Care Navigator
AltaPointe Health Systems, Fairhope, AL, United States
Primary Job Functions
Assists patient with paperwork including admissions, discharges, etc
Coordinates care between healthcare providers and patient
Ensure treatment providers have the results of screeners completed at intake and as indicated
Demonstrates the ability to assess the consumer’s needs utilizing the SUN-R/HSNA
Identifies goals and plans for appropriate services
Provides appropriate linkage to community resources
Monitors consumers to secure placement in the least restrictive environment
Provides ongoing monitoring of consumers’ progress and needs as assessed in the SUN-R/HSNA
Assists patients in connecting to primary healthcare
Assists patients in connecting with benefits specialist
Assists patients in connecting with appropriate therapists Assists patients in referrals to TCM, IPS, Day Programs
Educates patients about their diagnoses, treatment options, and medications
Provides emotional support throughout the healthcare process
Facilitates communication between patients and healthcare teams
Conducts follow-up after hospital admissions to ensure proper care coordination
Connects patient with available community resources and services
Advocates for patient to ensure high-quality care
Helps patient overcome logistical barriers to accessing care to include assisting with transportation arrangements for medical appointments
Participates in interdisciplinary care teams to support complex cases
Maintains knowledge of community resources and healthcare programs
Coordinates implementation of internal services
Assesses social drivers of health to assist in reducing disparities
Provides ongoing monitoring of consumers’ progress and needs with the patient
Provides training of basic living skills to improve consumers' quality of life and to help enable them to be able to maintain in the least restrictive setting
Evaluate the patient for needed changes in Risk Levels
Evaluates the consumer for discharge planning
Effectively collaborates with the treatment team members and outside sources in the delivery of case management services
Effectively demonstrates the application of adult specific competencies
Supervision and Consultation
Seeks clinical supervision and consultation as needed
Accepts and employs suggestions for improvement
Actively works to enhance care management skills
Clinical Record Keeping
Document interactions with patients when needed
Documents within Avatar appropriate follow-up and provision of linkage to services.
Courteous and respectful attitudes towards patients, visitors, and co-workers
Treats patients with care, dignity, and respect
Respects patient’s privacy and confidentiality
; Is pleasant and cooperative with others
Personal values don’t inhibit the ability to relate and care for others sensitive to the patient’s needs, expectations, and individual differences
Case Load Management
Effectively manages caseload based on patient needs and staffs with supervisor regularly
Meets AltaPointe productivity standards
Administrative and Other Related Duties as Assigned
Actively participates in Performance Improvement activities
Actively participates in AltaPointe committees as required
Follows AltaPointe policies and procedures
Attend to required in-service training and other workshops
Bachelor’s degree in a mental health discipline required. Must be at least age 23, maintain a valid verifiable driver license, and maintain a clear driving record.
Knowledge as outlined below, to be attained within six (6) months of employment.
Knowledge of psychiatric disorders in the adult population
Knowledge of developmental disabilities in the adult population
Knowledge of substance use issues in the adult population
Knowledge of chronic medical conditions in the adult population
Knowledge of cultural diversity
Knowledge of behavior management and crisis intervention
Knowledge of available community resources and internal services
Knowledge of Psychiatric Rehabilitation principles and /or Substance abuse treatment principles
Knowledge of educational methods appropriate to adults with severe and persistent psychiatric disorders
Knowledge of rules and regulations regarding appropriate benefit entitlements such as social security, Medicaid, and Medicare
#J-18808-Ljbffr
Assists patient with paperwork including admissions, discharges, etc
Coordinates care between healthcare providers and patient
Ensure treatment providers have the results of screeners completed at intake and as indicated
Demonstrates the ability to assess the consumer’s needs utilizing the SUN-R/HSNA
Identifies goals and plans for appropriate services
Provides appropriate linkage to community resources
Monitors consumers to secure placement in the least restrictive environment
Provides ongoing monitoring of consumers’ progress and needs as assessed in the SUN-R/HSNA
Assists patients in connecting to primary healthcare
Assists patients in connecting with benefits specialist
Assists patients in connecting with appropriate therapists Assists patients in referrals to TCM, IPS, Day Programs
Educates patients about their diagnoses, treatment options, and medications
Provides emotional support throughout the healthcare process
Facilitates communication between patients and healthcare teams
Conducts follow-up after hospital admissions to ensure proper care coordination
Connects patient with available community resources and services
Advocates for patient to ensure high-quality care
Helps patient overcome logistical barriers to accessing care to include assisting with transportation arrangements for medical appointments
Participates in interdisciplinary care teams to support complex cases
Maintains knowledge of community resources and healthcare programs
Coordinates implementation of internal services
Assesses social drivers of health to assist in reducing disparities
Provides ongoing monitoring of consumers’ progress and needs with the patient
Provides training of basic living skills to improve consumers' quality of life and to help enable them to be able to maintain in the least restrictive setting
Evaluate the patient for needed changes in Risk Levels
Evaluates the consumer for discharge planning
Effectively collaborates with the treatment team members and outside sources in the delivery of case management services
Effectively demonstrates the application of adult specific competencies
Supervision and Consultation
Seeks clinical supervision and consultation as needed
Accepts and employs suggestions for improvement
Actively works to enhance care management skills
Clinical Record Keeping
Document interactions with patients when needed
Documents within Avatar appropriate follow-up and provision of linkage to services.
Courteous and respectful attitudes towards patients, visitors, and co-workers
Treats patients with care, dignity, and respect
Respects patient’s privacy and confidentiality
; Is pleasant and cooperative with others
Personal values don’t inhibit the ability to relate and care for others sensitive to the patient’s needs, expectations, and individual differences
Case Load Management
Effectively manages caseload based on patient needs and staffs with supervisor regularly
Meets AltaPointe productivity standards
Administrative and Other Related Duties as Assigned
Actively participates in Performance Improvement activities
Actively participates in AltaPointe committees as required
Follows AltaPointe policies and procedures
Attend to required in-service training and other workshops
Bachelor’s degree in a mental health discipline required. Must be at least age 23, maintain a valid verifiable driver license, and maintain a clear driving record.
Knowledge as outlined below, to be attained within six (6) months of employment.
Knowledge of psychiatric disorders in the adult population
Knowledge of developmental disabilities in the adult population
Knowledge of substance use issues in the adult population
Knowledge of chronic medical conditions in the adult population
Knowledge of cultural diversity
Knowledge of behavior management and crisis intervention
Knowledge of available community resources and internal services
Knowledge of Psychiatric Rehabilitation principles and /or Substance abuse treatment principles
Knowledge of educational methods appropriate to adults with severe and persistent psychiatric disorders
Knowledge of rules and regulations regarding appropriate benefit entitlements such as social security, Medicaid, and Medicare
#J-18808-Ljbffr