Position Summary:The Field Care Navigator will be responsible for assisting with care coordination and complex care
management duties. The role develops and maintains the care management of the member both in the home and telephonically, working to improve member outcomes.
Responsibilities:
Assess members in the home or other face-to-face setting to assess the member’s wellbeing and develop an individual plan of care
Evaluate the home environment for safety, infection control, and community resource needs
Act as first level of support for the member to resolve patient related issues to ensure a positive member experience
Identify opportunities to manage the member-centric care plan, problems, barriers, interventions, and goals as appropriate
Partner with the Healthmap Interdisciplinary Care Team to collaborate on opportunities to improve member’s health outcomes
Serve as a resource to members and physicians while acting as a liaison between community resources, programs, and other relevant services
Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
Drive and shape clinical strategy to improve outcomes for members with chronic kidney disease
Document and maintain accurate member records that will identify all patient communication and plan. Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and compliance with regulatory standards Ensure company adherence with legal and regulatory requirements
Assist as a preceptor, mentor, and coach for new hire orientees
Demonstrate HIPAA understanding and complete confidentiality protocols
Follow all company-defined security/operational policies and procedures
Use multiple technical applications including Microsoft Word, Excel spreadsheets, electronic calendars, email, timekeeping and expense applications, and other software applications
Perform other duties as assigned
Requirements:
Master’s degree in nursing required
- Active, unrestricted RN license required; nurse practitioner or advanced practice nurse required in assigned state (WA)
3 years of experience in care management roles
Experience in a nephrology practice, dialysis center, home health delivery or transplant center preferred
Prior experience building and managing relationships with health care providers or patients preferred
Experience in customer service strongly preferred
Experience with Medicare and Medicaid preferred
Proof of valid and unrestricted driver’s license required. This position requires travel within assigned region to visit patients in their homes
Assigned state residency required (WA)
Skills:
Excellent verbal, written, listening and presentation skills
Ability to show compassion and empathy for patients
Demonstrated interpersonal relationship skills
Ability to multitask, prioritize, and create solutions in a fast-paced environment
Strong critical thinking and analytical skills
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Travel:
- Travel over 50%, primarily in the Seattle/Tacoma, WA areas
Compensation range: $99,000 - $135,000 (dependent on specific market/region as well as experience of the candidate selected) with a yearly bonus potential.
Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
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