Care Coordination Navigator
1 month ago
The Field Based Care Coordination Navigator (CCN) provides assessment, care planning, and service coordination activities for low to medium risk, Medicaid eligible clients. The CCN works closely with networks of medical and behavioral health providers to manage identified needs, stabilize participants and reduce healthcare costs and align services that promote access to care and enhanced health outcomes for all clients.
Salary: $40,000/year
Essential Functions
- Monitor progress of each client on an ongoing and daily basis through delivery of face to face, escort, written, electronic and telephonic outreach/monitoring/collaboration and planning activities.
- Assist other members of the Care Coordination Team with follow up visits, appointment accompaniment, and other tasks as needed.
- Complete client centered comprehensive functional assessments to identify the medical, behavioral health, and social needs/goals of each client.
- Develop, review, and update written/electronic person centered care plans that are driven by functional assessment outcomes and shared with and developed/updated in partnership with the client and his/her
Health Home network partners and collateral supports. Ensure that all Care Plans uphold the policy and procedure set forth by the department and Health Home. - Facilitate referrals (securing appointment date/time/location) to network medical, behavioral health and social assistance entities as needed to meet Care Plan objectives.
- Maintain an accurate caseload panel through prompt identification and response to cases appropriate for level of care changes including but not limited to discharge or transfer activities.
- Utilize Electronic Health/Medical Record system(s) of assigned Health Home and NADAP database tools to maintain documentation and all relevant treatment records, entering contact notes within the timeframe
outlined in the Program Manual guidelines - Develops, adheres to, and documents daily schedule of appointments; informs supervisor of scheduling conflicts or changes and maintains accurate record of daily activities.
- Maintain collaborative relationships with all service providers utilized in the care planning interventions, sharing/extracting regular status updates and participating in case conferences as needed (and as outlined in the
policy and procedure of the department and lead Health Home providers) to monitor level of care and health status for all members. - Participate in individual and group supervision as scheduled by the appointed supervisor. Performs other job related duties as assigned.
- Performs other duties as assigned.
- High School Diploma or certification equivalent
- Experience 1 Year
- Criteria that would be desirable but not required
- Bachelor's Degree preferred.
- Minimum Knowledge Requires advanced knowledge of specialized or technical field or a thorough knowledge of the practices and techniques of a professional field. May require knowledge of policies
and procedures, and the ability to determine a course of action based on these guidelines. - Updating of Knowledge The knowledge required to perform this job once learned has frequent changes, but the changes are relatively minor
Salary: $40,000/year
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