Care Navigator GUIDE (Guiding an Improved Dementia Experience)

About The Job

General Summary of Position

MedStar Health is looking for a Care Navigator GUIDE MHCP to join our team at Montgomery Medical Center! The GUIDE Care Navigator is a core member of the GUIDE team responsible for supporting patients with Dementia, families and caregivers as they navigate the healthcare system, providing information, resources and service coordination. The Navigator is a trusted resource for GUIDE patients, families, caregivers, and the care team to ensure seamless transitions of care, access to necessary services, and enhanced health outcomes.

• Supports patients, families, caregivers, and healthcare providers to ensure care needs are met.
• Provides clear, easy-to-understand education on treatment plans, care options, insurance benefits, and available resources to support informed decision-making.
• Schedules appointments, arranges transportation, secures home health/DME services, and resolves barriers to care.
• Supports onboarding, referrals, authorizations, and connects patients with appropriate healthcare and community resources.
• Makes ongoing outreach, including in-home visits and monthly follow-ups, to monitor care plan adherence, medication compliance, and completion of tests/procedures.
• Communicates progress and barriers to the Care Manager and escalates urgent clinical concerns as needed.
• Manages high-volume patient support activities, ensuring timely responses to providers, care teams, and families.
• Participates in interdisciplinary meetings to coordinate care and support seamless service delivery.
• Maintains accurate EMR documentation to meet regulatory standards.
• Supports quality improvement initiatives, stays current on GUIDE program requirements and evidence-based practices, and completes required education and certifications.

Qualifications

• High School or GED (Required)
• Bachelor’s degree in social work (Preferred)
• 1-2 years Experience working in a medical office, ambulatory practice setting, and or home health (Required)
• 1-2 years Experience working as a Care Navigator, and working with populations (geriatrics) with chronic disease, and or patients with Dementia (Preferred)
• Certified Medical Assistant (CMA)- (Preferred)
• Certified Nursing Assistant (CNA)- (Preferred)
• LPN- Licensed Practical Nurse State Licensure (Preferred)
• Cert Community Health Worker- CCHWMD (Preferred)
• Certified Medical Assistant (CMA)-AAMA (Preferred)
• CHHA- Certified Home Health Aide (Preferred)
• LCSW- Licensed Clinical Social Worker (Preferred)

Pay

This position has a hiring range of USD $20.57 - USD $36.27 /Hr.