Medical Respite Care Coordinator/Navigator - Access Carroll

***This position is a Sinai Hospital position based in Carroll County, MD at Access Carroll***

JOB SUMMARY:

The Medical Respite Care Coordinator/Navigator is an essential member of the integrated health care team that supports medical respite program goals of improving pathways to health care for at-risk residents of Maryland.

• Function as a system navigator and care coordinator for medical respite patients, including primary and specialty health care, dental/oral health, behavioral health, diagnostic services, and social services.
• Participate in triage and intake processes for medical respite patients.
• Provide intensive case management and advocacy for at-risk patients including resource navigation, application assistance, transportation, social supports, and housing stability.
• Partner and maintain relationships with other providers and services within the community to provide person centered care.
• Maintain working knowledge of State of Maryland and Federal assistance programs including public insurances, financial assistance gap programs, Social Security Administration, food stamps, energy assistance, etc.
• Aid the patient with private and public assistance program applications.
• Participate in community workgroups and continuing education opportunities for patient advocacy, health care advancements, and entitlement programs.
• Participate in needs assessments to identify barriers to obtaining health care services, available resources, and ultimately diversion of over utilization of emergency department services.
• Provide clinical and procedural support training to other members of the health care team as related to care coordination and navigation processes.
• Participate in the system development and reporting of quality assurance/performance improvement measures and activities.
• Coordinate referrals, specialty visits, and diagnostic services with proper documentation and patient education
• Track care coordination activities via patient registries and specialized databases.
• Provide monthly reports of statistics including care coordination, referrals, individuals served, and relevant outcomes.
• Provide mentorship and training of integrated staff, partnering entities, and professional students.
• Participate in new initiatives, trainings, and development for improved patient care services, targeting at-risk and vulnerable populations.
• Serve as a resource of social determinants of health issues for the integrated medical respite care team and community.
• Participate in community meetings and workgroups relevant to the job description and population served, such as transportation, shelter services, and multi-disciplinary clinical teams.
• Maintain compliance with HIPAA and Confidentiality standards
• Ensure timely and accurate documentation of services provided within the Electronic Health Record and other documentation tools.
• Assist in other duties and projects as assigned

REQUIREMENTS:

• Licensed nurse in State of Maryland, as RN or LPN, with Human Services field experience preferred
• Bachelors Degree from an accredited college or university preferred, not required, or equivalent related experience
• Current BLS Certification from the American Heart Association.
• Strong organizational skills and attention to detail
• Strong interpersonal communication and relationship building skills
• Superior written and verbal communication skills
• Ability to work with various cultural and diverse individuals
• Bilingual English/Spanish preferred
• Understanding of policy and regulations concerning Maryland public assistance programs, specifically Medicaid, Primary Adult Care Program, Medicare, and the Social Security Administration