Community Health Navigator I

Are you looking to make a difference by improving the health of our patients?  Here you will find an innovative culture that is patient-focused and dedicated to making a difference.  We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. 

The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services. In this role a Navigator I is expected to assist members and coordinate members services with community resource,  engage members in healthcare services, advocate for member’s needs, and  assist members with reaching their person centered goals. A Navigator will work  with their member to achieve self-sufficiency and graduation from the program  by providing education and assistance in developing skills to navigate services  and daily living skills to be more independent in their decision making. 

The Community Health Navigator is required to follow policy and procedure set by the lead Health Home to ensure quality and service alignment with NYS DOH guidelines. A  Navigator must have good communication skills, time management and  organization skills, have knowledge of and be able to collaborate with other  community organizations, and work well with a team. It is expected that  Navigator will maintain a caseload of 30 to 50 members at any given time, and  assist with member coverage when the need arises.

• Required to carry a caseload of a minimum of 30 members monthly while maintain quality according to the Bassett Health Home Policies.
  
• Provide Core Care Management Services to assigned caseload.
  
• Comprehensive Care Management
  
• Care Coordination & Health Promotion
  
• Comprehensive Transitional Care
  
• Patient & Family Support
  
• Referral to Community & Social Support Services
  
• Completion of Care Plans, Assessments, updated documentation, home visits and billing.
• Complete outreach for assigned members per the HH Policy and Procedure, to enroll new members in the program.
  
• Providing education/guidance to patients and families on tools to manage chronic illnesses, develops individual and web-based tools and resources to improve compliance.
  
• Conducts thorough needs assessment and assist the member in setting goals and develops a service/care plan to address unmet needs.
  
• Develops, implements and monitors care plans with members and their families.
  
• Assists members engagement in their healthcare by connecting members with the appropriate medical services, closing care gaps, and ensuring transportation to medical appointments.
  
• Review monthly chart audits with Supervisor to ensure quality of charts.
  
• Attend required meetings to remain up-to-date on changes, and new DOH guidelines.
  
• Communication with Supervisor related to use of job duties and use of time off.
  
• Coordinate care through effective communication with other providers,  community resources, and supports.
  
• Knowledge of County, State and Federal resources.
  
• Positive communication and schedule flexibility to appropriately support the needs of the team and the members being served.
  
• Collaborate with Bassett RN Care Managers for clinical oversight, as needed.
  
• Complete monthly member tracking on spreadsheets to ensure billing, requirements, and health and quality metrics are being met.
  
• Maintains current and accurate documentation of services provided to clients.
  
• Ensures all members information is entered into Medicaid Health Home data systems.
  
• Compliance with policy, procedure and regulatory requirements
  
• Meet minimum billing requirements for caseload by providing billable services as described in the Bassett Health Home policies and procedures.
  
• Attend webinars, and trainings as required by the DOH and the HH.
  
• Adheres to HIPAA confidentiality regulations 100% of the time as observed by manager.
  
• Assists with interviewing, and training new employees.
  
• Participate in rotating on-call activities.
  
• Assist with coverage of caseloads for other Navigators who are on Leave or Vacation to provide continuity of care.
  
• Assist in the development of resources and procedures that relate and impact job duties, as needed.
  
• Attends meetings and serves on committees, as requested.

Education:

• High School Diploma or GED, required with an additional 4 years experience in the healthcare, human services field, maybe considered
• 2 year/Associate Degree, preferred with an additional 2 years of experience in the healthcare, human services, maybe considered
• 4 year/Bachelor's Degree in human service or nursing related field, preferred

Experience:

• Minimum one year experience in Human Services or Healthcare field providing direct care to individuals. With experience providing direct services to people with Serious Mental Illness, Developmental Disabilities, alcohol and substance abuse, required
• Minimum two years experience in Human Services or Healthcare field providing direct care to individuals. With experience providing direct services to people with Serious Mental Illness, Developmental Disabilities, alcohol and substance abuse, preferred

Licensure/Certifications:

• Current NYS Driver's License, required
• LPN, preferred
• CASAC Certification, preferred

Skills:

• Accountability
• Computer Skills
• Time Management
• Self-Motivated

Physical Requirements:

• Light work: exerting up to 20 lbs of force frequently, and/or a negligible amount of force constantly to move objects.
• Occasional: lifting, pulling, pushing, reaching, standing
• Frequent: typing/clerical/dexterity, hearing, repetitive motion, seeing/monitor/computer use, talking, visual acuity, walking

Travel:

• Extensive Travel: You should expect to travel every week

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:  

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match 
• And more!

Specific benefit offerings may vary by location and/or position.