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Position Summary: The Field Care Navigator will be responsible for assisting with care coordination and complex care management duties. The role develops and maintains the care management of the member both in the home and telephonically, working to improve member outcomes. Responsibilities: Assess members in the home or other face-to-face setting to assess the member's wellbeing and develop an individual plan of care Evaluate the home environment for safety, infection control, and community resource needs Act as first level of support for the member to resolve patient related issues to ensure a positive member experience Identify opportunities to manage the member-centric care plan, problems, barriers, interventions, and goals as appropriate Partner with the Healthmap Interdisciplinary Care Team to collaborate on opportunities to improve member's health outcomes Serve as a resource to members and physicians while acting as a liaison between community resources, programs, and other relevant services Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy Drive and shape clinical strategy to improve outcomes for members with chronic kidney disease Document and maintain accurate member records that will identify all patient communication and plan. Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and compliance with regulatory standards Ensure company adherence with legal and regulatory requirements Assist as a preceptor, mentor, and coach for new hire orientees Demonstrate HIPAA understanding and complete confidentiality protocols Follow all company-defined security/operational policies and procedures Use multiple technical applications including Microsoft Word, Excel spreadsheets, electronic calendars, email, timekeeping and expense applications, and other software applications Perform other duties as assigned Requirements: Master's degree in nursing required Active, unrestricted RN license required; nurse practitioner or advanced practice nurse required in assigned state (WA) 3 years of experience in care management roles Experience in a nephrology practice, dialysis center, home health delivery or transplant center preferred Prior experience building and managing relationships with health care providers or patients preferred Experience in customer service strongly preferred Experience with Medicare and Medicaid preferred Proof of valid and unrestricted driver's license required. This position requires travel within assigned region to visit patients in their homes Assigned state residency required (WA) Skills: Excellent verbal, written, listening and presentation skills Ability to show compassion and empathy for patients Demonstrated interpersonal relationship skills Ability to multitask, prioritize, and create solutions in a fast-paced environment Strong critical thinking and analytical skills Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint Travel: Travel over 50%, primarily in the Seattle/Tacoma, WA areas Compensation range: $99,000 - $135,000 (dependent on specific market/region as well as experience of the candidate selected) with a yearly bonus potential. Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
Date Posted: 01 February 2025
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