Company Background
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high‑powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary
The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high‑quality, cost‑effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member‑centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination.
Responsibilities
Handle inbound and outbound calls delivering world‑class service to our members
Educate kidney health and related comorbid conditions and optimize renal replacement therapy by educating members on dialysis and transplant options
Engage members into HealthMap’s Kidney Health Program
Follow up with members based on complexity and cadence by policy
Serve as patient advocate for responding and working to resolve concerns or barriers
Utilize community resources and programs in care planning
Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals
Notify providers of identified patient needs based on policy
Comply with HIPAA privacy laws and all other federal, state, and local regulations
Comply with company‑defined operational policies and procedures
Comply with company security policies
Accountable for individual metrics and key performance indicators and identified by the organization
Navigate technical applications – Excel, OneNote, Outlook, and Word
Support after hours and various time zones based on business need
Drive patient and families in their own care and to support self‑management
Requirements
Active, unrestricted RN license required
Bachelor’s degree required
CCM preferred
Three (3) years of experience in case management preferred
Experience in a dialysis center or transplant center preferred
Experience with Medicare and Medicaid preferred
Most reside in Kentucky
Skills
Advocate and energize a culture of collaboration, positivity, and motivation
Strategic thinking and planning
Deliver effective communication – verbal and written
Succeed in a challenging environment with changing priorities
Travel
No Travel
Americans with Disability Specifications
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Equal Opportunity
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity or expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.