MEMBER NAVIGATOR

Member Navigator

Job Description:

• Assists with access to care for CSNP members in collaboration with RN case manager and nurse practitioner.
• Obtains information for members based on the model of care requirements.
• Obtains information to assist with evaluation of patient needs.
• Communicate effectively with individuals across the care continuum.
• Documents member information in the electronic medical record.
• Reviews appointments and communicates pertinent information to RN Case Manager(s) and nurse practitioner(s) for additional interventions.
• Collaborate with IDT for coordination of care.
• Communicate with member and/or family, obtaining and providing information regarding care and needs.
• Strong communication skills and focus on customer needs and services.
• Assists with any patient emergency as needed.
• Recommends and/or conducts specific areas of in-service or continuing education with patients and caregiver as appropriate.
• Assists with compliance of quality measures for CSNP program.
• Assist with HEDIS measures and collection of data.
• Assist with collection and presentation of QA data for the CSNP program.
• Participates in ICT meetings for CSNP members.
• Functions in CNA role if needed for member visits.
• Performs other duties as assigned.

Requirements:

• Graduated from an accredited Certified Nursing Assistant (CNA) program with a current CNA certification in the state of practice preferred.
• 2 years' clinical experience as a Certified Nursing Assistant (CNA) in geriatric, adult, or family practice setting, preferred.
• 2 years' experience working in a community-based program involving geriatric, adult, or family practice setting.
• Pertinent clinical work experience relevant to the population served.
• Current BLS certification.
• Must be able to demonstrate computer skills, including use of e-mail and Microsoft Office Word and Excel.
• Must be able to demonstrate effective written communication skills, including but not limited to writing reports and correspondence.
• Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families, and staff, and listening to members, providers, and families.
• Demonstrated ability to meet deadlines, and use time effectively and efficiently.
• Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably.
• Is dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind.
• Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect.
• Uses logical methods to solve problems with effective solutions; looks beyond the obvious for solutions.
• Is action-oriented and sees challenges as opportunities.
• Knowledge of community resources.
• Previous experience working with behavioral health populations.
• Experience working with low-income and disadvantaged populations.
• Previous work with vulnerable adults or senior population.
• Must meet company driving standards.
• Must have a valid state driver's license and be able to drive a car.
• Must meet company's automobile liability insurance standards and provide proof of coverage.
• Must be able to independently travel to assigned locations.