Healthcare Navigator

4 weeks ago


Santa Clara, California, United States MEDZED GROUP Full time

Job Title: Community Health Navigator

Job Summary:

We are seeking a skilled Community Health Navigator to join our team at MedZed Group. As a Community Health Navigator, you will play a critical role in delivering patient-centered care and support to our members enrolled in our Enhanced Care Management (ECM) program.

Key Responsibilities:

  • Manage caseloads of referred, assigned, and enrolled members with complex medical, social, and psychosocial needs.
  • Communicate effectively with members, caregivers, and/or families to cultivate professional, supportive relationships.
  • Understand social/complex case management and participate in clinical rounds, case consultations, and team huddles.
  • Empower members and families to overcome barriers and improve health outcomes.
  • Complete member assessments, including safety/risk assessments, health needs assessments, and psychosocial needs assessments.
  • Develop and create unique care plans for members, caregivers, and/or families to support identified needs.
  • Assist members with service coordination, including scheduling appointments, booking transportation, and assisting with referrals/authorizations.
  • Consult and collaborate with other healthcare team members, hospitals, provider offices, service/delivery agencies, community agencies, and/or social service programs.
  • Provide discharge planning support and post-discharge support as appropriate, including collaboration with inpatient hospital teams and/or providers.
  • Accompany members to health appointments if needed and manage ongoing follow-up with members/families via phone calls, home visits, and community setting visits to ensure members are achieving healthcare goals and receiving appropriate resources.
  • Maintain professional, accurate, and quality records by documenting them in a timely manner into our care management system.

Qualifications:

  • Proven understanding of patient-centered care.
  • Proven experience with care planning, case management, and managing caseloads.
  • Proven experience working with vulnerable and culturally diverse populations.
  • Knowledge of community resources within the community of the member being served.
  • Ability to maintain clear and professional boundaries with members and coworkers.
  • Basic understanding of different therapeutic services.
  • Knowledge of process for referrals and authorizations in federal, state, local, and community-based organizations.
  • Ability to quickly establish and maintain rapport and trust with members.
  • Problem-solving, critical thinking, and collaboration skills.
  • Experience with clinical rounding and collaboration with multidisciplinary teams.
  • Ability to identify mental health concerns, substance use concerns, medical issues, and other needs.
  • Valid driver's license and access to an insured and reliable car.

Education and Work Experience:

  • Bachelor's degree in social work, psychology, sociology, or public health.
  • Master's degree in social work (MSW) a plus.
  • Minimum of 2 years' experience working in medical, mental health, social, or community services.

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