their primary care provide after an emergency room encounter.

Major Functions And Accountabilities

• The Navigator will contact designated members after ER discharge and assist members in following-up with their Primary Care Provider (PCP) and other medical appointments.
• The Navigator will assist members with health education services within health plan as well as in the community health education resources.
• The Navigator will assist members with access to needed services and in educating members about the concept of a medical home. The Navigator will also refer members in need of care management to the health services department.
• The Navigator will maintain a tracking and evaluation system of all contacts and follow-up.
• The Navigator will work with the member to increase awareness and education about how to use their PCP and when to go the ER.
• The Navigator will work hospital staff, plan partners, and community health clinics to help educate and assist members with their needs.
• The Navigator will assist members in scheduling follow-up appointments after discharge, assist with filling prescriptions, and help to reduce barriers or challenges to meeting their healthcare needs.
• The Navigator will provide telephonic assistance as needed.
• The Navigator will work with hospital and clinic personnel to educate them about the Health Navigator Program and goals of the program.
• The Navigator will prepare reports and preform others duties as needed.

Experience, Training, And Qualifications

Education: Possession of a baccalaureate degree (BA) from an accredited college or university with a major in: community health promotion, health education, sociology, psychology/health psychology or closely related field. Experience: Experience in working with low-income, diverse populations. Experience in working in the healthcare field including hospitals. Other: Other medical training or experience and other certification may be evaluated on a case by case basis. Knowledge, Skills, and Abilities: Knowledge of Manage Care and health care principles; knowledge of project planning and evaluation techniques; strong understanding of cultural needs of diverse ethnic minority populations and sensitivity to community and cultural groups; ability to related to other professionals and ability to prepare reports and correspondence.