Care Navigator - Per Diem

About the role

Join a team dedicated to making a difference in the lives of individuals and their communities. Our culture prioritizes connection, accountability, and real impact.

Responsibilities

• Act as an advocate and assist in coordination of care to minimize the fragmentation of health care delivery systems.
• Gather insurance information.
• Assist in navigating the complex healthcare and insurance systems.
• Assist in securing health insurance.
• Complete referrals to care management services and other internal and external services as needed.
• Follow up with the individual until a warm hand-off to care management is complete.
• Identify and effectively utilize community resources to meet the needs of the member/family.
• Facilitate access to community resources.
• Care across the healthcare continuum and optimize clinical and financial outcomes.
• Maintain a working knowledge of payer requirements.
• Negotiate on behalf of the member for cost-effective, high quality services and to maximize the efficient use of resources.
• Serve as a liaison to providers, members and families for coordination of services.
• Document all interventions using the Complex Care Management billable documentation.
• Work collaboratively as part of a team.

Qualifications and Attributes

• Excellent written, verbal and listening abilities.
• Willingness to establish effective working relationships with internal and external providers/resources.
• Ability to manage conflict, stress and multiple simultaneous work demands in an effective and professional manner.
• Ability to work well independently, while collaborating with other team members.
• Ability and willingness to self-motivate, to prioritize and change processes to improve effectiveness and efficiency.
• Knowledge of and appreciation for cultural diversity and low literacy issues in care provision.
• Computer literacy. Ability to navigate Electronic Health Records and other systems.
• Willingness and ability to travel locally and work in various community settings.

Education and Experience

• Required: Bachelor's Degree in Health and Human Services or related field (major concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other human services field) or NYS licensure and registration as a Registered Nurse and a bachelor's degree or Bachelor's level education or higher in any field with five years of experience working directly with highly vulnerable populations (i.e. those with health, behavioral health, substance use issues), or a Credentialed Alcoholism and Substance Abuse Counselor (CASAC) or equivalent experience in behavioral health, human services or other.
• Preferred: Master’s degree in a related education field may be substituted for one year of experience.