Community Care Navigator

4 weeks ago

Carbondale, United States CINQCARE Full time
Job DescriptionJob Description

About CINQCARE

CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to Black and Brown communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our Family Members’ race, culture, and environment is critical to delivering improved health outcomes. By empowering Family Members, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.

About You

The Community Care Navigator should have the following qualifications:

  • Education: Associate degree required; B.S or B.A. preferred or a combination or education and experience.
  • Travel: Travel is essential in the performance of this role. Reliable car and or willingness to travel on public transportation are essential.
  • Experience: One year in a health services environment. Experience as a Community Health Worker or equivalent preferred. Familiarity with primary care practices preferred. Proficiency in all Microsoft Office applications.
  • Entrepreneurial: CINQCARE seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for proactive and creative problem solving to ensure CINQCARE is positioned to innovatively deliver on its promise.
  • Communication: Excellent verbal, written communication, and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE’s team and members.
  • Relationships: Ability to build and effectively manage relationships internally and externally.
  • Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial company.

About the Job

Overview The Community Care Navigator (CCN) conducts basic health assessments, assists CINQCARE members and their families/care givers to identify needs, provides basic health information, and make appropriate referrals through home visits and telephonic outreach. The Community Care Navigator (CCN) reports to the Director of Care Coordination. They should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded.

Primary Responsibilities

The Community Care Navigator (CCN) will have the following responsibilities:

  • Establish trusting relationships with members and their families while providing general support and encouragement.
  • Travel to members’ homes to conduct remote physical exams under the guidance of the POD Nurse Practitioner, or RN.
  • Provide ongoing follow-up, basic motivational interviewing, and goal setting with members/families/care givers.
  • Follow – up with members via phone calls, home visits and visits to other settings where members can be found.
  • Work closely with medical and Behavioral health providers to help ensure that members have comprehensive and coordinated care.
  • Work collaboratively with other clinical personnel assigned to the same members.
  • Responsible for providing consistent communication to Cinq Care Pods and supervisor to report on member/family status.
  • Act as a family member advocate and liaison between the member/family and community service agencies.
  • Record family member care information in the EMR and other software no later than 24 hours after member contact.
  • Help members set personal health related goals and attend appointments.
  • Knowledgeable about community resources appropriate to needs of members/families. Provide referrals for services to community agencies as appropriate. Help members connect with transportation and other resources and provide appointment reminders in special circumstances.
  • Exhibit excellent working relations with coworkers, members, visitors, and staff
  • Attend regular staff meetings, training, and other meetings, as requested.
  • Always maintain HIPAA compliance.
  • And, of course, all other duties as assigned.

The Community Care Navigator (CCN) will have also the following duties:

  • Leadership: The Community Care Navigator (CCN) will assist in suggesting strategies and solutions to create business value in care coordination. Apply and actively share knowledge, expertise, and best practices with team.
  • Strategy: The Community Care Navigator (CCN): (1) improve outcomes for CINQCARE’s members; (2) Accepts and readily adapts to changing priorities, new ideas, strategies, procedures, and methods.
  • Collaboration: The Community Care Navigator (CCN) will work closely with internal and external partners to learn their needs and internalize their knowledge. Addresses all CINQCARE’S members’ concerns in a timely and efficient manner.
  • Knowledge: The Community Care Navigator (CCN) will maintain a strong, effective, on-going working relationship with assigned CINQCARE’S members. Maintains competence through continuing education and in-service training.
  • Culture: The Community Care Navigator (CCN) is accountable for creating a productive, collaborative, safe and inclusive work environment for their team and as part of the larger Company. Represents CINQCARE and its subcontractors by displaying a respectful and caring manner to our members and their families.

The working environment and physical requirements of the job for the Community Care Navigator include:

This position requires both in-home and office work. The job requires frequent travel for home visits and travel to physician offices, hospitals, sub-acute facilities, community partners and non-home-based market offices in all types of weather conditions. In-office work is performed indoors in a traditional office setting with conditioned air, artificial light, and an open work space.

In this position you will need an ability to travel frequently by car and/or public transportation, the ability to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 30 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.


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