Care Navigator

Job Description

Job Description

Description:

Care Navigator

The Care Navigator at TRIARQ Health plays a key role in a patient’s journey toward better well-being by acting as the primary communication link between the patient and the appropriate health care providers and resources. This position supports non-surgical patients by providing education, resources, and referral assistance. In addition, the patient care coordinator manages patients’ transitions of care and supports ongoing patient engagement throughout the post-acute care (PAC) process after urological (URO) and musculoskeletal (MSK) procedures.

Responsibilities:

• Utilize the care management and referral platform (QPathways) to document patient interactions, track care coordination activities, and support continuity of care.
• Collaborate effectively with the patient’s health care team (physicians, nurses, discharge planners, referral coordinators, surgical schedulers, etc.) to establish an optimal transition plan to the most appropriate PAC setting and ensure the delivery of quality, efficient, patient centered, and cost-effective healthcare services.
• Monitor post-acute care utilization to identify potential overutilization and support appropriate, cost-effective care delivery.
• Communicate with the patient on a regular basis to ensure that the assigned care plan is followed.
• Conduct status check-ins for surgical and non-surgical patients in accordance with predefined care plan criteria and processes.
• Engage patients with appropriate care coordination and education via multiple channels (phone, text, email) in response to outreach campaigns.
• Coordinate referrals between primary care physician (PCP), physical therapy (PT) providers, and Orthopedic Specialists.
• Participate in cross-training and maintain expertise across multiple contracts and clients to support coverage needs across the organization.
• Manage an independent workload while maintaining expected productivity.
• Review outcome reports and other reports as needed to assist with the identification of opportunities for improvement and program development.
• Attend departmental and organizational meetings as requested.
• Adhere to departmental and organizational policies and procedures.
• Maintain confidentiality of all PHI information in compliance with HIPAA, federal and state regulations and laws.
• Perform other duties and responsibilities as required, assigned, or requested.

Skills & Additional Requirements:

• 1-2 years of clinical care management experience preferred.
• Patient education background, rehabilitation knowledge, SNF and/or home health experience required.
• Excellent documentation skills as well as strong interpersonal and communication skills (both verbal and written).
• Competent computer skills with proficiency in Microsoft Office products and ability to learn new technical skills.
• Ability to use multiple integrated technology platforms and virtual care coordination tools simultaneously.
• Ability to organize and prioritize workload with effective time and task management skills in achieving program initiatives and priorities.
• Ability to be a proactive team player and collaborate with coworkers and stakeholders.
• Ability to work independently in a fast-paced environment and successfully complete multiple tasks with little or no supervision.
• Ability to use good judgment and problem-solving skills, as well as effectively respond to difficult situations, and resolve conflicts.
• Ability to prioritize daily workload and act as a self-starter.
• Ability to act in a way that is passionate, trustworthy, and empathetic when working with clients, providers and patients.
• Ability to build relationships with different types of people, including clients, organization members, and all types of health care providers.

Work Environment: Remote Setting