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Care Navigator

2 months ago

San Antonio, Texas, United States Conviva Care Solutions Full time
Job Title: Registered Nurse - Care Navigator

At Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.

Job Summary:

The Care Navigator will work closely with an interdisciplinary care team to proactively engage patients identified as high-risk and implement targeted interventions to address social needs and increase access to care. This role requires a strong understanding of how socio-economic stressors can impact a patient's ability to engage in healthcare and subsequent health outcomes.

Key Responsibilities:
  • Develop care plans leveraging the 5Ms Geriatric best practice framework
  • Develop a holistic view of patient needs related to Social Determinants of Health
  • Provide education on maintenance of chronic health conditions, as well as available options for behavioral care and social support
  • Serve as liaison between the patient and direct care providers, assisting in navigating internal and external systems
  • Initiate care planning and subsequent action steps for high-risk members, coordinating with the interdisciplinary team
  • Support patients' self-determination, motivate patients to meet their identified health goals
  • Assist with transportation, food insecurity, navigation of benefits, and other social determinants of health
  • Participate in creation and facilitation of team training content
  • Document patient encounters in the medical record system in a timely manner
Requirements:
  • Minimum of 4 years of experience working in human services and navigating community-based resources
  • Familiarity with state Medicaid guidelines and application processes preferred
  • Experience working with patients with behavioral health conditions and substance use disorders preferred
  • Prior experience conducting home visits and knowledge of field safety practices preferred
Work Environment:

This role has a mobile presence, involving travel to patients' homes, treatment facilities, and community-based settings, and assigned clinics to facilitate connections.

Compensation and Benefits:

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.

Among our benefits, Humana provides medical, dental, and vision benefits, 401(k) retirement savings plan, time off, company and personal holidays, volunteer time off, paid parental and caregiver leave, short-term and long-term disability, life insurance, and many other opportunities.