Supervisor, Care Navigation

Job not on LinkedIn

🕒 4 days ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Community Care of North Carolina

WebsiteLinkedInAll Job Openings

201 - 500 employees

Too often, health care is a source of frustration instead of a path to healing. The system can be inefficient, costly and difficult to navigate.

📋 Description

• Assist Director with development and implementation of the Care Navigation program including performance metrics, processes, and workflows • Drive distribution of work to ensure member engagement rates of the rising risk population and program outcomes are achieved • Collaborate between the care management, practice, quality improvement and/or provider relation teams as necessary to ensure seamless coordination of care for members • Ensure care navigation staff provide outstanding and efficient service to our members, including receiving and processing referrals from payers, practices, or members focused on Social Determinant of Health (SDOH) • Provide resources, screening for possible clinical needs, and referring to the clinical Care Management team as appropriate; driving members to primary care and other supports, addressing post discharge care needs, follow-up care, and preventive health services as needed • Monitor and evaluate program measures, ensuring staff focus is placed on rising risk populations • Assist with developing and implementing new workflows, processes, and programs, as necessary to contribute to the program and the organization's success • Develop and implement a clear escalation pathway for cases that require a warm hand-off to a clinical team member • Supplement field-based, non-clinical care navigation, and member engagement activities as needed • Ensure quality and equal workload distribution to care navigation staff • Engage and maintain collaborative relationships with internal and external stakeholders • Assure team members adhere to the policies, procedures and requirements of the external system supplying the Hospital/Data or EMR access • Utilize Hospital/Data, HIE or Electronic Medical Record system, as necessary • Assure team members have individual and/or team-based productivity goals to meet established performance targets that align with corporate goals and objectives • Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded

🎯 Requirements

• Registered Nurse Graduation from an accredited school of nursing • BSN (Bachelor of Science in Nursing) preferred • Active, unrestricted RN (Registered Nurse) license to practice in North Carolina • Minimum two years’ case/care management experience or relevant health care experience required • CCM (Certified Case Manager) certification required • Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification • Maintain ability to gain and keep access to Hospital/Data or Electronic Medical Record systems • Maintain a valid driver’s license with current auto liability insurance. • Social Worker (MSW required; LCSW (Licensed Clinical Social Worker) required) • Minimum two years’ case management experience or relevant health care experience required • CCM certification preferred; will obtain within 2 years of hire • Maintain ability to gain and keep access to Hospital/Data or Electronic Medical Record systems • Maintain a valid driver’s license with current auto liability insurance

🏖️ Benefits

• Make a meaningful impact on youth and families across North Carolina • Work with a supportive and collaborative care team • Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives