Patient Care Navigator

About the role

A nationally recognized comprehensive Health and Human Services Agency with over 60 programs across New York City and the greater New York Area, Samaritan Daytop Village serves over 33,000 New Yorkers annually. Under general supervision, the Patient Care Navigator provides care management for clients and their families/support system, advocates for clients to obtain the full range of needed services, and ensures coordination of these services. The role involves addressing member needs (appointment monitoring, event notifications, linkage with other service providers), providing care plan updates, accessing services, communicating effectively, and building strong relationships with members in support of the agency’s mission and goals.

Responsibilities

• Conducts agency visits to client's providers.
• Maintains a caseload as assigned by the Care Coordination Supervisor.
• Utilizes approved Health Home assessment tools and Health Information Technology (HIT) to complete initial and annual assessments and to develop an appropriate care plan of service needs.
• Completes an accurate monthly HML assessment for each assigned member.
• Provides referrals, develops linkages and follows up on client services including timely documentation in all Electronic Medical Records for corresponding Health Homes.
• Uses health Information Technology (HIT) dashboards to link services and communicate among care management team, providers, members and their families/caregivers.
• Conducts member outreach and engagement activities to designated Health Home members, including face-to-face, mail, electronic and telephone contact.
• Ensures that services provided to each member of his/her caseload meets core values of care management services as set forth in federal guidelines of Affordable Care Act.
• Assists members in accessing health care and social service systems including arranging for transportation, scheduling and accompanying member to appointments.
• Helps members in identifying available community-based resources and actively manage appropriate referrals, access, engagement, follow-up and coordination of services.

Qualifications

• Associates Degree in Human Services, Sociology, Psychology or a related field.
• Willingness to travel regularly in the community and to members’ homes as needed.
• Computer literacy including proficiency in Microsoft Office Suite and EHR.
• Experience working directly with people from diverse racial, ethnic and socioeconomic backgrounds.
• Flexibility is needed as members may call outside of daily work schedule (24-hour call).

Pay

$23.07-$27.58 per hour