Care Navigator engaging high-risk patients, implementing interventions and coordinating care efforts in a hybrid role for CenterWell Senior Primary Care. Requires MSW and LMSW in the Las Vegas area.
Responsibilities
Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups
Provide triage guidance and supportive consultation to other team members, handling escalated complex cases
Develop care plans leveraging 5Ms Geriatric best practice framework
Develop a wholistic view of patient needs related to Social Determinants of Health
Identify existing barriers to engagement with necessary resources and supports
Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
Refer patient to necessary services and supports
Lead Interdisciplinary Team Meetings when indicated
Assess patient’s family system, and conduct family meetings with patient and family when needed
Participate in creation and facilitation of team training content
Conduct group psychoeducation and support groups within the Center
Perform all other duties and responsibilities as required
Participate in and lead interdisciplinary review of and coordination around complex patients
Maintain patient confidentiality in accordance with HIPAA
Document patient encounters in medical record system in a timely manner
Requirements
Master's in Social Work (MSW)
Licensed Master Social Worker in Nevada (LMSW)
Minimum of 4 years of experience working in healthcare services and navigating community-based resources
Familiarity with state Medicaid guidelines and application processes
Experience working with patients with behavioral health conditions and substance use disorders
Prior experience conducting home visits and knowledge of field safety practices
Benefits
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
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