Job Details

The Navigator-Care Management is part of an interdisciplinary care team that coordinates care, improves access, and supports quality outcomes for NaviCare members. The Navigator builds relationships with members/caregivers via phone and in person, conducts home visits as needed, helps implement care plan interventions, and works to remove barriers to care. In partnership with the Nurse Case Manager, the Navigator updates care plans and provides holistic case management for low-, moderate-, and high-risk members. Responsibilities Member Education, Advocacy, and Care Coordination. Conduct phone and, as appropriate, in-person assessments, screenings, and visits using TruCare; update individualized care plans and aim for first-contact resolution in a culturally responsive manner. Coordinate and follow up on care needs, including post-transition outreach, appointment scheduling, medication support, and service monitoring. Educate members/representatives on benefits, coverage criteria, right...Senior Care, Navigator, Behavioral Health, Transportation, Case Manager, Support, Healthcare