Care Navigator

Job Description

Job Description

Overview

Are you passionate about revolutionizing healthcare for the elderly and medically complex population? If you are, CareConnectMD would like to meet you!

Since 1996, CareConnectMD (formerly Gerinet Medical Associates) has been providing personalized and compassionate medical care for our frail and medically complex patients in skilled nursing and long-term care facilities. Our 22 years of managing care for high-risk populations has helped us design an integrated care model that effectively coordinates care as our patients transition from inpatient to post-acute settings, including going home. Our unique value-based care model improves clinical outcomes and patient/family satisfaction, while reducing overall system costs. We are experts in symptom management, supportive care, advanced care planning, telemedicine, medical crisis prevention, and patient-family communication.

Our Culture:

Many employers say they offer work-life balance, but few are able to deliver on that promise. CareConnectMD providers do not practice on a shift-basis, so they have more flexible schedules that work around raising their families and other important priorities. With us, there are no surprise12-hour work shifts or increasing unpaid time for after-hour clinic work duties. Retention is important to us, so we want to make sure our providers enjoy great qualities of life. CareConnectMD provides after-hours call coverage support, so you can enjoy your time away from work without being interrupted by calls.

Care Navigator:

Because many of our patients are frail and elderly, we deliver care primarily in the LTC facilities and their home. Many of our patients and families lack constant and reliable communication on their health status, care plan. Our Program is offered to eligible patients at no incremental financial cost. We are not a fee-for-service practice. Our clinical teams spend quality time caring for a smaller number of high-risk patients, granting patients the respect, compassion and care they deserve.

You will become a pivotal part of CCMD's interdisciplinary team to collaboratively manage our complex patient panels. The team is led by Physicians, Nurse Practitioners/ Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers and a care navigator

Essential Job Functions/Responsibilities

As a care navigator, you will actively engage with patients both in the LTC facilities, home via in person visits as well as over the phone. You will use your critical thinking and communication skills to build lasting and impactful relationships with patients and caregivers, and you will use your compassion and empathy to earn their trust. You will leverage your clinical experience to help patients and their families understand the value of the CareConnect Program and become the point of contact for the "CareConnect Concierge" program.

You will conduct structured surveys with patients over the phone or in the LTC and home to collect clinical and psychosocial data. You will partner with and report to the CareConnect clinical team to drive improvement in patient outcomes, and you will be expected to contribute valuable insights to weekly interdisciplinary team discussions.

You will assist the clinical team members in obtaining medical records, laboratory results, imaging reports as well as obtaining status updates on patients.

You will spend 40% of your time doing home/LTC visits and 60% of your time in-office conducting phone-based calls.

Position Qualifications

• 3-5+ years of experience in any of the following job categories: Home Health Aide; Certified Nursing Assistant; Certified Medical Assistant; Medication Aide. Candidates with an experience similar to those listed here are encouraged to apply as well.
• Exceptional interpersonal skills. Superb written and oral communication skills, and comfort level with technology.
• Comfort with conducting independent LTC/home visits.
• Strong preference given to candidates with geriatric or primary care experience, or experience in institutional settings of care such as long-term care/skilled nursing facilities.
• Access to reliable transportation to conduct patient visits required; if you are driving a vehicle, you must comply with all the terms of the CareConnect policy.

Full COVID-19 vaccination is an essential requirement of this role . CareConnectMD will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.