Dementia Care Navigator
Five Star Home Health Care, Fairfax, VA, United States
The Dementia Care Navigator supports individuals living with dementia and their caregivers by providing comprehensive, person‑centered care navigation in alignment with the Medicare GUIDE program (Guiding an Improved Dementia Experience). This role focuses on care coordination, resource linkage, caregiver education and ongoing support across the dementia care journey. A Medical Social Worker (MSW) is strongly preferred for this position.
This position is 100% office-based at our new corporate headquarters in Chantilly Virginia.
Duties
Serve as the primary point of contact for individuals with dementia and their family caregivers
Along with our Provider, develop and monitor individualized care plans in collaboration with care team
Coordinate medical, behavioral health and community-based services
Provide caregiver education, coaching and emotional support
Support care transitions, including hospital discharges and changes in level of care
Facilitate referrals to community resources (respite care, benefits, transportation, nutrition, housing)
Document care navigation activities and outcomes in compliance with CMS GUIDE requirements
Participate in team meetings, case reviews and quality improvement activities
Qualifications
Medical Social Worker strongly preferred
Extensive training and experience with all forms of dementia
Experience working with older adults, dementia, chronic illness, or caregiver support programs
Knowledge of Medicare, Medicaid, and community-based services
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This position is 100% office-based at our new corporate headquarters in Chantilly Virginia.
Duties
Serve as the primary point of contact for individuals with dementia and their family caregivers
Along with our Provider, develop and monitor individualized care plans in collaboration with care team
Coordinate medical, behavioral health and community-based services
Provide caregiver education, coaching and emotional support
Support care transitions, including hospital discharges and changes in level of care
Facilitate referrals to community resources (respite care, benefits, transportation, nutrition, housing)
Document care navigation activities and outcomes in compliance with CMS GUIDE requirements
Participate in team meetings, case reviews and quality improvement activities
Qualifications
Medical Social Worker strongly preferred
Extensive training and experience with all forms of dementia
Experience working with older adults, dementia, chronic illness, or caregiver support programs
Knowledge of Medicare, Medicaid, and community-based services
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