Care Navigator Job Winchester area,Virginia USA,Healthcare

SHENANDOAH VALLEY WESTMINSTER-CANTERBURY POSITION DESCRIPTION

TITLE:

Care Navigator DEPARTMENT:
Health Services RESPONSIBLE TO:
Director of Resident Services

JOB SUMMARY:

The Care Navigator helps residents coordinate and navigate their care across the care-continuum Care Navigator is the first point-of-contact for families, discharge planners and other new, short-stay referral sources that are interested in placement in SVWC’s Healthcare Neighborhoods.

REQUIRED EDUCATION, EXPERIENCE, SKILLS, LICENSURE:

Master of Social Work degree required.

Experience in the medical field and sales/marketing preferred.

Experience or knowledge of managed‑care pre‑authorization processes preferred.

Highly motivated, energetic, and able to work both independently and under the direction of the Director of Resident Services.

Multi-tasker with excellent communication skills.

UAI certification and experience preferred

JOB REQUIREMENTS:

Support the mission and purposes of SVWC.

Support the Board of Trustees and Administration.

Attend in-services and meetings required by regulatory agencies or SVWC.

Submit to employment and annual tuberculosis testing as required by Virginia State Licensure.

Follow and support the policies and procedures established by SVWC.

Adhere to professional standards of ethics at all times.

Attend professional meetings, conferences and workshops to maintain awareness and knowledge of current trends that influence area of practice.

ESSENTIAL DUTIES/RESPONSIBILITIES Healthcare Admissions

Conduct psychosocial pre-assessments for outside admissions and recommend appropriate level of care.

Review and manage all referrals for admissions by screening patients by comparing patients’ condition to admission criteria; evaluating and accepting or rejecting patients; referring patients and families to other programs and institutions

Maintains frequent and open communication with local hospitals and referral sources regarding patient referrals, the status of referrals, and bed availability and to request any further information necessary to ensure a smooth transition of care from referring agency to Healthcare.

Manages internal communication and admission processing that promotes excellent customer service.

Coordinates transfers and paperwork to SVWC during episodes of hospitalization

Coordinates necessary internal transfers to higher levels of care

Obtains patient information from referral sources, patient, and/or family as needed; verifies and clarifies information for accuracy, reviews/completes admission contracts and completes EHR tasks in a timely manner.

Support compliance regarding regulatory requirements and PACE partnership

Perform other duties as assigned

Resident Care

Conduct psychosocial pre-assessments for outside admissions and recommend appropriate level of care.

Meet with resident and/or responsible party as needed to address and assist with psychosocial concerns.

Act as resident advocate, helping resident, responsible party, and staff understand the social and emotional factors underlying residents or families’ mood and/or behavior.

Prepare for and participate in discharge plans as necessary.

Provides and/or arranges for outside professional interventions as appropriate for the resident; follow up to determine that appropriate documentation of the service has been requested.

Visit residents outside of the facility when needed.

Explore and utilize community resources as appropriate.

Works in collaboration with the Interdisciplinary Team to identify resident care needs

Facilitates access to necessary medical and social services

Conducts annual Independent Living Residents’ assessments and assists in preparation for annual wellness visits with SVWC Clinic Providers

Utilizes ACO dashboard to coordinate provider…