Care Navigation Manager

Squirrel Hill Health Center (SHHC), a dynamic and growingFederally Qualified Health Center, is hiring a full time Care Navigation Manager.

The Care Navigation Manager will act as liaison between referral agencies and providers and Squirrel Hill Health Center providers. The Care Navigation Manager will supervise the Care Navigators and Patient Advocates (50% of work time) and will provide case management services and goal setting directly with patients (25% of work time). He/she will also link patients with the necessary social services (25% of work time).

RESPONSIBILITIES:

• Provides supervision to Patient Advocates and Care Navigators including managingday to day staff activities and assignments
• Is responsible for monthly reporting of team’s productivity using phone, NextGen, and other data platforms
• Acts as liaison among patients, agencies, and physicians
• Obtains release of information to seek necessary records (plan of treatments for rehabilitation services), and ensures proper review and follow-up with physicians
• Works with Care Navigation team to provide case management services to patients
• Provides case management to patients with specific conditions that may benefit from additional case management services and maintains tracking of patients enrolled in program
• Provides case management services to assigned patient panels
• Refers patients for necessary social services
• Isactive in community outreach/research to identify new partners and create and maintain relationships and referral pathways
• Coordinates insurance company authorizations and referrals with Care Navigation Team

CORE COMPETENCY:

• Ability to assess, understand and react effectively to the unique needs of various patient populations served
• Responds to patient, physician, and other requests in a courteous, respectful manner
• Ability to work effectively as a member of a larger clinical team that integrates physical, behavioral, and oral health care clinicians, support staff, and services
• Current knowledge of Medicaid, Medicare, and third party insurance rules and regulations.
• Current knowledge of available social services
  
  

QUALIFICATIONS:

• Bachelor’s Degree in Social Work or public health related field required, MSW preferred
• Experience working with diverse populations
• Bilingual a plus
• Excellent organization skills and ability to deal effectively with the public.
• Skilled in using computer, printer, and fax machine
• Medical terminology, ICD-10 and CPT coding knowledge preferred
• Must be committed to serving underserved populations
  
  

BENEFITS:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Disability Insurance
• Life Insurance
• Flexible Spending Account
• 403B retirement
• PTO
• 8 Paid Holidays
  
  

SHHC is an Equal Opportunity Employer. SHHC does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, sexual orientation, gender identity, age, handicap, disability, religion, religious creed, ancestry, national origin or any other basis prohibited by applicable law.

Powered by JazzHR

rKCcPfO3Or