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Healthcare Navigator
2 months ago
We are seeking a skilled Care Navigator to join our team at Humana Inc. As a Care Navigator, you will play a critical role in proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.
Key Responsibilities- Develop and implement care plans leveraging the 5Ms Geriatric best practice framework to address the complex needs of patients.
- Conduct thorough assessments of patients' social determinants of health to identify areas for improvement and develop strategies to address them.
- Provide education and support to patients and their families on maintaining chronic health conditions, behavioral care, and social support options.
- Serve as a liaison between patients and direct care providers, facilitating navigation of internal and external systems to ensure seamless care coordination.
- Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary teams to ensure comprehensive care.
- Support patients' self-determination and motivate them to meet their identified health goals.
- Assist patients with transportation, food insecurity, benefits navigation, and other social needs to reduce costs and improve health outcomes.
- Participate in the creation and facilitation of team training content to enhance care coordination and patient outcomes.
- Document patient encounters in the medical record system in a timely and accurate manner.
- Minimum of 4 years of experience working in human services and navigating community-based resources.
- Familiarity with state Medicaid guidelines and application processes is preferred.
- Experience working with patients with behavioral health conditions and substance use disorders is preferred.
- Prior experience conducting home visits and knowledge of field safety practices is preferred.
This role has a mobile presence, involving travel to patients' homes, treatment facilities, and community-based settings to facilitate connections and provide care.
BenefitsHumana Inc. offers a competitive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, and other opportunities to support whole-person well-being.
