235 Healthcare Guidance jobs in the United States

The Director of Care Transition Coordination oversees the daily operational and logistical processes for transition planning (discharge planning) for social work, care navigation and behavioral health services across the Middle Georgia Region to include Atrium Health Navicent Medical Center, Atrium Health Navicent Baldwin, and Atrium Health Navicent Peach hospitals. The Regional Director of Care Transition Coordination serves as a subject matter expert on transitions of care and patient throughput for the region and beyond. Ensures that the coordination and arrangement of post-acute services by the Care Transitions team are conducted in a manner that is patient-centered, efficient, and cost-effective. Assures all necessary resources are available to effectually conduct transition/discharge planning and care pathway management. Assures appropriate monitoring systems are in place to provide continuous monitoring and documentation of transition planning activities to include referrals to community-based services and resources and placement of patients requiring post-discharge care at skilled nursing, rehab, behavioral health, and long-term acute care facilities. Performs duties with a sense of urgency and in alignment with our operational metrics of Experience, Efficiency, and Quality & Safety. Maintains the knowledge and skills necessary to provide care to patients and oversight of the Care Navigation team. Major Responsibilities: Provides oversight to the Care Transitions team in relation to discharge planning and care pathway functions and activities. Duties include the establishment of work schedules, ensuring employees work within Atrium Health’s pay practices, performs performance evaluations in a timely and appropriate manner, etc. while ensuring alignment with current clinical standards, and the day-to-day execution of programmatic operations. Works collaboratively with others through assessment of patient learning needs and discharge planning, designing, implementing, and continuously evaluating case management activities and processes. Keeps current on state, federal, and payor requirements and regulatory guidance affecting the discharge planning process and communicates changes in requirements to the staff. Participates in internal and external compliance audits. Assists staff with problem solving and resolution of problems and issues related to placement, community resources, and home care services. Able to provide guidance on situations that are difficult to manage. Able to discuss care pathways with Physicians, APPs, and staff to ensure appropriate management in a patient and organizational centered manner that optimizes throughput. Provides leadership in the development and revision of departmental policies, procedures, work instructions, and protocols. Orients new staff and ensures continuing education of all departmental staff. Supports staff development and performance management; maintains focus on key needs, expectations, and enterprise initiatives. Serves as primary departmental contact and liaison to community-based resources, including referral facilities/agencies which may be utilized by patients discharged from the facility. Regional representative on probate court petitions and hearings. Identifies issues within processes to ensure optimum flow and success. Provides leadership and guidance to the team in process improvement initiatives. Stays abreast of new innovations and trends in the areas of care coordination, evidence-based practice, utilization management, and service excellence. Disseminates information and focuses the efforts of the organization on skills required and critical milestones for advancing outcomes-focused care throughout the region and beyond. Provides leadership in the development and monitoring of key metrics to ensure success. Can determine root cause and formulate action plans to support success. Provides adequate communication cascading to keep the staff fully informed of initiatives, expectations, and enterprise-wide experiences. Is open to communicate with staff and fosters and encourages a safe environment in which staff can freely verbalize issues and concerns. Provides feedback of action-based suggestions to the staff. Develops evidence-based programs and initiatives which promote optimal quality of care and improvement of patient transitions, maximizes growth, and enhances revenue opportunities. Leads and supports patient experience initiatives that drive top decile performance in patient satisfaction from a behavioral health perspective showing evidence of efforts to drive continuous improvement. Works in conjunction with behavioral health senior leadership, medical director, colleagues, and physicians to set and achieve appropriate goals and strategies of the Behavioral Health service line. Education Bachelor of Science in Nursing Certification / License Registered Nurse in Georgia or a Compact License Work Experience Ten years of experience in progressive management positions within an acute hospital setting, with a minimum of five years’ experience in an implicit discharge planning or clinical case management position. Knowledge / Skills / Abilities Proficiency in medical terminology, clinical assessment, and diagnostics skills. Knowledge of the DRG process and payment methodology for various federal, state, and commercial payers. Concurrent coding skills. Skill in identifying problems and recommending solutions. Skills in preparing and maintaining records and written reports. Skill in establishing and maintaining effective working relationships with physicians, hospital staff, and vendors. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Extensive knowledge of reimbursement systems. Extensive knowledge of Federal, State and payer-specific regulations and policies pertaining to documentation and coding. Working knowledge of federal and state benefits and entitlements. Must possess experience in discharge/transition planning and thorough understanding of rules and regulations related to transition planning/placement services. Knowledge of community resources and case management is required. Working knowledge of CMS regulations and rules of participation. Familiarity and working knowledge of Best Practices relative to Medicare compliance (DNV CARF Joint Commission). Physical Requirements and Working Conditions Must be able to use visual acuity to monitor screen, computer, and hard copy materials. Must be able to hear and verbally communicate in person and over the phone or radio. Must be able to sit for prolonged periods of time (up to 2 hours). Must be able to comprehend and learn the operation of various office equipment. Must have functional range of motion of the cervical, thoracic, and lumbar spines, upper and lower extremities with a grip strength of 50-60# specific to job evaluation. Must be able to forward reach, overhead reach, bend, squat, kneel and apply proper body mechanics during the transfers and transport supplies and/or equipment using proper body mechanics. Must be able to lift up to ten lbs. specific to job evaluation. #J-18808-Ljbffr

Patient Care Navigation - San Francisco, CA Join to apply for the Patient Care Navigation - San Francisco, CA role at Rely Health Patient Care Navigation - San Francisco, CA 1 week ago Be among the first 25 applicants Join to apply for the Patient Care Navigation - San Francisco, CA role at Rely Health Get AI-powered advice on this job and more exclusive features. We are looking for a full-time Patient Care Navigator/Substance Use Navigator (SUN) to work in an emergency department in San Francisco, CA. This position would be Monday-Friday 10 a.m. to 6:30 p.m. As a Patient Care Navigator/Substance Use Navigator (SUN), you play an integral role in supporting medication for addiction treatment (MAT) while serving as an advocate to your patients throughout their transition from the acute care setting to outpatient treatment. This position is an onsite position. Act as a Substance Use Navigator (SUN) to interact with patients, assess their readiness for treatment and links the patients to care. Utilizes motivational interviewing techniques to communicate with patients in a respectful, culturally appropriate, non-judgmental manner. Maintains up-to-date information about the effects of various substances, withdrawal symptoms, and treatment options to effectively educate and counsel patients. Provides liaison services to Addiction Medicine and outpatient clinics that manage addiction and wellness efforts towards sobriety. Required to attend and represent the organization at training and meetings at the request of CA Bridge program of the Public Health Institute. Clearly communicates the purposes and services available to patients, family members and caregivers. Promotes expansion of MAT program and philosophy within the hospital. Works with the patient to coordinate transition into or out of a care setting by following instructions they received from a medical professional. This may include faxing information, obtaining referrals or authorizations, arranging transportation, coordinating durable medical equipment (DME), making and confirming appointments, obtaining test results, and other patient related duties as designated. Practices regular communication with care team members to provide feedback around process improvement of services offered within the community, and to expand knowledge of those services that can better serve the patient and increase effectiveness of the role. Maintains frequent contact with SUN Program Supervisor and MAT Physician Champion to assist with other duties as assigned in support of other hospital initiatives. Interacts with the care team to collaboratively build a care pathway for patients to achieve sobriety and directs the execution of such a plan. Remains aware of and develops relationships with community resources and services offered, such as (and not limited to) mental health, housing, food, and employment assistance, and provides information on such services to patients as needed. Maintains privacy and confidentiality of any drug treatment efforts throughout the patient’s lifespan of treatment. Facilitates patients’ utilization of community resources to support patient wellness. Initiates steps to promote patients’ access to health insurance. Establishes relationships with, and serves as primary point of contact for, patients diagnosed with substance use disorder or co-occurring mental health disorders. If required by the hospital, this may include initial patient assessments and brief interventions using standardized tools. Maintains documentation of all client encounters in excel or software-based program and completes reporting requirements according to program standards. Fully discloses relevant training, experience, and credentials, in order to help patients, understand the scope of services the Substance Care Navigator is qualified to provide and refrains from any activity that could be construed as clinical in nature. Pay range $25/hr - $8/hr Requirements Requirements High school diploma or GED preferred. Fully vaccinated against COVID-19 (two weeks after a second shot of a two-dose vaccine of Pfizer or Moderna or after a single-dose vaccine of Johnson & Johnson) or have an approved exemption. Understanding of substance use disorders (SUD) and medication assisted treatment (MAT). Nonjudgmental, energetic, positive, harm-reduction approach to assisting patients with Substance Use Disorder (SUD). Cultural competence in working with and serving populations whose social and cultural backgrounds are different from one’s own. Respect for patient confidentiality and privacy. Healthcare experience. Proficient in medical terminology. Knowledge of computer skills using Google Suite, Excel and e-mail. Rely Health does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Rely Health is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. Apply for this job Benefits Benefits: 401(k) Dental insurance Health insurance Vision insurance Technology reimbursement Paid time off (Vacation, Sick, Holiday) Paid Parental leave Professional development Technology Reimbursement Target Start Date: July 1, 2025 Location: San Francisco, California FLSA Status: Non-Exempt Job Status: Full Time Work Schedule: Monday - Friday Vehicle Required: No Amount of Travel Required: 5% - Local Area Travel Reports To: Supervisor, Patient Care Navigation Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Rely Health by 2x Sign in to set job alerts for “Patient Care Specialist” roles. 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• • In-depth assessment of client physical, mental, bio-psychosocial

• • Conducts neighborhood and home safety inspection and evaluates living environment
  • Completes Fall Risk Assessment
  • Identifies options to maintain independence
  • Identifies Medications, treating Physicians and necessary follow-up

• • .Works with individual to develop aging in place plan,

• • Works with client, family and Para-professional staff to implement aging in place plan, monitoring, reviewing and adjusting (as needed) every 60 days.

• • Coordinates all service needs, including, but not limited to: home health services, nutrition consultation, physical or occupational therapy, hospital admission and discharge planners; physicians and other medical providers; attorneys and financial planners; home repair and other services. Makes regular home visits to monitor client status. Accompanies or meets client in ER. Provides oversight of home health aides.

• Admits and discharges clients in Home Health Exchange for team, assures team has full access to all data
• Maintains up-to-date census lists for management and team
• Provides back-up support to the CN team as needed, when available, including accompanying teams' clients to MD appointments and ER visits.

1. Care Navigators II will preferably hold licensed practical nurses (LPN's) degree or other health-related degree.

1. Minimum of one year working in healthcare advocacy

1. Candidate will demonstrate independence, flexibility, responsiveness and good organizational skills

1. Understanding and ability to deliver highest degree of customer focused services.

1. Excellent verbal and written communication skills

1. Working knowledge of computer software including Microsoft

CARE NAVIGATOR II Westchester/ NY Metro Territory An affiliated company of VNS Westchester, Community Care Navigation is seeking a CARE NAVIGATOR who works with individuals and care-givers/families to provide assessment, coordination, ongoing monitoring, and management of individuals in their home. VNSW’s Community Care Navigation Program (CCN) offers comprehensive life planning, care navigation, and wellness services in the comfort of an individual’s home – in-person or virtually. VNS Westchester is a destination employer that cultivates a people-oriented environment and fosters professional development. "We take care of our People!” Responsibilities of the Care Navigator II include: Conduct Wellness Assessment: In-depth assessment of client physical, mental, bio-psychosocial status, and needs in the client’s home. Neighborhood and home safety inspections, evaluating living environments. Completing Fall Risk Assessments. Identifying options to maintain independence. Identifying medications, treating physicians, and follow-up needs. Develop Aging in Place Plan: Work with individuals to develop personalized aging in place plans, meeting client needs in a respectful and dignified manner. Implement, monitor, review, and adjust plans every 60 days in collaboration with clients, families, and staff. Arrange and Coordinate Service Providers: Coordinate services such as home health, nutrition, therapy, medical providers, legal and financial services, and home repairs. Make regular home visits, monitor client status, accompany clients to ER, oversee home health aides. Provide Emotional Support and Advocacy: Offer emotional support and counseling to clients and families. Serve as a healthcare advocate for clients. Ongoing Monitoring and Liaison: Maintain ongoing client monitoring and act as a liaison with family members. On-call Services: Provide after-hours care navigator services as scheduled. Documentation: Document all interactions and occurrences in Home Health Exchange. Administrative Support: Manage client admissions and discharges, maintain census lists, support team activities, accompany clients to appointments when needed. Perform other related duties as required. Note: Asterisk (*) denotes essential job functions. Specialized Skills and Competencies: Preferably hold a licensed practical nurse (LPN) degree or other health-related degree. Minimum of one year experience in healthcare advocacy. Demonstrate independence, flexibility, responsiveness, and organizational skills. Ability to deliver high-quality, customer-focused services. Excellent verbal and written communication skills. Working knowledge of Microsoft Office Suite and Home Health Exchange. Reporting and Requirements: Reports to: Director of Community Care Navigation Valid NY State Driver’s License and own vehicle required. Compensation and Benefits: Salary: $70,000 to $80,000 annually, full-time position. Benefits include: Medical/Dental/Vision, Pension, Life Insurance, Tuition Reimbursement, Paid Time Off, Disability Insurance. Must work at least 21 hours weekly to be eligible for benefits. #J-18808-Ljbffr

CARE NAVIGATOR II Westchester/ NY Metro Territory An affiliated company of VNS Westchester, Community Care Navigation is seeking a CARE NAVIGATOR who works with individuals and care-givers/families to provide assessment, coordination, ongoing monitoring, and management of individuals in their home. VNSW’s Community Care Navigation Program (CCN) offers comprehensive life planning, care navigation, and wellness services in the comfort of an individual’s home – in-person or virtually. VNS Westchester is a destination employer that cultivates a people-oriented environment and fosters professional development. “We take care of our People!” The Care Navigator II is responsible for carrying a client caseload and performing the following functions: Conducts Wellness Assessment In-depth assessment of client physical, mental, bio-psychosocial status and needs in the client’s home. Conducts neighborhood and home safety inspections and evaluates the living environment. Completes Fall Risk Assessment. Identifies options to maintain independence. Identifies medications, treating physicians, and necessary follow-up. Develops Aging in Place plan Works with the individual to develop an aging in place plan, meeting client needs in the least restrictive way, without sacrificing dignity, respect, quality of life, and peace of mind. Works with the client, family, and para-professional staff to implement, monitor, review, and adjust (as needed) every 60 days. Arranges and Coordinates all providers of service Coordinates all service needs, including home health services, nutrition consultation, therapy, hospital planning, physicians, attorneys, home repair, and other services. Makes regular home visits to monitor client status, accompanies or meets client in ER, and provides oversight of home health aides. Provides emotional support and counseling Offers emotional support to individuals and their families/caregivers, providing the VNSW CCN cell phone number for availability during business hours. Educates and Advocates for the client Functions as the client’s healthcare advocate. Provides ongoing monitoring and acts as liaison Maintains communication with the client and their family, both local and distant. Provides “on call” after-hours services According to the monthly schedule. Documents all interactions Records all interactions and occurrences in Home Health Exchange. Supports administration and team Manages client admissions and discharges in Home Health Exchange, maintains census lists, and provides backup support, including accompanying clients to appointments and ER visits. Performs all other related duties as required. Specialized Skills and Competencies: Care Navigators II preferably hold an LPN or other health-related degree. Minimum of one year experience in healthcare advocacy. Demonstrates independence, flexibility, responsiveness, and organizational skills. Ability to deliver high-quality, customer-focused services. Excellent verbal and written communication skills. Working knowledge of Microsoft Office, Word, Excel, Outlook, and Home Health Exchange. Reports to: Director of Community Care Navigation Valid NY State Driver’s License and car required. Salary: $70k to $80k annually, full-time. Benefits include medical/dental/vision, pension, life insurance, tuition reimbursement, generous PTO, disability coverage. Must work at least 21 hours weekly to be eligible for benefits. #J-18808-Ljbffr