Outreach Care Navigator - ACS

We are here for life's journey.
Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:

Humanity in action, Triumph in hardship, Transformation in health.

Department

• Manages appropriate transitions of care for patients regardless of payer from ED, inpatient, SNF, specialty to primary care (20%)
• Addresses barriers in an effort to facilitate care-coordination, improve patient experience, connect to care as appropriate, and retention-in-care as stipulated by grant funder programmatic requirements. (10%)
• Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. (10%)
• Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provides appropriate clinical information as applicable. (10%)
• Contacts review organizations and insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis, and prognosis. Provides specific medical information to financial services. (10%)
• Acts as an extender for the care team by assisting patients in problem solving potential issues related to the health care system, financial or social barriers (e.g. requests interpreters as appropriate, transportation services or prescription assistance) in an effort to facilitate care coordination and support plans of care. (5%)
• Acts as the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the care team to ensure approval of the necessary supplies/services for the patient in a timely fashion. (5%)
• Identifies and utilizes cultural and community resources. Serves as a liaison for internal and external care providers and/or families/caregivers. (10%)
• Identifies opportunities and collaborates with care team to implement solutions surrounding patient care coordination (e.g. scheduling appointments, transportation, interdisciplinary communication, insurance informational support). Reminds identified patients of scheduled appointments. (10%)
• Tracks individual patient referral process, including but not limited to; ensuring appointment is scheduled, necessary follow- up is completed and any barriers addressed with patient and family/caregiver (5%)
• Uses motivational interviewing and teach back tools to assist patient understanding of care plan, including but not limited to discharge instructions, medication follow-up, behavior change, etc. (5%)

• High School Diploma or GED Required

• 1-3 years Experience in a clinical care setting Required

• Intermediate knowledge of the correctional and/or justice department(s)
• Intermediate knowledge of the community resources needed for reentry at Denver Health's integrated care system
• Ability to support community engagement to connect persons involved in the criminal justice system and Denver Health
• Strong oral and written communication skills
• Proven ability to work effectively, both individually and as a team, with populations experiencing disadvantages, persons involved with the criminal justice system, persons experiencing homelessness, and recent immigrants.
• Must be empathetic to the needs of all patients.
• Intermediate knowledge of the community resources needed to support individuals in the Denver Metro area.
• Subject matter expert for various community advisory councils that serve to better connect corrections and Denver Health
• Bilingual in English/Spanish preferred
• Knowledge of Epic and other electronic health records systems
• Knowledge of Microsoft Office suite products

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit: https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion

Applicants will be considered until the position is filled.