We are seeking a Care Navigator for our center to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.
Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data.
Colorado Care Partners (CCP) is a Colorado-based Clinically Integrated Network (CIN) and Accountable Care Organization (ACO). Our CIN/ACO network is comprised of more than 320 clinicians to include physicians and advanced practice providers, 6 acute care hospitals and 2 specialty hospitals who have come together in value based care. Our clinical team works collaboratively with our network of internists, family physicians and pediatricians to ensure every patient receives the best medicine at every point in their healthcare journey.
CCP’s goal is to partner with practices in the following areas:
Wellness and prevention
Chronic disease management
Improved patient access to care
Improved collaboration and communication amongst providers across all healthcare settings
Providers who become members of CCP are responsible for demonstrating how they provide high-quality care by adhering to value-based data and benchmarks across diverse care settings. It gives them and their practice an opportunity to create a patient-centered solution that improves patient outcomes while reducing costs.
Patients benefit from coordinated, evidence-based healthcare that allows them to better manage their own health in partnership with CCP providers. While providers and their practices benefit from establishing a more efficient and effective plan of care for all their patients.
The Care Navigator (CN) is accountable for assuring a high standard of quality and coordination of care, in support of HealthONE value based care (VBC) programs with payers in the market. The CN has a defined role, working in an advisory capacity to the CCP practices, creating and monitoring standards of care, and providing support of the VBC programs. The CN supports the CCP care navigator team, which may include physicians, nurses and social workers, in outreaching, triaging and if appropriate providing care navigation for patients in the VBC.
•Conduct outbound calls to patients recently discharge from hospital or ER to ensure appropriate follow-up with primary care providers •Conduct outreach and follow up in regards to patients that are high risk, have a gap score and gaps in care. •Complete a standard assessment for clinical, behavioral and community needs, triage for additional support by licensed clinical staff and complete referrals to additional resources as needed •Provide patient education relative to navigating the health care system and community resources •Collaborate with providers and practice teams to communicate patient’s needs and develop solutions to overcome barriers •Maintain a case load of patients requiring care navigation support and document as appropriate •Collaborate with the payer systems and payer Care Coordinators on specific patient care needs to include encouraging them to work with their applicable payer Case Manager, Disease Manager or Wellness Program designee. •Supports the efforts of providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved health outcomes for patients. •Test and pilot new VBC initiatives and work with leadership on refining processes, helping CCP achieve contractual metrics. •Review reports from payers and assist Director of Quality in the interpretation of the reports and actions needed •Assist in the development, implementation and monitoring of corporate and/or HealthONE policies and procedures as they relate to VBC programs. •When the need arises, will perform other duties as assigned by supervisor.
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!
KNOWLEDGE, SKILLS & ABILITIES: This is an office-based position. Minimal travel is required to attend educational sessions. Great communication skills are necessary, particularly on the telephone. Skills that will help success in this role are: •Excellent oral communication skills both in-person and telephonically, to groups and individuals •Flexible, courageous and positive attitude about unexpected changes and fluctuating workloads •Training and presenting •Excellent written communication skills •Time Management •Provider engagement •Population health management •Community health •Case Management •Disease Management •Quality Improvement •Motivational Interviewing and active listening
The requirements for the CN include, but are not limited to: •LPN License, Medical Assistant Certificate or B.A./B.S. in health care related field coupled with 5 years health care experience in primary care, care management/coordination or other related field. Commensurate experience in public health, social services or other health care field may take the place of this requirement. •Competence in the ability to triage patients over the phone and in person; •Strong computer skills, particularly related to Microsoft applications Word, Access, Visio, Excel, PowerPoint and Outlook. •Comfort with exploring and learning to use new or unfamiliar applications or databases. •Working knowledge of health information technology •Managed Care Understanding specifically ACO/Value Based Contracts •Commitment to collaboration, professionalism, and effective communication in all interactions with physicians, HealthONE Physician Services employees, patients, caregivers and payers.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.
For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.
Join our HealthONE family -- the largest healthcare system in the Denver metro area. Eight world-class hospitals. 40+ outpatient facilities. Countless opportunities.HealthONE is an equal opportunity employer.