Healthcare Navigator

6 days ago


San Antonio, Texas, United States Conviva Care Solutions Full time
Job Summary

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 unique needs of our 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, as well as available options for behavioral care and social support.
  • Serve as a liaison between patients and direct care providers, assisting in navigating 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, and navigation of benefits, including Medicaid and HCBS, to reduce costs associated with prescription medications and alleviate social isolation.
  • 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 manner and adhere to general policies related to fire safety, infection control, and attendance.
Requirements
  • 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.
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. offers competitive benefits that support whole-person well-being, including 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 more.


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