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The Health Navigator will understand the requirements and intent of the Delaware Highmark Commercial contract to effectively collaborate with the interdisciplinary care team to improve health plan member health outcomes and support Aledade’s population health initiatives.
Job Responsibility:
Conduct direct telephonic outreach to health plan members based on outreach initiatives
Completes social determinants of health screenings and facilitates access to community and/or health plan resources such as food, housing, mobility, energy assistance or other governmental programs in a closed loop referral process to ensure health plan members connection to services
Engage health plan members in obtaining preventative screening and close care gaps
Coordinates and documents including comprehensive tracking of health plan members’ adherence in relation to appointments, health screenings, care plan objectives, non-clinical assessments, encounters, service plans, and outcomes achieved in an effective manner
Under the direction of the Senior Manager, Care Management and in collaboration with the primary care provider, assists health plan members in understanding care plans and instructions and provides support in developing healthier habits and proper use of the emergency room and providing information for alternatives
Builds and maintains positive collaborative relationships with health plan members and caregivers, Providers, interdisciplinary care team members, and health plan representatives to deploy health engagement strategies and interventions
Requirements:
Familiarity with the healthcare community we are serving or commitment to learn and understand through networking, community assessment, etc.
Valid Delaware driver’s license required, excellent driving record and have reliable transportation
1-3 yrs. of healthcare experience
Ability to assist the interdisciplinary care team to collaboratively plan, prioritize, implement, and evaluate individual community members’ plans
Experience working in a medical practice or healthcare setting is preferred
Experience & comfort using technologies such as a computer, telephone, and various types of electronic health record (EHR) platforms to document patient interactions and schedule patients for appointments
Medical Terminology certification is preferred
Must possess strong organizational skills
Ability to work independently
Proficient with Microsoft and Google applications
Strong communication skills
Strong motivational skills including conflict/dispute resolution techniques
Must have access to reliable high speed internet connection
Education: Associates Degree
Nice to have:
Call center experience
Bilingual
Population health and/or managed care experience
Understanding of quality metrics
Knowledge and experience activating patients and teaching self-management skills
Experience working with vulnerable populations (geriatrics, minorities, behavioral health)
Ability to navigate ambiguity with the aid of structured problem-solving techniques
Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion
Strong work ethic built on a foundation of proactivity, collaboration, and teamwork
Committed to the practice of inquiry and listening
Competent documenting in electronic health records
Demonstrates curiosity of learning and receiving critical feedback to further growth and development
What we offer:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
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