Chronic Care Navigator at Fisher-Titus Health

Caring For the Community You LoveChoose a career to make a difference in peoples lives every day choose Fisher-Titus!Perks of working at Fisher-Titus:Hours of Work- Full timeComprehensive Benefits Package- Medical & Dental coverage 401K match paid time off tuition assistance and more!Shift Weekend & PRN differentialAbout Fisher-Titus:Fisher-Titus proudly serves the greater Huron County areas 70000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab imaging and physical rehabilitation.Vision: Be the first choice for healthcare and employment within our communityMission: Deliver compassionate and convenient care to the highest level of excellence that promoteslifelong health and wellness for our communityGeneral Summary:The Care Navigator in collaboration with the health care team is responsible for overall administration of the Transitional Care Management program and the Chronic Care Management (CCM) program as well as the specifics services for patients enrolled in each program. The Care Navigator connects with the patient via telehealth phone or in person and introduces the TCM program within 1-2 business days after discharge to review discharge instructions medication reconciliation social determinants and assist with appointments as needed.Essential Functions:Identify appropriate patients for TCM/CCM.Review with the patient and/or family the programs services and benefits.Review and answer question relating to the programs consent requirements.Develop in conjunction with the patient and/or family and health care team an individualized comprehensive care plan.Perform monthly services as described within TCM/CCM program.Document services provided in the record appropriate for reimbursement.Reviews medication list and identifies area to be reconciled.Schedule routine and follow-up appointments as indicated.Monitor minutes of services provided to ensure appropriate time is completed for billing. Key Skills Senior Care,Nursing Home Experience,Hospital Experience,Acute Care,Basic Math,Computer Skills,Caregiving,Vital Signs Experience,Medical Terminology,Rota Management,Mentoring,Leadership Skill Employment Type : Full-Time Experience: years Vacancy: 1