Health Navigator

Brown & Toland Oakland , CA 94604

Posted 2 months ago

  • Provide support to participants/patients/members in case and disease management programs to meet their treatment/care plan goals in coordination with case managers where appropriate.

  • Support members in navigating and connecting to clinical and community resources. Assist patients to connect to health screening programs and resources.

  • Document care coordination, care gaps, and discharge planning needs and activities in a timely manner in care management systems independently and in coordination with case managers and other team members.

  • Assist clinical staff in identifying and providing outreach, orientation, and baseline assessment services to participants/patients/members that may benefit from navigation services.

  • Establish and maintain effective, ongoing relationships by facilitating communication and coordination with /participants/patients/members, their caregivers and PCPs/Providers as well as other identified resources to which the patient was referred, based on each member's continued needs.

  • Provide one to one guidance, support, education, coordination of care and other assistance to participant/patient/member and/or their family members, as they move through the healthcare continuum.

  • Participate in case conferences and meetings with the CM team and medical directors in order to support effective care coordination.

  • Educate and answer inquiries from participants/patients/members and/or their family members about benefits, services, eligibility and referrals with a positive and professional approach, promoting participant/patient/member satisfaction and retention.

  • Develop/update and support any member centric education materials and mailings when appropriate.

  • Identify and provide appropriate resources and community referrals for participants/patients/members, facilitating access to appropriate support services, including medical and social resources to address presenting issues and assist in the removal of barriers.

  • Assist members in getting appointments and access to appropriate health care and community program services. Initiate follow-up to confirm and coordinate additional needs of the member to support coordination of care across care settings and needs.

  • Participate in Interdisciplinary collaborative with CM team, internal departments and external partners as well as community resources to ensure most appropriate level of care and optimal outcomes.

  • Perform related duties as assigned.

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Health Navigator

Brown & Toland