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Clinical Care Navigator

2 months ago


Rancho Cordova, California, United States Dignity Health Full time
Overview

Dignity Health Medical Foundation, a nonprofit organization established in California, operates numerous care facilities across the state.

As an affiliate of Dignity Health, one of the largest healthcare systems in the United States, we are committed to providing exceptional medical services through our extensive network of hospitals and care centers.

Our mission is to collaborate closely with healthcare professionals to deliver comprehensive health services to the diverse communities we serve.

With ongoing growth and the establishment of new premier care centers, we are dedicated to investing in cutting-edge technologies, top-tier medical professionals, and state-of-the-art healthcare facilities.

We aim to foster meaningful work environments where our staff can deliver outstanding care while enhancing their knowledge and skills through challenging assignments and enriching professional relationships.

Our team is composed of highly trained and skilled individuals, essential for maintaining excellence in care and service.

Responsibilities

*
  • This role involves a hybrid work model, combining remote work with in-office or clinic responsibilities.

Position Summary:
The Clinical Care Navigator plays a crucial role within the Dignity Health Care Coordination team.

This program is designed to enhance the quality of care and clinical outcomes for individuals with complex health needs by facilitating care coordination within the healthcare delivery system through a collaborative partnership approach.

The Clinical Care Navigator works in conjunction with various multidisciplinary team members throughout the care continuum.

By conducting assessments to identify unmet needs and developing personalized care plans, the Clinical Care Navigator evaluates and addresses knowledge gaps regarding disease processes and treatments. This role also determines the necessary resources or services to meet an individual's health requirements, provides education and coaching on disease self-management for health promotion, and monitors patient progress.

Additionally, the Clinical Care Navigator promotes quality, cost-effective outcomes with the objective of improving care coordination among providers and increasing the involvement of individuals, families, and caregivers in the decision-making process to minimize hospitalizations, readmissions, and emergency room visits.


This position entails telephonic case management and direct patient engagement through follow-ups at clinic appointments and/or home visits as necessary. Travel may be required, with options for telecommuting.


Qualifications

Minimum Qualifications:


Two (2) years of clinical experience as a Registered Nurse in acute care, ambulatory care, home health, skilled nursing facilities, medical groups, or health plan settings is required.

A Master's Degree in nursing with a focus on Case Management may substitute for the experience requirement.

Current California Registered Nurse (R.N.) license is mandatory.

Exceptional customer service and presentation skills are essential.

Strong interpersonal and written communication abilities are crucial.

Proven analytical and problem-solving skills are necessary.

Demonstrated leadership capabilities to delegate and guide multidisciplinary teams.

Ability to manage multiple tasks or projects efficiently.

Capacity to work independently with a high level of attention to detail.

Ability to thrive in a fast-paced environment with shifting priorities.

Familiarity with regulatory and accreditation standards (URAC, NCQA) and complex case management (CMSA).

Knowledge of community resources is beneficial.

Understanding of capitation/HMO insurance payers and government healthcare plans and audits is advantageous.

Preferred Qualifications:
Prior experience in Care Coordination within a clinical or insurance context is preferred. If operational conditions allow, training may be provided for candidates lacking the required experience.

A BSN degree or equivalent experience is preferred.

Case Management (CM) certification is preferred.

#carecoordination

Pay Range

$68.10 /hour

We are an equal opportunity/affirmative action employer.