What are the responsibilities and job description for the Care Navigator II position at Orlando Health?
Position Summary:
Qualifications:
Directly responsible for providing supportive care transition services to patients aligned to the health system’s value-based care programs in collaboration with clinical and administrative stakeholders across the organization. Serves as part of a multi-disciplinary team to connect with our managed patient populations and their families, ensuring the necessary resources are in place to timely, safely, and
effectively navigate the patient between each site of care until the patient is successfully discharged to home.
Responsibilities:
effectively navigate the patient between each site of care until the patient is successfully discharged to home.
Essential Functions
Works comfortably in teams as a participant and facilitator, including temporary teams for project-based initiatives.
Possesses the ability to prioritize and work independently in addition to being an integral part of the care team.
Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems.
Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards.
Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated.
- Possesses a strong understanding of medical terminology and understands healthcare operations, patient engagement, physician relations and all other healthcare related issues.
- Takes initiative to develop knowledge, skills, and abilities to perform at a high level in the care transition navigation role, including staying abreast of related care transition management news, documentation, and literature.
- Ensures compliance with all necessary risk management programs, corporate quality initiatives, and other corporate objectives.
- Partners with various healthcare entities and physician practices to foster integrated relationships with patients, families, and caregivers to facilitate streamlined patient transitions across the continuum of care.
- Assists patients and caregivers in navigating care services post-hospitalization, including development of patient-tailored post-acute
- Engages with patients using strong communication skills and utilizes patient feedback to identify current service needs and anticipate future service needs using a patient-first philosophy.
- Distributes approved educational materials and other care transition resources to patients and caregivers to effectively remove social determinants of health barriers with the goal of preventing readmissions and other avoidable care events.
- Advocates for patient needs by proactively identifying barriers to treatment plans and ensuring patients have access to needed prescriptions, durable medical equipment, and other care services, as necessary.
- Collaborates with the population health and value-based care departmental nursing team and relevant network aligned physician partners to share, discuss, and modify care transition plans, as needed.
- Maintains a high level of proficiency with organizational informational systems, including ELLiE Healthy Planet modules, to ensure care transition support for our covered populations is efficient, timely, and effective.
- Serves as a preceptor, educator and mentor for the department while supporting the department goals and strategies.
- Participates in initiatives to support the health system’s Accountable Care Organizations (ACOs), Bundled Payment programs, and clinical/physician practice operations, including use of effective cost and utilization management strategies.
- Provides concise and relevant information, data findings, and recommendations to health system leadership to assist in the development and execution of value-based strategies and network development, as necessary.
- Performs other duties as assigned to support the health system’s overall population health and value-based care team objectives.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
- Maintains compliance with all Orlando Health policies and procedures.
Works comfortably in teams as a participant and facilitator, including temporary teams for project-based initiatives.
Possesses the ability to prioritize and work independently in addition to being an integral part of the care team.
Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems.
Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards.
Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated.
Qualifications:
Education/Training
High school diploma or GED required.
Licensure/Certification
None.
High school diploma or GED required.
Licensure/Certification
None.
Experience
Five (5) years of patient experience in one of the following areas, Medical Assistant, Paramedic, Emergency Medical Technician, Military Allied Health Professional, Nursing Assistant or related health care role in value-based care or physician offices. Three (3) years’ experience plus a certification in one of the areas listed can substitute for the required experience.
Five (5) years of patient experience in one of the following areas, Medical Assistant, Paramedic, Emergency Medical Technician, Military Allied Health Professional, Nursing Assistant or related health care role in value-based care or physician offices. Three (3) years’ experience plus a certification in one of the areas listed can substitute for the required experience.
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