Reports to: Department Director, Manager, or Designee Department: Assigned Department (Population Health, Behavioral Health, Community Health, Clinical Operations, Pharmacy, or other assigned department) Status: Full-Time Classification: Exempt
ASCENSION DEPAUL CORE VALUES:
- Service of the Poor – Employee demonstrates generosity of spirit, especially for persons most in need
- Reverence – Employee demonstrates respect and compassion for the dignity and diversity of life
- Integrity – Employee inspires trust through personal leadership
- Wisdom – Employee integrates excellence and stewardship into execution of job duties
- Creativity – Employee demonstrates courageous innovation
- Dedication – Employee affirms the hope and joy of the Daughters of Charity mission
GENERAL JOB DESCRIPTION
The Care Case Navigator provides comprehensive non-clinical care coordination services designed to improve patient access to healthcare, insurance coverage, community resources, and supportive services. The position serves as the primary liaison between patients, healthcare providers, payers, community organizations, and interdisciplinary care teams to reduce barriers to care, improve patient engagement, support value-based care initiatives, and promote positive health outcomes. Depending on the assigned department, responsibilities may include patient navigation, care coordination, community outreach, insurance eligibility and enrollment assistance, social determinants of health (SDOH) interventions, and population health initiatives.
DUTIES & RESPONSIBILITIES
- Care Coordination
- Conduct non-clinical assessments to identify barriers that affect patient access to care.
- Coordinate referrals, appointments, diagnostic testing, preventive services, and follow-up care.
- Conduct outreach to high-risk and vulnerable patient populations.
- Participate in interdisciplinary care conferences and quality improvement initiatives.
- Patient Navigation & Community Outreach
- Assist patients in navigating the healthcare system.
- Connect patients with community resources that address Social Determinants of Health (SDOH).
- Educate patients regarding available programs and encourage continuity of care.
- Insurance Eligibility & Enrollment Assistance
- Assist patients with Medicaid, CHIP, Marketplace, Medicare referral resources, eligibility determinations, and renewal processes.
- Coordinate with payers and eligibility agencies.
- Documentation, Compliance & Reporting
- Document patient encounters accurately and timely in the Electronic Health Record (EHR).
- Maintain compliance with HIPAA, payer, grant, and regulatory requirements.
- Prepare required reports and maintain departmental productivity and quality standards.
- Additional Responsibilities
- Participate in departmental meetings, required training, quality improvement initiatives, and perform other duties as assigned.
PHYSICAL DEMANDS
A work day normally involves at least 40% of lifting, twisting, standing, bending and some activities that involve walking will be required to be performed. The associate will be required to travel from multiple health clinic sites and must be required to work flexible hours to accommodate needs of various sites and community events. Supervision of multiple clinic sites may be applicable. A Louisiana driver’s license is required.
WORK ENVIRONMENT
The work environment is normally performed in a health clinic with a normal/comfortable temperature setting. The associate will be provided DSCNO equipment (computer, laptop, cell phone, etc.) to perform necessary duties for the position. The majority of the work setting is sedentary.
MINIMUM QUALIFICATIONS
- Associate degree in a related field required; Bachelor's degree in a related field preferred.
- Equivalent combinations of education and experience may be considered.
- Minimum of two (2) years of experience in care coordination, patient navigation, community health, social services, insurance enrollment, population health, or another related healthcare environment.
PREFERRED QUALIFICATIONS
- Community Health Worker (CHW) Certification.
- Certified Application Counselor (CAC).
- Health Insurance Navigator Certification.
- Bilingual (English/Spanish) preferred.
- Experience in an FQHC or value-based care environment.