Population Health Clinical Navigator

Job Title:  Population Health Clinical Navigator
Department: Greater Rochester Independent Practice Association (GRIPA)
Location: 100 Kings Highway South, Rochester, NY
Hours Per Week: 40 hours
Schedule: Full-time, Days

This position will be employed by the Greater Rochester Independent Practice Association, INC. (GRIPA). GRIPA was founded in 1996 as a unique collaboration between hospitals and physicians, for the purpose of simultaneously improving the quality and efficiency of health care. This position will not be employed by Rochester Regional Health (RRH).

SUMMARY:

The Population Health Clinical Navigator is part of the multidisciplinary Care Management team. Responsibilities include outreach to patients to educate them on appropriate utilization of health care services. Requires collaboration with GRIPA and RRH care managers, physicians, other entities (insurance companies) and all other health care professionals at various sites of service.

RESPONSIBILITIES:

• Maintains a keen understanding of attribution, value-based contracts and end goals.

• Continues to grow in knowledge of community resources.

• Ensures timely and complete documentation following any patient and/or provider related contact per department documentation policy/procedure within electronic medical records to manage the population and promote care team communication.

• Reports on successes as well as areas where there are opportunities for improvement.

• Possesses and continues to build skills to enhance cold calls to patients.

• Educates patients about appropriate utilization of health care services.

• Educates patients about improving communication with the health care team.

• Educates patients about select health screenings and conditions.

• Empowers patients to solve problems, explore options of care and choose options that best fit their personal goals and desired outcomes.

• Directs patients to participate in use of community resources.

• Participates in employer contract specific initiatives, in collaboration with the care management team.

• Reports on successes as well as areas where there are opportunities for improvement.

• Engages in performance improvement activities to promote quality care.

• Ensures timely and complete documentation into all information systems per department documentation policies.

• Consistently presents a professional image through personal interactions, telephone and e-mail communications, and appearance.

• Adheres to ethical, legal and practice standards of care management practice.

• Self-monitors quality metrics to promote positive population health outcomes.

REQUIRED QUALIFICATIONS:

• 3-5 years of experience

• Two-year AAS Degree and/or comparable experience required

• Prior experience in a health care setting, and/or related business, physician office or hospital setting

EDUCATION:

LICENSES / CERTIFICATIONS: 

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$20.00 - $26.00Rochester14617

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.