The posting
- Pay Range - $25.00-$27.00/hr (Full-Time)
Job Summary
The role of Care Navigator is essential in supporting our goal to reduce unnecessary hospital readmissions by visiting & engaging admitted members in person, addressing post discharge needs, and ensure seamless transitions of care discharge follow up. The Care Navigator is assigned to acute and post-acute facilities in the community and works team to build trust with patients and connect them to AbsoluteCare’s services and interventions.
Duties and Responsibilities
- Engage in person with admitted members in hospitals and healthcare facilities to engage & build lasting rapport and trust.
- Conduct CN screenings and identify gaps in care, post discharge risks, escalate to TCM or supervisor for clinical support.
- Actively participate in Huddles to provide member updates and handoffs to center or POD teams when appropriate
- Ask member or their designated support person reason they went to the hospital
- Facilitate access to member clinical information needs required by TCM or supervisor
- Complete delegated tasks and coordinate resources to address identified needs.
- Schedule and coordinate post discharge follow-up appointments with AbsoluteCare primary care physician, community-based nurse practitioner/PA based on risk level guidance
- Provide post discharge support through day 7 and escalate to TCM or Supervisor any emerging clinical needs
- Ensure member has post discharge ordered medications, DME/Oxygen/Hoe Health as ordered.
- Serve as a positive liaison between the members, healthcare providers/facilities, and AbsoluteCare care team and services.
- Document all interactions and tasks accurately and timely in AbsoluteCare care management system.
- Collaborate with AbsoluteCare’s interdisciplinary teams to support holistic, integrated, safe transitions of care to home or next level of care
- Maintain mobility and flexibility to work independently across multiple healthcare sites.
- Meet established Key Performance Indicators.
- The Care Navigator’s facility assignment may change and/or duties may be modified based on business needs.
Minimum Qualifications
- A minimum of 80% of this role’s time is spent onsite in hospitals, skilled nursing facilities and/or residential treatment facilities to engage members and build relationships with facility discharge planners and case management staff.
- High School diploma or equivalent
- CNA, Certified MA- preferred, or CHW with prior hospital experience required
- CPR/BLS certification required.
- 3+ years of experience in serving the needs of complex populations, in a patient facing healthcare environment. Preference given to qualified candidates with hospital experience and/or care coordination roles.
- Experience working in patient-facing roles in a SNF, hospital or physician office is required.
- Ability to complete screenings and delegated tasks as well as escalate findings to the clinical team where appropriate.
- Excellent communication skills and ability to quickly build rapport with members
- Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.
- Ability to take a creative and innovative approach to problem-solving to aid patients in overcoming barriers to care transitions.
- Excellent computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and electronic medical record documentation required.
- Excellent written and oral communication skills to interact with members, families, community stakeholders, and interdisciplinary team required.
- Ability to work independently.
- Active unencumbered driver’s license, with automobile insurance, reliable transportation, and ability to work in office and in the community.
- Second language ability is desirable relevant to local population, geography, resources.
Working conditions
This job operates in the community, hospitals, healthcare facilities and within a professional office environment. This role requires reliable transportation to commute back and forth between inpatient facilities and office; and routinely uses general office equipment.
Physical requirements
- Ability to communicate clearly and exchange accurate information consistently.
- Ability to remain stationary for long periods of time.
- Repetitious movements.
- Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.
- Ability to occasionally move objects up to 20 lbs.
Direct reports
None.



