Share Email Opening Title Care Management Navigator  Description Are you interested in making a direct impact in people's lives and their health? Are you compassionate, patient focused and enjoy coaching others to achieve their goals? Then look no further... Community First Health Centers is currently looking for a Care Management Navigator to join our team at our New Haven medical facility under our Care Management team. The ideal candidate will be enthusiastic, motivated and detail oriented. Under the supervision of the Quality Director/Care Management Progrma Manager, this position will work closely with patients, families, caregivers, providers and other members of the interdisciplinary team to offer individualized assistance to help overcome barriers to healh care and community access and faciliate consistent and timely medical care. Facilitating access to health services through outreach, encouraging engagement, and education in line with the patient's integrated care plan. This position will be located out of our New Haven medical facility located at 58144 Gratiot Avenue. Community First Health Centers require all team members, including temps, contractors, interns, residents, students, etc. to receive the COVID-19 vaccinations subject to certain exclusions. CFHC is committed to granting reasonable accommodations in accordance with applicable laws. This is a full time; 40 hours per week position. Hours will be gained Monday thru Friday; 830a-5p.   Daily responsibilities of the Care Management Navigator may include: Promote and maintain awareness of Agency programs, services, and activities Provide general care management orientation to patients and communicate the goals and objectives of the program. Coach and motivate patient(s) to engage in primary care to effectively manage their chronic condition or engage in preventative care as appropriate, and avoid inappropriate care settings (e.g., emergency department use for non-emergent concerns). Increase access to health services with/for an identified population through outreach, motivational engagement, health education, needs assessment, and providing or connecting to relevant resources and support Provide assistance to patients referred to/from providers, care managers, and from other points of entry. Contact patients to facilitate continuity of care and escalate issues to the Care Manager Outreach to identified populations using a variety of methods including coordinated text messaging, phone calls, mail and in-person visits at home, other care settings or community places Conduct SDOH or other health screening(s) and assessment(s) to uncover needs, connect with community resources addressing food, housing and eliminate barriers to care as appropriate to encourage healthy lifestyles and positive health outcomes Compile and distribute educational material per patient need in consultation with Care Manager. Assist patients with adherence to existing self-management goals or development of new goals (in collaboration with Clinical Staff). Assist in the collection and assembly of quality improvement information for the purpose of tracking and trending. Participate in cross-functional team meetings aimed at improving patient outcomes or operational processes. Regularly participates in care team huddles with care managers to identify priorities, tasks, and interventions. Maintain timely and appropriate documentation on patient interactions in the care management system and EMR. Timely completion of all forms, care recording and required reports including all documentation of outreach attempts, service(s) and/or education provided, referral monitoring and all other pertinent program data Develop and maintain excellent working knowledge of common chronic conditions and seek information as part of continuous learning. Assist in the collaboration of timely follow up with provider post hospitalization / emergency room visit. Retrieve discharge summaries and copies of medical records. Make home and facility visits, if necessary, to ensure patients are following their plan of care. Perform population management activities as assigned Assist patient(s) with changes to their PCP, attempt to schedule PCP appointment(s), voluntary alignment, and archive those no longer served by our Agency Builds and maintains positive working relationships with community partners, outreach services, etc.   Why work for Community First Health Centers? We offer a competitive compensation and benefits package including; Bi-Weekly Competitive Pay Excellent Health Insurance through Blue Cross and Blue Shield  Dental coverage through MetLife Vision Coverage through MetLIfe 100% Company Paid Short Term Disability Coverage, Long Term Disability Coverage, Life Insurance & AD&D Insurance Ability to Buy Up additional Life and AD&D insurance for yourself, spouse and/or dependents with minimal costs 403(b) Thrift Savings Plan; 2% (up to 7%) annual salary employer contribution whether you participate or not! Generous Holiday, Vacation and Personal time Professional growth opportunities/cross training Employee Recognition and Assistance Programs Community First Health Centers: Improving the quality of life for our community!! Equal Opportunity Employer         Position Requirements Requirements: High School Diploma or GED required Experience in community work, education and/or health care required MA/CNA/CHW experience preferred.   Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to always maintain confidentiality in all matters High level of analytical and problem-solving abilities Capability to interface and maintain effective relationships with all programs, agencies, intra-Agency personnel, and patients. Well organized, detail oriented and can multi-task in a demanding and constantly changing environment Flexible, with the ability to work independently and with minimal guidance Strong oral and written communication and presentational skills Excellent interpersonal and customer service skills, to deal with a diverse group of patients, staff, customers, and community groups effectively and tactfully Ability to communicate complex information in a clear and concise manner, both verbally and in writing, and use active listening skills. Computer and Microsoft Office proficiency Electronic Medical Record experience preferred Ability to travel as needed to community locations, various agencies and/or other outreach destinations Must maintain Basic Life Support certification   Full-Time/Part-Time Full-Time   Location New Haven   About the Organization Community First Health Centers is a non-profit, Federal Qualified Community Health Center. We have been providing health care services through our nation's health center program since 1975. We service Macomb and St. Clair counties with offices in Algonac, New Haven & Port Huron. While our focus will always be on the underserved, our doors are open to the entire community in which we practice. Our mission is to provide high quality, patient centered health care that is respectful, compassionate and accessible to all members of our community. Our care is customized to each patient and offered in a 'patient first' atmosphere with exceptional customer service.   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.   This position is currently not accepting applications. 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