Patient Care Navigator, Population Health

McLaren Health Care; Grand Blanc (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

McLaren Health Care is seeking a Population Health Navigator to support care coordination for patients served by the MPP care coordination team and health plans. You will work with physicians, nurses, and care managers to promote safe, high-quality care.

Under the supervision of the RN or MSW, you will screen patients, refer needs, and help patients overcome barriers to follow-up appointments after hospital discharge. This role emphasizes patient-centered communication and proactive outreach.

Qualifications

• Required: High School Diploma or CMA certification.
• Five years of experience in a healthcare setting serving chronically ill patients.
• Preferred: Associate degree in health care or related field.
• Preferred: Experience in a health plan or Physician Organization environment with care coordination, utilization management, disease management, and/or population health.
• Preferred: Motivational Interviewing Training.

Responsibilities

• Under the direction of the RN or MSW care coordinator, performs care coordination services for MPP including but not limited to the use of ADT systems, patient outreach, and communication across the care continuum with physician offices, home care providers, hospitals, skilled nursing facilities, and health plans.
• Conducts initial patient screening for at risk patients based on standardized assessment tools.
• Refers patients to the appropriate care coordinator based on needs assessment.
• Establishes trusting relationships with patients and their caregivers while providing general support and encouragement.
• Identifies and addresses potential patient barriers to care plan adherence.
• Facilitates timely PCP appointments following discharge from the hospital, ED, or SNF and helps patients overcome barriers to accessing care.

Skills

Care coordination

Communication

Education

High School Diploma

CMA certification

Job description

McLaren Health Care is seeking a Population Health Navigator to support care coordination for patients served by the MPP care coordination team and health plans. You will work with physicians, nurses, and care managers to promote safe, high-quality care.

Under the supervision of the RN or MSW, you will screen patients, refer needs, and help patients overcome barriers to follow-up appointments after hospital discharge. This role emphasizes patient-centered communication and proactive outreach.