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Patient Care Navigator/Lead Care Manager (Sacramento County)

A Senior Connection -
Sacramento County, CA

Job Details

Full-time
$25 - $30 an hour

Benefits

Health insurance
401(k)
Paid time off
401(k) matching

Qualifications

Spanish
Teamwork
HIPAA
English
High school diploma or GED
Cultural competency
Case management
Working with individuals from diverse cultural backgrounds
Patient interaction
Experience working with individuals from underserved communities
Managing patients as a clinical case manager

Full Job Description

*Important note: This specific posting is for Sacramento County and requires at least 2-3x a week in person work with clients in community based settings. Please only apply for this position if you are able to meet the hybrid requirements of this position. *

Agency: A Senior Connection

Job Title: Patient Care Navigator or Lead Care Manager

Reports to: Lead Care Manager and/or Program Supervisor

Work in collaboration with: Care Coordinators, Community health Workers, Program Director, medical/health care providers (primary care physicians, nursing staff, mental health workers). These positions will be within our Transitional Care Program (TCP) and CalAIM programs.

Location: This is hybrid position. You will be required to have a HIPAA complaint at home office and meet (at minimum quarterly) in Sacramento and surrounding counties. While the position is hybrid, you must be located in Northern California. Those who do not reside in the surrounding areas will not be considered.

Position Summary

The Patient Care Navigator/Lead Care Manager (LCM) provides Telephonic and field-based care navigation services to clients enrolled in the CalAIM Enhanced Care Management (ECM) and Community Support Program (CS) and/or Transitional Care Program (TCP).

The Patient Care Navigator builds strong relationships with clients to help clients stay engaged in medical care and adhere to their medications. Patient Care Navigators are committed to removing the client’s barriers to care by identifying critical resources for clients, helping them navigate through health care services and systems, and promoting client health. They work closely with the CalAIM and TCP team members and collaborating organizations and providers within their service area.

Responsibilities

Telephonic and field-based outreach to engage clients in our care management program
Establishes close relationships with partners and serves as a point of contact for patients
Provides health education to patients to promote self-management
Communicates with Care Team members on a routine basis to support care delivery for patients
Identify and connect patients to resources for clients to overcome barriers to care, such as transportation, housing, food, and other social service resources
Maintain strict confidentiality in accordance with agency policies
Schedule and attend primary care physician appointments to review and update care plan with the care team
Assist with outreach telephone calls to reduce care gaps and keep patients engaged in care
Provide comprehensive health navigation including assistance with:
Health insurance enrollment and verification
Appointment scheduling for providers and specialist
Appointment scheduling, confirmation, and reminders
Interpretation and completion of forms and paperwork
Directing patients to community organizations based on their needs
Working with clinical teams to review and ensure understanding of treatment plans

Organizational duties:

Meet with care team to discuss patient care issues and needs and developed shared care plans
Maintain documentation of all patient encounters and complete reporting requirements according to organization standards
Track client information, schedules, files, and forms in a confidential manner
Track client attendance at medical appointments and patient navigation sessions and initiate outreach and missed appointment procedures, as necessary
Attend all scheduled staff meetings
Work collaboratively with all members of the care team and extended medical team
Active participation in team huddles
Active participation in multidisciplinary committees and workgroups
Assist with the training of new staff in collaboration with leadership and preceptors/mentors
All other duties as assigned

Qualifications

Personal characteristics and skills:

Commitment to the mission of care coordination
Passionate, trustworthy, and empathetic when working with clients
The ability to problem solve independently as well as the ability to collaborate in a team setting to work toward a specific goal
Ability to build relationships with different types of people, including patients, organizations, members, and health care providers
Good communication and interpersonal skills and ability to speak concisely to clients and Care Team members
Organized with confidential client material and appointment tracking
Flexible and adaptable in response to changing client and health care providers’ needs
Interest in working with underserved and marginalized populations

Education and experience:

Minimum high school degree or equivalent, AA preferred
At least 2 years of care coordination or case management experience
At least 1 year experience working with diverse and marginalized populations
Strong understanding of cultural competency with the target population
Written and oral fluency in English and Spanish is preferred
CalAIM experience preferred (ECM *and* CS)
Knowledge of different MCP in Sacramento/SJST/Placer Counties preferred
Experience working in community-based settings for at least 1-2 years preferred
Submitting authorization requests, referrals, applications
Familia with SNF, BC, RB, AL, Memory Care

*Please answer the pre-screen questions to be considered for this role.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Expected hours: 36 – 40 per week

Benefits:

401(k)
401(k) matching
Health insurance
Paid time off

Application Question(s):

Briefly describe your case management experience, including the populations you’ve served and the types of services you coordinated.
Which Managed Care Plans (MCPs) have you worked with directly, and what types of authorizations, care coordination, or services did you manage for them?
Describe your experience working with CalAIM or other California care coordination programs. What was your role, and how did you apply CalAIM guidelines in your case management workflow?
Required Acknowledgment – Please Read Carefully

To be considered for this position, please type "YES" below to acknowledge the following:

-I understand that case management experience is required for this position.
-I understand that CalAIM knowledge is highly preferred.
-I understand that completion of all prescreen questions is required to be considered for employment.
-I understand that applications with incomplete prescreen responses may not be considered.

Education:

High school or equivalent (Required)

Experience:

Case management: 2 years (Required)

Work Location: Hybrid remote in Sacramento County, CA

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