Qm Health Navigator
3 weeks ago
**Empower. Unite. Care.**:
**MetroPlusHealth** is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
**About NYC Health + Hospitals**:
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
**Position Overview**
The primary function of the Quality Management (QM) Health Navigator is to outreach members missing important health screenings (i.e., HEDIS/QARR gaps in care) to assist in coordinating needed appointments for a variety of clinical and social services and ensuring maintenance medications are filled regularly. The QM Health Navigator will serve as a source of empowerment for MetroPlusHealth members, educating on the importance of, and motivating them to complete, needed services and providing support as the member navigates the health care system, all with the goal of maximizing performance in the organization’s quality reporting programs and health outcomes.
The QM Health Navigator will also play a vital role in identifying and collecting data on the existence and prevalence of healthcare barriers. In addition to addressing the barriers with the member, this data will be used to inform future planning for care access, health equity and needed network expansions and shape the organization’s overarching quality strategy, helping to ensure high-quality of care to all New Yorkers serviced by MetroPlusHealth.
Each QM Health Navigator will be responsible for one of the following domains of care: Women’s Health, Chronic Conditions or Child/Adult Screenings and Immunizations.
- Telephonically outreach members to assist them with appointments for primary and specialty care, educational classes, and transportation.
- Assist members with filling maintenance medications regularly and on-time. This includes helping members secure new scripts/refills and assisting them in enrolling in home delivery services.
- Educate members on the importance of regularly receiving needed services using evidence-informed approaches. Coach and motivate them to engage in care.
- Develop and maintain effective working relationships with members and providers.
- Collect data on the existence and prevalence of healthcare barriers and social needs. Assist members with navigating the healthcare system and provide basic benefit information as needed.
- Promote communication with the Care Management team and other internal departments to ensure continuity of care and to foster member satisfaction.
- Share observations and provide feedback regarding workflow to ensure continuous quality improvement.
- Maintain accurate and complete documentation of required information in compliance with risk management and regulatory requirements.
- Perform data entry of medical information; maintain tracking process and reports.
- Comply with all orientation requirements, annual and other mandatory training, organizational and departmental policies and procedures and actively participate in the evaluation process.
- Maintain professional competencies as a Quality Management Health Navigator.
- Perform ad-hoc projects as assigned
**Minimum Qualifications**:
- High school diploma or GED required. Bachelor’s Degree preferred.
- 3+ years of experience in client relations/providing customer service, preferably in the medical field working with the health needs of patients
- Working knowledge of medical terminology and abbreviations.
- 1-3 years Managed Care Experience, preferably in Care Coordination, a plus.
- Experience in Motivational Interviewing is a plus
- Experience as a Medical Assistant or Licensed Vocational Nurse is a plus.
**Professional Competencies**
- Integrity and Trust
- Customer Focus
- Functional/Technical/Analytical Skills
- Teamwork
- Written/Oral Communications
- Strong customer service skills to coordinate service delivery including attenti
-
QM Health Navigator
4 weeks ago
New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...
-
Navigator
4 weeks ago
New York, United States Pride Health Full timeJob Title: Health NavigatorLocation: New York, NYDuration: 3 Months with high possibility of extensionShift: 8:00 AM-4:00 PMPay Range: $35 to $39/Hour.Job Summary:The Cancer Center & breast care client navigator’s primary focus is to provide seamless integration of cancer care in a multidisciplinary setting. The navigator is a liaison for patients,...
-
Community Health Worker/Navigator
4 days ago
New York, United States Arthur Ashe Institute for Urban Health Full timeJob Title: Community Health Worker (CHW)The Arthur Ashe Institute for Urban Health (AAIUH), founded by the late tennis champion and humanitarian, Arthur Ashe utilizes a model of Community Health Empowerment to address health inequities in multi-ethnic underserved communities. Community Engagement and Research (CER) is a core component of AAIUH through which...
-
Community Health Navigator I
4 weeks ago
New York, United States Bassett Medical Full timeOverview: Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. Recently named a Forbes...
-
Prep Navigator
4 weeks ago
New York, United States Apicha Community Health Center Full timeOur mission at Apicha Community Health Center is to provide high quality, equitable, whole person and culturally responsive care delivered in an inclusive and welcoming manner. Build and expand on our long tradition of care for AAPI, LGBTQ+ and persons living with HIV. **We are currently seeking a PrEP Navigator to work at our 400 Broadway...
-
Community Health Navigators
6 days ago
New York, United States Harlem Congregations for Community Improvements, Inc. Full timeInternship as Community Health Navigators - PT hours, weekly stipend (1099) The Harlem Strong Coalition is a group of service providers, community-and faith-based organizations, city agencies, and others who will provide Navigators with guidance, program goals and objectives, and resources to support their work, as well as information to better ensure the...
-
Drug User Health Peer Navigator
1 week ago
New York, United States Project Renewal Full time**Title**: Drug User Health Peer Navigator **Program**: Health Care - Addiction Medicine and Drug User Health **Salary Range**: up to $50,000 **Position Overview**: Peer Navigator will join Project Renewal’s outpatient addiction medicine and drug user health team. Project Renewal provides low-barrier health care services for people who use drugs and/or...
-
Client Navigator-Level I
4 weeks ago
New York, United States NYC Health Hospitals Full timeLincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical...
-
Drug User Health Peer Navigator
4 weeks ago
New York, United States Project Renewal Full timeDrug User Health Peer Navigator Nursing- Third Street, 8 East 3rd St, New York, New York, United States of America Req #1091 Wednesday, May 29, 2024 Title: Drug User Health Peer Navigator Program: Health Care – Addiction Medicine and Drug User Health Salary Range: up to $50,000 Position Overview: Peer Navigator will join Project...
-
care navigator
2 weeks ago
New York, New York, United States The Institute for Family Health Full timeJob DetailsJob Location Family Health Center of Harlem - New York, NY Position Type Full Time Education Level High School Salary Range $ $21.79 Hourly Job Shift Day Job Category Admin - Clerical DescriptionSummary: Works as part of an interdisciplinary team to assist patients address personal and environmental difficulties which could negatively affect...
-
Cancer Care Nurse Navigator
4 weeks ago
New York, United States Thrivr Health Full timeJob Title: Oncology Nurse NavigatorPart-Time or Full Time ConsideredPreferred Subspeciality: Prostate or BreastLocation: Fully remoteAbout Thrivr Health:Thrivr Health provides a whole health solution that is purpose-built to deliver personalized and holistic virtual cancer care navigation through the patient's entire health journey. Thrivr is led and...
-
Prevention Care Navigator
2 weeks ago
New York, United States Settlement Health Full timeOther duties & responsibilities applicable: **What we are looking for.** The Preventive Care Navigator is an integral team member who coordinates and ensures quality HIV and HIV prevention services in support of Settlement Health Primary Care HIV Prevention Program. They ensure that our patients who need a care team are given comprehensive, timely and...
-
Vietnamese Quality Monitor
4 weeks ago
New York, United States TransPerfect Full timeTransPerfect Is More Than Just a Job… Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identity, and each also has its own unique rewards. Locations: US-New York, NY (211 43rd) TransPerfect seeks a BILINGUAL VIETNAMESE speaking Quality Monitor...
-
In-person Assistor/navigator
3 weeks ago
New York, United States William F Ryan Community Health Cen Full time**Position Overview**: The In-Person Assistor/Navigator (IPA/Navigator) will be responsible for educating and facilitating, through in-person assistance, the enrollment of the uninsured and underinsured into the public and private insurance programs available through the New York Health Benefit Exchange (NYHBE), New York State of Health. Conduct promotional...
-
Bilingual Spanish Health Insurance Navigator
1 week ago
New York, United States NADAP Full timeOverview: NADAP is a multiservice non-profit agency dedicated to helping people with medical, behavioral health and social service needs to become self-sufficient. NADAP programs assist disadvantaged populations in New York City and Long Island. NADAP's services include health insurance enrollment, assessment, care coordination, case management, professional...
-
Bilingual Russian Health Insurance Navigator
2 days ago
New York, United States NADAP Full timeOverview: NADAP is a multiservice non-profit agency dedicated to helping people with medical, behavioral health and social service needs to become self-sufficient. NADAP programs assist disadvantaged populations in New York City and Nassau County. NADAP's services include health insurance enrollment, assessment, care coordination, case management,...
-
Client Navigator-Level I
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeLincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical...
-
Global Care Navigator
6 days ago
New York, United States Spring Health Full time**Our mission: to eliminate every barrier to mental health.** Spring Health is a comprehensive mental health solution for employers and health plans. Unlike any other solution, we use clinically validated technology called Precision Mental Healthcare to pinpoint and deliver exactly what will work for each person — whether that's meditation, coaching,...
-
Breast Health Nurse Navigator/Procedural RN
4 weeks ago
New York, United States New York Imaging Full timeJob DescriptionJob DescriptionBreast Health Nurse Navigator/Procedural RNBrooklyn, NYAt New York Imaging (NYI), we're pioneering the future of diagnostic imaging. Our team of highly skilled radiologists and technologists across our network of advanced facilities are united in delivering unparalleled patient care. With the latest cutting-edge imaging...
-
Navigator Program Manager
6 days ago
New York, United States CHCANYS Full time**Navigator Program Manager** **Organization Overview**: The mission of the Community Health Care Association of New York State (CHCANYS) is to champion community-centered primary care in New York State through leadership, advocacy, and support of Community Health Centers. To do this, CHCANYS serves as the voice of community health centers, working to...
