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.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Health Data Analyst I

Kaiser Permanente

Posted 2 days ago

VIEW JOBS 8/20/2019 12:00:00 AM 2019-11-18T00:00 Description: Supports payment from government programs, which enables accurate reimbursement for care and services provided. Primarily for the risk adjustment payment mechanism for Medicare Advantage (MA) and Affordable Care Act (ACA) plans. This is a collaborative effort with other departments and all regions across Kaiser Permanente. The Risk Adjustment Reporting & Analytics department includes 30 individuals located across several KP regions. Our work includes Analytics & Consulting; Performance Reporting; Data Production & Tool Development; (system) Infrastructure; Intake; and Training & Staff Development. This opening will report to the manager of performance reporting along with 5 other analysts. Provide quantitative measurement and data analysis expertise for the Utility for Care Data Analysis. Responsible for implementing established, as well as developing and applying innovative techniques for measuring, analyzing, and reporting on healthcare processes, health outcomes, and health costs. Essential Functions: * Employs specified analytical methods and tools to access data from JP HealthConnect information systems (e.g. Clarity). * Prepares descriptive data summaries using established tabular or graphical templates and formats. * Applies specified analytical methods to assess the significance of observed changes, identify associations among measured quantities, or forecast trends. * Contributes to written reports and presentation materials describing project or task objectives, methods, data, and results. Basic Qualifications: Experience * Minimum three (3) years of work experience (preferably in health care) although not necessarily in a technical capacity. Education * Bachelor's degree in a technical, scientific,or related field OR four (4) years of experience in directly related field. * High School Diploma or General Education Development (GED) required. License, Certification, Registration * N/A Additional Requirements: * Substantial experience with Microsoft Excel and Access applications. * Demonstrated effectiveness in written and verbal communication. Creativity, critical thinking, and excellent problem-solving skills. * Excellent written and verbal communication and effective interpersonal skills. * Basic understanding of relational database concepts. * Knowledge of fundamental statistical concepts. * Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: * Knowledge of healthcare industry preferred. * Familiarity with Kaiser Permanente health care system preferred. * Analytic and critical thinking skills, writing skills, communication skills, and ability to work within a team. * Proficiency in SQL, bachelors degree, knowledge of healthcare industry, risk adjustment, and/or familiarity with KP healthcare system are a plus. Primary Location: California,Oakland,1800 Harrison 1800 Harrison Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 9:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Entry Level Job Category: Accounting, Finance and Actuarial Services Department: Risk Adjustment Data & Analytics Travel: Yes, 5 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. Click here for additional requirements > Kaiser Permanente Oakland CA

Health Navigator

Brown & Toland