Care Navigator Specialist

2 days ago


Pittsburgh, Pennsylvania, United States HealthMap Solutions LLC Full time
Job Title: Field Care Navigator

Join Healthmap Solutions LLC as a Field Care Navigator and play a vital role in improving the health outcomes of our members. As a key member of our interdisciplinary care team, you will be responsible for coordinating care and managing complex patient needs.

Responsibilities:
  • Assess members in their homes or other settings to evaluate their wellbeing and develop individualized care plans.
  • Evaluate home environments for safety, infection control, and community resource needs.
  • Act as the first point of contact for members to resolve patient-related issues and ensure a positive experience.
  • Identify opportunities to manage member-centric care plans, problems, barriers, interventions, and goals.
  • Partner with the Healthmap Interdisciplinary Care Team to collaborate on improving member health outcomes.
  • Serve as a resource to members and physicians, 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, including patient communication and plan details.
  • Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and compliance with regulatory standards.
Requirements:
  • Master's degree in nursing required.
  • Active, unrestricted RN license required; nurse practitioner or advanced practice nurse required in assigned state(s).
  • 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 healthcare 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.
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.
  • Proficiency in Microsoft Office: Outlook, Word, Excel, PowerPoint.


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