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Patient Health Navigator

Our organization provides care coordination services to Medicaid & Medicaid Managed Care recipients in Erie County. Care Coordination is a type of service that involves the patient, the patient's support system, and the patient's health care providers to make the patient's health care more coordinated and efficient. Our triple aim is to improve health care, improve health outcomes, and reduce Medicaid costs.


Job Description

  • Effectively managing an assigned caseload of clients
  • Establishing and maintaining a positive, trusting, and ongoing relationship with clients
  • Meeting with clients in their homes, physician/provider offices, and other public places in order to conduct health needs assessments and other required assessments and documentation
  • Working collaboratively with a team that includes Care Managers, Health Navigators, and Social Needs Coordinators, and the client's providers to develop and maintain a Care Plan
  • Attend and participate in regularly scheduled case reviews with Care Team
  • Use of mobile devices to access Electronic Health Record (EHR system)

The Ideal Candidate

  • Outgoing
  • Enjoys working with diverse client populations
  • Consistently demonstrates a can-do attitude
  • Has a passion for helping others
  • Has a "knack" for technology and gadgets

Minimum Qualifications/Experience

  • Associate degree required; B.A or B.A preferred
  • Bilingual preferred
  • Working background in behavioral health, substance abuse illness, or health services environment
  • Knowledge of chronic health conditions
  • Familiarity with primary care practice preferred
  • Computer literacy including Microsoft Office required
  • Excellent oral and written communication skills required
  • Knowledge of EHR systems preferred, especially MEDENT

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Community Health Worker

Our organization provides care coordination services to Medicaid & Medicaid Managed Care recipients in Erie County. Care Coordination is a type of service that involves the patient, the patient's support system, and the patient's health care providers to make the patient's health care more coordinated and efficient. Our triple aim is to improve health care, improve health outcomes, and reduce Medicaid costs.

Job Description

  • Making outbound calls and/or visiting clients at their homes, physician office, health care provider location, hospitals, etc.
  • Explaining program benefits and services to potential clients
  • Accurately completing enrollment documentation with clients via use of mobile Electronic Health Record system
  • Use of New York State Department of Health databases to obtain and verify client information
  • Assisting in client retention
  • Working with an Outreach team including the Outreach Director and Community Health Workers

The Ideal Candidate

  • Outgoing
  • Enjoys working with diverse client populations
  • Consistently demonstrates a can-do attitude
  • Has a passion for helping others
  • Has a "knack" for technology and gadgets

Minimum Qualifications/Experience

  • Reliable transportation and verifiable good driving record required
  • Bilingual/bicultural preferred
  • At least (3) years of health care experience or education
  • High School Diploma/GED required
  • Computer literacy including Microsoft Office required
  • Strong technical knowledge preferred

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GBUIPA Registered Nurse (RN)

Job Description

Promotes and restores patients' health through collaboration with physicians and multidisciplinary team members; providing physical and psychological support to patients who frequently go to the emergency room. The Triage Nurse will make patient referrals to the appropriate level of care and dispatch appropriate transport, telehealth, and care coordinator resources. In collaboration with other members of the healthcare team, the Triage Nurse is responsible for organizing, coordinating, and providing care coordination and care management services to patients within GBUIPA who have had 4 or more emergency room visits and/or 3 or more inpatient admissions.


Primary Responsibilities

  • Conduct comprehensive assessment of patients’ physical, mental, and psychosocial needs.
  • Develop care plans to minimize hospital and ED utilization, improve outcomes, increase patient engagement, and decrease risk status.
  • Follow-up with patients within 24 hours on impatient discharge and 48 hours on ED visit notification.
  • Partner with external case management programs and specialty providers to coordinate care.
  • Ongoing evaluation and documentation of patient progress in the EMR.
  • Coordinate treatment maintenance that address:
    - The length and frequency of office visits
    - The length of time between prescriptions
  • Maintains continuity among nursing teams by documenting and communicating actions,
  • The RN Case Manager will report to the Chief Medical Officer and Project Administrator

RN (Registered Nurse) Physical Requirements

  • Walking, standing, sitting and driving.
  • Weight Requirement: 50lbs

Requirements

  • Current RN license, in good standing.
  • At least 2 years clinical experience, strongly preferred
  • At least 1-year case management experience, strongly preferred
  • Ability to work in linguistically and culturally diverse clinical settings.

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New York State Human Rights Law and Federal Equal Employment Opportunity Law prohibit discrimination of candidates for employment based on race, creed, religion, color, national origin, sex, marital status, age, sexual orientation, disability, veteran status, arrest record, domestic violence victim status, genetic predisposition, or other protected status. GBUACO provides equal employment opportunities (EEO) to all employees and applicants for employment. GBUACO complies with applicable state and local laws governing nondiscrimination in employment at all service locations.