Stuart, Florida, USA
29 days ago
RN Care Navigator - Hybrid - Stuart, FL
Become a part of our caring community and help us put health first
 

The Role

Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.  The Care Navigator will provide guidance and oversight of care coordination efforts to other members of the team, and handle clinical escalations as indicated. 

This role requires an understanding of how socio-economic stressors can impact ability to engage in healthcare and subsequent health outcomes.  Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications. 

This role is hybrid - 60% field, 40% hybrid home.

Major Duties and Responsibilities

Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow upsProvide triage guidance and supportive consultation to other team members, handling escalated complex casesDevelop care plans leveraging 5Ms Geriatric best practice frameworkDevelop a wholistic view of patient needs related to Social Determinants of HealthIdentify existing barriers to engagement with necessary resources and supportsProvide education around maintenance of chronic health conditions, as well as available options for behavioral care and social supportServe as liaison between the patient and the direct care providers, assisting in navigating both internal and external systemsInitiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary teamSupporting patients’ self-determination, motivate patients to meet the health goals they have identifiedRefer patient to necessary services and supportsLead Interdisciplinary Team Meetings when indicatedAssess patient’s family system, and conduct family meetings with patient and family when neededParticipate in creation and facilitation of team training contentConduct group psychoeducation and support groups within the CenterPerform all other duties and responsibilities as requiredParticipate in and lead interdisciplinary review of and coordination around complex patientsMaintain patient confidentiality in accordance with HIPAADocument patient encounters in medical record system in a timely mannerFollow general policies related to fire safety, infection control and attendance
Use your skills to make an impact
 

Required Qualifications

Registered Nurse (RN license)Minimum of 4 years of experience working in human services and navigating community-based resources

Preferred Qualifications

Familiarity with state Medicaid guidelines and application processes preferredExperience working with patients with behavioral health conditions and substance use disorders preferredPrior experience conducting home visits and knowledge of field safety practices preferredBilingual English/Spanish

Skills/Abilities/Competencies

Advanced clinical acumenAbility to multi-task in a fast-paced work environmentFlexibility to fluidly transition and adjust in an evolving roleExcellent organizational skillsAdvanced oral and written communication skillsStrong interpersonal and relationship building skillsCompassion and desire to advocate for patient needsCritical thinking and problem-solving capabilities

Working Conditions 

This role has a mobile presence, involving travel to patients’ homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections.

Benefits

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Workstyle: Combination in clinic and field, local travel to meet with patients

Location: Must reside in the Stuart area.

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$69,800 - $96,200 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
 About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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