Care Management Navigator - Alabama Staffing : Job Details

Responsible for improving patient's level of engagement, overall experience with acute and post-acute care services and ensuring appropriate utilization of in-network health system services. Care Management Navigator is responsible for ensuring effective coordination of healthcare services from both the acute and post-acute care settings, bridging care and communication with the patient's primary care physician post-discharge and actively engaging the patient in overall healthcare management. The role of the Care Management Navigator is crucial to increasing patient engagement and establishing a continuum of care, increasing in-network utilization and the improvement of value based and publicly reported scoring.

Essential Functions

• Works in a medical setting with physician practices, hospital teams, Post-Acute Care Providers and the ACO to manage the full continuum of care in the provider network.
• Understanding of the clinical capabilities of Post-Acute Care Providers to assist patients and families in the event secondary placement decisions must be made.
• Provides assistance to the patient in establishing a PCP and scheduling of post-discharge appointments.
• Effectively utilizes care coordination and tracking software to understand and influence readmission factors and utilization patterns.
• Review patient care concerns and identify resolution of issues to meet patient care needs.
• Provide weekly reporting to Continuum of Care Coordinator on activity with Case Management, ED, Nursing and the Post-Acute Care Network.
• Documents interactions with patient, family hospital staff, and providers in accordance with the facility-specific documentation policies.

Qualifications

• Associate Degree in Education, Healthcare Administration, or a related field required
• Experience in a hospital or healthcare setting preferred

Knowledge, Skills and Abilities

• Strong organizational skills to manage schedules, records, and multiple priorities.
• Effective communication and interpersonal skills for engaging with students and staff.
• Familiarity with credentialing, compliance, and regulatory requirements for clinical placements.
• Proficiency in Microsoft Office Suite and hospital information systems or similar software.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.