Access Health Program Navigator, Grove Comman Practices, FT, Day
Inspire health. Serve with compassion. Be the difference.
Job Summary
Identifies and enrolls eligible patients into the Access Health (AH), provides healthcare navigation services to enrolled AH patients, coordinates medical home placements and first appointments, collaborates with a multi-disciplinary team to address the social determinants of health, and arranges supportive services and referrals to other Accountable Communities resources for improved health outcomes and to prevent avoidable hospital admissions/emergency department visits. May provide limited health coaching and advocacy to improve AH patients' appropriate healthcare utilization, and may assist them with applications for hospital sponsorship, prescription assistance and/or other benefit programs. Has an assigned caseload and will be expected to make quarterly contact with patients at a minimum. Participate in community outreach events, support AH leadership with requests for data for reporting to funders and State agencies and will perform other duties as assigned and to meet the goals of the program.
Essential Functions
• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
• Receives referrals and enrolls eligible patients from the ED, inpatient, clinic, and/or other settings. Confirms eligibility and re-enrolls eligible patients every year. Completes assessments and creates care plans to assist with identified needs including medical home placement and prescription assistance. Makes referrals to CHWs, SWs and other Accountable Community resources as indicated. Monitors patient activity in the system to support appropriate utilization of services.
• Maintains a caseload of patients with whom they communicate at least once per quarter or more depending upon need. Completes regular care plan reviews and updates as necessary. Serves as the liaison between participants, Prisma Health departments/services, medical homes and other providers to help provide effective health navigation services to participants.
• Assists in developing and maintaining a network of human services and community resources that partner with Access Health to provide supportive services to clients.
• Works with team(s) to collect and report outcomes, referrals and other relevant data to partners and funders.
• Performs other duties as assigned.
Supervisory/Management Responsibilities
• This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
• Education - High school diploma or GED.
• Experience - Five (5) years of care coordination, non-profit, community health or related experience.
In Lieu Of
• May accept a Bachelor's degree in a related field of study with one (1) year of care coordination, nonprofit, community health or related experience preferred.
• May accept an Associate degree in a related field of study with three (3) years of care coordination, nonprofit, community health or related experience.
Required Certifications, Registrations, Licenses
• NA
Knowledge, Skills And Abilities
• Knowledge of office equipment (fax/copier)
• Proficient computer skills (word processing, spreadsheets, database)
• Data entry skills
• Experience with or in medical settings - Preferred
• Bilingual (English and Spanish) - Preferred
Work Shift
Day (United States of America)
Location
Grove Commons Practices
Facility
7003 Community and Social Health
Department
70039196 Access Health-Upstate
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
R1108390
Hospitals and Health Care
Other, Information Technology, and Management
Full-time