Patient Health Navigator

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The Patient Health Navigator is responsible for assisting the Care Coordination teams as needed with essential activities of Case Management and achieving the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays, reduce utilization associated with avoidable emergency room visits, improve outcomes for persons with mental health illness and/or substance use disorders; and improve disease-related care for chronic conditions. As part of the Essential Functions for this role, the Patient Health Navigator:

· Follows up with hospitals/ER upon notification of a client’s admission and/or discharge to/from an ER, hospital/residential/rehabilitative setting

· Notifies/consults with treating clinicians, schedule follow up appointments, and assist with medication reconciliation

· Coordinates with service providers and health plans as appropriate to secure necessary care, share crisis intervention and emergency information

· Follows-up post ER discharge with client/family to ensure client care plan needs/goals are met, including meeting with the client in the home and other parts of the field

· Assists with obtaining documentation of ER utilizations such as discharge plans

· Conducts outreach and engagement activities to assess on-going emerging needs and to promote continuity of care and improved health outcomes

Qualified Candidate will have a Bachelor’s degree in health, human or education services OR Associates degree in health, human or education services and one (1) year of qualifying experience. *“Qualifying Experience” means experience working with the following populations: persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence. Experience with families preferred. Ability to work effectively with people from diverse cultures and socioeconomic conditions and actively listen to others to understand their perspective, regardless of barriers, essential. Candidate must be able to communicate clearly and professionally in writing and verbally. Knowledge of local and surrounding area resources key. Candidate must demonstrate time management and organizational skills, and familiarity with computers and MS Office software. Sensitivity to HIV/AIDS, addiction and LGBT issues and ability to work effectively with people from diverse cultures and socioeconomic conditions essential. Candidate must have a valid NYS Driver’s License and an insured, dependable car.

Job Type: Full-time

Required education: Bachelor's OR Associate’s

Required experience: Experience working with persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence (1 year)

Additional requirements: Must have dependable, insured vehicle and NYS Driver’s License

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