PACE Care Navigator

Why Work for Gary and Mary West PACE?

Join the team voted Best Place to Work. At Gary and Mary West PACE, you'll find more than just a job — you'll find work/life balance and the opportunity to make a meaningful impact in the lives of North County seniors and their families. We support your personal and professional well-being with:

• Generous pay and a comprehensive benefits package focused on your health and wellness
• 11 paid holidays, 13 days of PTO, and 5 days of sick time
• A 5% employer match to our 403(b) retirement plan
• No on-call time
• An annual education allowance and a commitment to professional growth, helping you expand your skills and advance your career

You'll thrive in a supportive, mission-driven culture where collaboration feels like family. As part of our multi-disciplinary team, your voice is heard, and your work is truly valued.

About PACE

Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence. The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health, is a non-profit that delivers medical, social, and behavioral services to the frail elderly in the North County of San Diego. This PACE center is entrepreneurial in nature and focuses on innovations and bringing new processes to the traditional PACE environment. We're looking for passionate healthcare providers who want to be part of a team dedicated to enabling seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.

Position Summary

Under the direction of the Center Manager, the PACE Care Navigator is responsible for supporting the IDT by coordinating the Service Delivery Request process and documenting the meeting discussions. As an integral member of the Retention Committee, the Care Navigator also provides direct assistance to participants by connecting them to the PACE system of care and proactively reaches out to participants to resolve concerns to prevent disenrollment. Communicates appropriately to interdisciplinary team members, management, and participants to resolve concerns. Promotes professional working relationships with both internal and external customers. Adheres to and supports all organizational policies and procedures and standards.

Essential Functions

• Participate in IDT meetings and provide support to the IDT
• Scribes IDT meeting agenda for each pride and assists with coordinating meetings
• Coordinates transportation schedule in IDT and tracks cancellations
• Manages Service Delivery Requests to include initiation in EMR, documentation, NOA letters for denials, and service provided dates
• Collaborates with medical assistant scheduler for centralized assessment and transportation scheduling
• Leads Retention Committee and acts as a liaison between different disciplines, services, and participants to ensure continuity of care and services
• Interfaces directly with participants identified as being at risk for disenrollment from the program; clarifies areas of need, available resources, and sources of support, and develops a plan in collaboration with IDT members, participants, and participants' families/caregivers
• Facilitates communication among service providers, family, participants, and caregivers
• Maintains courteous, helpful, and professional behavior on the job; supports the success of the entire IDT team by promoting a collaborative work environment

Other Functions

• Special projects including implementation of satisfaction surveys
• Consistently contributes to problem-solving and cooperates with identified resolutions
• Brings issues and process improvement ideas to the attention of the Supervisor
• Maintains verbal and written skills required for the position
• Attends meetings and participates in committees as required
• Adheres to all GMWP Policies and Procedures, GMWP Safety Policies and Procedures, and OSHA safety guidelines
• Communicates clearly and concisely with sensitivity to the needs of others

Education and Certification

• High school diploma or GED equivalent required
• Bachelor's Degree in health or human services preferred
• Active driver license
• Clean driving record
• Proof of auto insurance

Skills & Experience

• Two years of health care experience working with frail and/or chronically ill elderly population
• Knowledge of community resources available to seniors and their families
• Experience in providing case management services, including motivational and/or clinical interviewing skills
• Must have excellent written and verbal communication skills and demonstrate the ability to interact clearly and effectively with both internal and external customers
• Must submit to and pass a pre-employment drug/alcohol screening and criminal background check
• Must have a current California Driver's License and driving record must be in compliance with Company policy
• Must maintain current automobile insurance
• Proficient in Microsoft Word and Excel
• CRM and EMR experience preferred
• Skilled in establishing and maintaining effective working relationships with participants, co-workers, vendors, medical staff, and the public

Medical Clearance

Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact. Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.

This response is AI-generated, for reference only.