Population Health Care Navigator

Chase Brexton; Baltimore (MD); On-site; USD 42,000 - 56,000; Full time

Job summary

Chase Brexton seeks a Population Health Care Navigator to drive outreach and connect clients with needed preventive and chronic care services. You will work with care teams and use data tools to close care gaps and support linkage to community resources.

Responsibilities include scheduling appointments, addressing barriers, and documenting interactions in the EMR, CRISP, and related platforms in a HIPAA-compliant manner.

Qualifications

• High School Diploma or GED is required and CHW certification is expected.
• Certification by Maryland Department of Health at hire or within probationary period.
• One year healthcare experience is required.
• Some college is preferred.

Responsibilities

• Provide education, coaching, and support to clients to reach health goals and close care gaps.
• Use motivational interviewing to engage clients and coordinate with care teams.
• Schedule appointments and respond to client inquiries via phone and text.
• Document care coordination and EMR notes accurately.
• Collaborate with RN Care Coordinators and other staff to close gaps in care.

Skills

Interpersonal skills

MS Office (Outlook, Word, Excel)

Attention to detail

Fast learner

Adaptability

Task ownership

Bi-lingual (a plus)

Education

High School Diploma or GED

Community Health Worker certification

Maryland Health Dept accreditation by hire or within 5 months

Some college (preferred)

Tools

EMR

CRISP

EZAccess

ExactSciences

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Population Health Care Navigator

JOB SUMMARY

Through an equity driven approach, the Population Health Care Navigator drives high-volume outreach interventions designed to engage new and existing clients to access the right care at the right time. Working closely with Population Health leadership, the Care Navigator seeks to close preventative care gaps in close coordination with clients, care teams, and specialty offices, and by leveraging available data repositories such as CRISP. Care Navigators also collaborate with clients to achieve health goals. They may serve as a liaison to, link to, or intermediary between health and social services and the community to facilitate access to services. Daily responsibilities include conducting outreach via phone calls and text messaging to schedule appointments, respond to client inquiries, address barriers, and support the client and care team for successful gap closure, continuity of care, and linkage to additional supportive services.

MAJOR DUTIES AND RESPONSIBILITIES

• Provides education, coaching, and support to new and existing clients to achieve health goals and close care gaps, including those due for preventative health services such as cancer screenings, wellness exams, and chronic disease management.

COMMUNICATION

• Utilizes best practices in motivational interviewing to support client engagement.
• Communicates clearly with clients, care teams, and partners to convey pertinent information.
• Responds to inquiries in a timely, courteous, and efficient manner.

WORKPLACE COMPUTERS AND EQUIPMENT

• Schedules medical appointments accurately according to organizational guidelines; inputs registration information when appropriate.
• Retrieves and indexes clinical information from multiple sources to ensure continuity of care for clients.
• Accurately documents and routes care coordination and phone notes in EMR.
• Utilizes required platforms (Microsoft Office Suite, EMR, CRISP, EZAccess, ExactSciences, and more) appropriately and in accordance with HIPAA standards.

TEAMWORK

• Collaborates with RN Care Coordinators, VBC Practitioners, Nurse Care Managers, and others, in support of addressing needs of shared clients.
• Collaborates with other members of the Navigation team for peer learning, feedback, and support.
• Consistently positions self as resource for client and care team for successful gap closure.

SKILLS AND ABILITIES

• Good interpersonal skills
• Proficient in Microsoft Office Outlook, Word, and Excel
• Attention to detail
• Ability to learn quickly
• Ability to adapt to change
• Able to take and follow through with delegated tasks
• Bi‑lingual skills a plus

EDUCATION

• Required: High School Diploma or GED
• Required: Successful completion of a Community Health Worker certification training program
• Accredited by the Maryland Department of Health at time of hire or achieved within five months after successful completion of probationary period.
• Preferred: Some college

EXPERIENCE

• Required: One year experience working in healthcare setting