Care Navigator Job Description
Care navigator
provides a process for establishing chronic care management to each patient within one year of first visit.
Care Navigator Duties & Responsibilities
To write an effective care navigator job description, begin by listing detailed duties, responsibilities and expectations. We have included care navigator job description templates that you can modify and use.
Sample responsibilities for this position include:
Identifying, facilitating and securing access to needed healthcare, social services benefits and community resources
Is knowledgeable of current methods of treatment, new pharmaceutical agents, available community resources, insurance, financial assistance, counseling and support
Administering standardized health and psychosocial risk screening tools
Using decision support tools and supervisory support to identify appropriate interventions and health care and social service needs
Working with client to identify barriers to self-care and self-management and helping client to develop skill sets to address those barriers
Supporting client self-management goals and activities and intervening on client’s behalf when appropriate
Communicating with clients, their families and caregivers to support care plan goals and integrate care delivery
Facilitating follow-up care after hospitalization or emergency room visit
Regularly coordinating and communicating with Care Team members on all care plan activities, including referrals, transition care planning, and follow-up tracking
Working in collaboration with other care team members and care providers, including behavioral health, disease care management, home care, social work and community based organizations, to help client achieve optimal health outcomes
Care Navigator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Care Navigator
List any licenses or certifications required by the position: BLS, ACLS, CPR, CCM, ACM, CCMC, ACSM, NCMA, AAMA, CMA
Education for Care Navigator
Typically a job would require a certain level of education.
Employers hiring for the care navigator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Nursing, Social Work, School of Nursing, Graduate, Associates, Management, School of Social Work, Counseling, Health
Skills for Care Navigator
Desired skills for care navigator include:
Overdue lab and imaging reports
Referral reports
Services needed for chronic conditions and other reports as requested
Various patient lists/reports
EPIC
Medically-based clerical experience
Six months to one year of patient care experience
Medical terminology
Excel
Community resources
Desired experience for care navigator includes:
Minimum 1 year clinical specialty area experience required
Work collaboratively as a team of coordinators, prioritizing and delegating projects as the Center grows
Serve as patient advocate from enrollment in the “ Program”
Bachelor's or Master's Degree in Child and Family studies, Community Mental Health, Counseling, Education, Occupational Therapy, Physical Therapy, Psychology, Recreation, Recreation Therapy, Rehabilitation, Social Work, Sociology, or Speech and Hearing
The Oncology Care Coordinator provides patient focused coordination of care for oncology patients in the Parkridge system
Knowledge of MS Office, scheduling systems, and hospital based computing systems
Care Navigator Examples
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Care Navigator Job Description
Job Description Example
Our company is growing rapidly and is looking for a care navigator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for care navigator
- Identification, outreach and follow up in regards to patients that are high risk, have a gap score and gaps in care
- Outreach to patients to ensure follow up visit with their PCP post inpatient or ER visit to the hospital
- Complete the key interventions pertinent to patient care and follow up needs
- Collaborate with the payer systems and payer Care Coordinators on specific patient care needs
- Provide patient education relative to the patient’s diagnosis and treatment plan
- Outreach to patients to encourage them to work with their applicable payer Case Manager, Disease Manager or Wellness Program designee
- Meet with payers in joint governance and other VBC meetings
- Review reports from payers and assist Director of Quality in the interpretation of the reports and actions needed
- Test and pilot new VBC initiatives and work with leadership on refining processes, helping HOPP achieve contractual metrics
- Work with management on communication to physicians regarding available patient care programs through the VBC programs- both written/email communication and visits to provider meetings as necessary
Qualifications for care navigator
- Minimum 3 - 5 years relevant specialty area experience
- Master’s degree in social work, counseling, or related field preferred, with experience in field of aging or dementia, or an undergraduate degree in related field with at least 2 years of direct aging and/or dementia experience
- Leadership skills and ability to oversee and direct the work of volunteers and students
- Ability to occasional work evenings and weekends as needed
- Must have current driver’s license and proof of insurance, and access to dependable vehicle
- Resolves customer requests, questions and initiates follow-up of concerns
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Care Navigator Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of care navigator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for care navigator
- Conduct practice needs assessment in order to learn more about practice demographics, their daily operations and current workflows
- Collaborates with Primary Care Team to meet provider and practice needs
- Responsible for assisting the interdisciplinary medical home care team in the provision of care navigation activities, and working with selected patients as assigned by high risk status or multiple health care coordination needs
- In addition, the role assists the Care Manager and interdisciplinary team with access and utilization management improvements, proactive patient panel management, care facilitation and treatment coordination functions
- Upholds the standards of the system-wide customer service program
- Case load will be determined by accepted Regional and Network standards
- The Primary Care Navigator will work as part of a multi-disciplinary team lead by the PCP for timely identification of patients’ needs and ensure coordination of patient services
- They will educate on disease process, goal setting and will monitor patients identified for wellness, transitions care, chronic care and high risk care management programs
- Provide teaching to patients/families related to patient’s diagnosis, pathology, medical and nursing treatment plans, discharge needs and health goals
- Identify possible problems that could lead to an emergency/crisis situation and takes appropriate action to de-escalate the potential for the situation to occur
Qualifications for care navigator
- Excellent customer service skills-ability to understand/exceed customer expectations while demonstrating the highest standards of care, respect, & confidentiality
- Must be able to work independently/alone/flexible schedule including evenings and weekends
- Comfortable w/Public Speaking and traveling to various work sites
- Current working experience in a community clinic setting preferred
- Must be able to maintain a good attendance record
- Knowledge of Pinellas County and The State of Florida's health care options preferred
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Care Navigator Job Description
Job Description Example
Our innovative and growing company is looking for a care navigator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for care navigator
- Ensuring all patients with an oncologic diagnosis receive quality and comprehensive services
- Gathers, analyzes data and issues recommendations to improve service line quality indicator performance
- She/he serves as a clinical resource with expertise in hematology/oncology care management
- Acts as ambassador and representative of the Oncology Program in community events and markets/promotes service line to increase business volume for the Hospital
- This position will also work with palliative care patients
- Identify appropriate care setting and arrange transfer if required- GIP, House of Hope, board and care, home hospice or palliative care
- Follow Up with Existing patients
- Participate in the education of nursing and medical students that may rotate through the Care Connections Clinic
- Provide social work and behavioral health services for Foster Care Clinic patients in collaboration with the care team
- Conduct clinical interviews to assess pertinent patient information
Qualifications for care navigator
- Minimum three (3) to (5) years acute care experience strongly preferred
- Strong detail-orientation and follow-up capacity
- Ability to analyze payor quality data and navigate reports from various Electronic Health Records
- Public speaking centered around medical practice education
- Commitment to collaboration, professionalism, and effective communication in all interactions with physicians, HealthONE Physician Services employees, patients, caregivers and payers
- Experience in evidence-based health and lifestyle coaching techniques preferred
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Care Navigator Job Description
Job Description Example
Our innovative and growing company is hiring for a care navigator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for care navigator
- Communicate with other members of the health care team regarding the patient's needs, plan, and response to care
- Provide continuum of quality care through telephonic and field based outreach, education, crisis intervention and other clinically based activities to plan members as specified in their treatment plans
- Assist Case managers and Service Coordinators with the development of case management and crisis plans for medical treatment and/or behavioral modification within the scope of practice
- Coordinates, with oversight by Case Managers and Service Coordinators, all information and referral functions from those calls including initiation of care plans to ensure continuity and integration of services
- Maintains logs and other data bases regarding care coordination activities
- Track aftercare outpatient appointments following inpatient or acute levels of care of assigned caseload
- Assist members in accessing care by educating providers, members and providing/arranging transportation as necessary
- Obtain signed releases of information from members via on site collaboration with providers
- Primary point of contact for designated “Most Vulnerable” Chronic Special Needs Plan Medicare Advantage customers/other identified “high risk” Medicare Advantage customers needing care management services
- Mails, collects, scans and telephonically assists customers to complete health risk assessments for both CSNP and Medicare Advantage Plan customers
Qualifications for care navigator
- Knowledgeable on how to navigate all aspects of medical care and managed care system
- Two (2) years of experience working in health and wellness promotion required
- You may register online
- Must be able to collaborate and communicate with Care Managers and interdisciplinary team as needed in planning follow-up care and appointments
- Must be able to collaborate with Health Coach and interdisciplinary team in planning follow-up care, as needed
- Must be able to communicate with patients regarding pre-visit planning, follow up after discharge, and scheduling urgent appointments and referrals to specialists
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Care Navigator Job Description
Job Description Example
Our company is growing rapidly and is looking for a care navigator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for care navigator
- Assists patients as needed to schedule primary care, specialty care and other appointments as identified in the care plan
- Actively monitors incoming calls, conducts outgoing calls, and responds to voice mail requests in a timely manner
- Supports all PHM department programming in efforts to ensure we are meeting our Model of Care
- Documents all actions taken in the patient medical record
- Other duties as determined by the management team
- Conduct outbound calls to patients recently discharge from hospital or ER to ensure appropriate follow-up with primary care providers
- Conduct outreach and follow up in regards to patients that are high risk, have a gap score and gaps in care
- Complete a standard assessment for clinical, behavioral and community needs, triage for additional support by licensed clinical staff and complete referrals to additional resources as needed
- Collaborate with providers and practice teams to communicate patient’s needs and develop solutions to overcome barriers
- Collaborate with the payer systems and payer Care Coordinators on specific patient care needs to include encouraging them to work with their applicable payer Case Manager, Disease Manager or Wellness Program designee
Qualifications for care navigator
- Must have ability to prioritize and organize tasks with attention to detail
- Excellent interpersonal skills, good judgment, flexibility, initiative and ability to use critical thinking skills to problem solve
- Bachelor's Degree Preferred in Social Work or Psychology
- Graduation from an approved, accredited school of nursing
- RN licensure with BSN or MSN, or MSW required
- 2 years of rehabilitation or case management experience preferred