[Hiring] Care Navigator @Denver Health

Role Description

We are recruiting for a mission-driven Care Navigator-Refugee, Immigrant and Newcomer (RIN) Health Services to join our team!

Under general supervision, provide patient navigation services as it relates to care coordination, referral management, service continuity including but not limited to assisting with navigating the health care system, re-engaging patient care, specialty specific health education, provided service education, and access to services and or resources available for all patients. The care navigator will facilitate patient compliance around:

• Ambulatory care
• HIV care
• Patient discharges
• Follow-up care
• Home care and/or community resources

Essential Functions:

• Manages appropriate transitions of care for patients regardless of payer from ED, inpatient, SNF, specialty to primary care (20%)
• Addresses barriers in an effort to facilitate care-coordination, improve patient experience, connect to care as appropriate, and retention-in-care as stipulated by grant funder programmatic requirements (10%)
• Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety (10%)
• Assembles information concerning patient’s clinical background and referral needs. Per referral guidelines, provides appropriate clinical information as applicable (10%)
• Contacts review organizations and insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis, and prognosis. Provides specific medical information to financial services (10%)
• Acts as an extender for the care team by assisting patients in problem solving potential issues related to the health care system, financial or social barriers (e.g. requests interpreters as appropriate, transportation services or prescription assistance) in an effort to facilitate care coordination and support plans of care (5%)
• Acts as the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the care team to ensure approval of the necessary supplies/services for the patient in a timely fashion (5%)
• Identifies and utilizes cultural and community resources. Serves as a liaison for internal and external care providers and/or families/caregivers (10%)
• Identifies opportunities and collaborates with care team to implement solutions surrounding patient care coordination (e.g. scheduling appointments, transportation, interdisciplinary communication, insurance informational support). Reminds identified patients of scheduled appointments (10%)
• Tracks individual patient referral process, including but not limited to; ensuring appointment is scheduled, necessary follow-up is completed and any barriers addressed with patient and family/caregiver (5%)
• Uses motivational interviewing and teach back tools to assist patient understanding of care plan, including but not limited to discharge instructions, medication follow-up, behavior change, etc. (5%)

Qualifications

• High School Diploma or GED Required

Requirements

• 1-3 years Experience in a clinical care setting Required
• Intermediate knowledge of the community resources needed for reentry at Denver Health’s integrated care system
• Strong oral and written communication skills
• Proven ability to work effectively, both individually and as a team, with populations experiencing disadvantages, persons involved with the criminal justice system, persons experiencing homelessness, and recent immigrants
• Must be empathetic to the needs of all patients
• Intermediate knowledge of the community resources needed to support individuals in the Denver Metro area
• Bilingual in English/Spanish preferred
• Knowledge of Epic and other electronic health records systems
• Knowledge of Microsoft Office suite products

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer + free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer