Patient Care Navigator: Chronic Disease Support & Education

582 Navicent Health, Inc; Macon (GA); On-site; USD 43,000 - 65,000; Full time

Benefits offered by this job

Healthcare benefits

Paid time off

Educational opportunities

Job summary

Advocate Health is seeking a dedicated Care Coordinator to engage medically vulnerable patients, provide support and education to help them achieve better health outcomes. You will screen for social determinants of health, coordinate with the Care Management team, and refer patients to community resources and support services.

This role requires strong communication, organizational skills and a commitment to confidentiality as you navigate transitions of care across home, clinic, and hospital

Qualifications

• A High School Diploma or GED is required.
• Must possess excellent verbal and written communication skills.
• Must possess basic computer knowledge and ability to use Microsoft Office applications.
• Strong organizational skills.
• Must have effective interpersonal skills.
• Must be able to respond quickly to changes in community and clinic settings.

Responsibilities

• Engages a population of medically vulnerable or chronically ill patients and provides support and education.
• Communicates with the Care Management team to promote proactive patient partnerships.
• Completes screenings on patients for social determinants of health needs and refers as appropriate.
• Uses Chronic Disease Management protocols and monitors patient-reported biometrics and adherence; follows up as needed.
• Provides customized, evidence-based patient education under clinical guidance across areas like weight management and tobacco cessation.
• Assists with coordination of care across the care continuum and transitions of care while maintaining patient confidentiality.

Skills

Verbal and written communication

Interpersonal skills

Organizational skills

Adaptability

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Advocate Health is seeking a dedicated Care Coordinator to engage medically vulnerable patients, provide support and education to help them achieve better health outcomes. You will screen for social determinants of health, coordinate with the Care Management team, and refer patients to community resources and support services.

This role requires strong communication, organizational skills and a commitment to confidentiality as you navigate transitions of care across home, clinic, and hospital