[Hiring] LPN Health Navigator @Capital Blue Cross

Role Description

The Health Navigator collaborates with members, family, healthcare providers, community resources, and other members of the healthcare team to coordinate services and address barriers including access to health care, health literacy, transportation, wellness, and gaps in care.

• Guide members to achieve optimal and vibrant health by providing tools, information, and assistance.
• Help members understand their healthcare options and take control of their healthcare needs.
• Bridge the gap between social-economic and medical and behavioral needs.
• Navigate the steps along the path to efficient and effective care.

Qualifications

• At least three (3) years’ recent/related experience working in health and wellness promotion, inpatient, or other appropriate clinical settings.
• Behavioral Health experience preferred.

Requirements

• Identifying, facilitating, and securing access to needed healthcare, social services benefits, and community resources.
• Assist members with navigating the steps along the path to efficient and effective care.
• Coordinate appointments with and transportation to physicians and non-physician providers.
• Actively monitor incoming calls, conduct outgoing calls, and respond to voice mail requests in a timely manner.
• Identify and assess members’ medical, behavioral, social, emotional, and financial needs.
• Utilize resources of social, economic, behavioral, and support systems to connect at-risk members with appropriate community resources.
• Conduct health education.
• Build relationships with members, their families, and caregivers.
• Provide emotional support and/or refer to community-based or physician/provider for greater psychosocial intervention.
• Complete education to assigned members and engage them into programs.
• Deliver education on basic condition-specific topics, medication adherence, preventive care guidance, and navigation of available health benefits.
• Address identified gaps in care and promote adherence to evidence-based practices.
• Collaborate with interdisciplinary teams to support whole-person care and improve quality outcomes.
• Identify and report quality of care issues in accordance with established policies and procedures.
• Maintain member confidentiality at all times.
• Document all care navigator activities in the care management documentation system.
• Attend company and departmental meetings and training sessions as required.
• Assist with assigned population processes including retrieving and assigning referrals.

Benefits

• Comprehensive benefits package including Medical, Dental & Vision coverage.
• Retirement Plan.
• Generous time off including Paid Time Off, Holidays, and Volunteer time off.
• Incentive Plan.
• Tuition Reimbursement.

Education and Certifications

• Patient Navigation certification preferred or obtained within 1-year of employment.
• Licensed Practical Nurse active license or degree in healthcare-related field with 3 years of experience directly related to the duties and responsibilities specified.