CARE NAVIGATOR SKILLS, EXPERIENCE, AND JOB REQUIREMENTS

The Care Navigator position requires candidates who can obtain Recovery Specialist Certification and successfully clear Criminal History and Child Abuse clearances. This role demands familiarity with financial entitlement programs and social services, as well as the ability to conduct insightful interviews to make appropriate recommendations. This position must be prepared to work non-traditional hours, have personal experience with addiction recovery, and possess the ability to travel as needed for the program.

Essential Hard and Soft Skills for a Standout Care Navigator Resume
  • Medical Terminology Knowledge
  • Patient Assessment Techniques
  • Data Entry and Reporting
  • Understanding of Healthcare Systems
  • Case Management Software Proficiency
  • Health Insurance Knowledge
  • Electronic Health Records (EHR) Management
  • Privacy Regulations Compliance (HIPAA)
  • Crisis Intervention Techniques
  • Health Education and Counseling
  • Empathy
  • Communication
  • Problem-Solving
  • Adaptability
  • Interpersonal Skills
  • Active Listening
  • Multitasking
  • Cultural Competency
  • Patience
  • Team Collaboration

Summary of Care Navigator Knowledge and Qualifications on Resume

1. BS in Nursing with 3 years of Experience

  • Experience working as a registered nurse (RN)
  • Experience in case management, disease management, home health care, hospital, or physician office setting and
  • Experience in electronic medical record (EMR) 
  • Experience in condition- or population-specific  (Orthopedics, Cardiac, Pulmonary, GI, Pediatrics)
  • Ability to set priorities to coordinate care plan efficiently.
  • Utilizes effective strategies for interacting with persons from diverse backgrounds.
  • Ability to recognize the role of cultural, social, economic, and behavioral factors in accessibility, availability, acceptability, and delivery of public health services.
  • Knowledge of computer applications and analytical tools.
  • CACRN - Certified Ambulatory Care RN Ambulatory Care Manager
  • Care Coordination and Transition Management (CCCTM)
  • Certifications relevant to role as approved by department leadership

2. BA in Social Work with 4 years of Experience

  • Experience in long-term care preferred.
  • Understanding of the health care system and its components including sites of care, delivery models, and the roles of various providers and health care professionals.
  • Experience in EHR along with workflow and practice management.
  • Experience with healthcare operations and clinical workflows.
  • Effective verbal and written English communication skills.
  • Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
  • Certified as a CDP or CDPT in the state of WA, by the WA State Department of Health
  • Experience in a social service field
  • Above average Microsoft Office skill set
  • Experience working within health systems
  • Experience with underserved, recovery and mental health populations
  • Familiarly in Motivation Interviewing technique
  • Strong communications skills

3. BA in Public Health with 3 years of Experience

  • LPN License, Medical Assistant Certificate
  • Experience in primary care, care management/coordination or other related field. 
  • Commensurate experience in public health, social services or other health care field may take the place of this requirement.
  • Competence in the ability to triage patients over the phone and in person
  • Strong computer skills, particularly related to Microsoft applications Word, Access, Visio, Excel, PowerPoint and Outlook.
  • Comfort with exploring and learning to use new or unfamiliar applications or databases.
  • Working knowledge of health information technology
  • Managed Care Understanding specifically ACO/Value Based Contracts
  • Commitment to collaboration, professionalism, and effective communication in all interactions with physicians, HealthONE Physician Services employees, patients, caregivers and payers.
  • Strong problem-solving skills
  • Have certified medical assistant
  • Experience in a managed care organization preferred
  • Knowledge of medical terminology
  • Excellent communication skills with patients, providers, internal and external customers
  • Must have excellent computer skills
  • Must have excellent organizational skills and ability to work independently

4. BA in Psychology with 5 years of Experience

  • Ability to obtain Recovery Specialist Certification.
  • Demonstrated ability to obtain vital information during an interview to make proper recommendations
  • Demonstrated knowledge of financial entitlement programs and available social services.
  • Must be available to work “non-traditional” hours.
  • Self-identifies personal experience with addiction recovery or co-occurring services.
  • Must successfully obtain Criminal History Clearance from Pennsylvania State Police and Child Abuse Clearances from the Pennsylvania Department of Human Services and FBI Fingerprint Clearances.
  • Must not be excluded from participation in Medicare, Medicaid or any other federal health care program.
  • Ability to transport oneself in an insured vehicle, as program needs dictate.
  • Ability to observe and recognize verbal and non-verbal signs of physical or mental disorders
  • Ability to detect and identify violations pertaining to program regulations
  • Ability to work independently following established policies and procedures, including emergency situations.
  • Ability to communicate with effectiveness.

5. BS in Healthcare Administration with 3 years of Experience

  • Care Coordination Onboarding training
  • Jiva training including Alliance documentation standards
  • Person Centered Thinking/planning
  • Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
  • Motivational Interviewing
  • Strong interpersonal and written/verbal communication skills essential, including conflict management and resolution
  • ISP development training
  • Knowledge of LOC process, SIS for IDD and HRST, MPAI-4 for TBI
  • Knowledge of using assessments to develop plans of care
  • Knowledge of how to complete Social Determinants of Health (SDOH) assessments
  • Facilitation of planning meetings
  • Knowledge of provider network resources
  • Proficiency in Spanish (speaking and writing)

6. BA in Sociology with 5 years of Experience

  • Certified Medical Assistant (CMA) or Licensed Vocational Nurse (LVN)
  • Some experience in the medical field. 
  • Experience providing primary and behavioral healthcare services
  • Ability to quickly build rapport and respond to individuals or families in a compassionate manner by identifying and exceeding customer expectations (responding in a respectful, timely manner, consistently meeting commitments)
  • Ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the individual or family.
  • Flexibility to customize approach to meet all types of client communication styles and personalities.
  • Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions individuals or families in services can understand and act upon
  • Must be knowledgeable of community resources and maintain positive working relationships with primary care providers and social service agencies. 
  • Must also work closely with community partners to obtain resources and collaborate on needs.
  • Excellent verbal and written communication skills
  • Excellent organizational skills and attention to detail
  • Strong leadership skills with the ability to motivate and encourage others.
  • Proficient with Microsoft Office Suite or related software
  • Proficient in data entry, tracking data, documentation and communication skills.
  • Comfortable working with technology and can easily navigate new technology platforms
  • Efficiently move through a to-do list and effectively prioritize and triage competing demands.
  • Passion for connecting individuals with excellent care.

7. BA in Health Services Coordination with 2 years of Experience

  • Current CA RN licensure
  • Experience in Cancer Care and Treatment.
  • Experience in Training or certification in patient navigation or willing to successfully complete training in patient navigation.
  • Good presentation and computer skills.
  • Experience in educating and/or navigating adults one-on-one and in larger groups.
  • Comfortable in dealing with death and dying.
  • Ability to deal with people in extremely stressful situations.
  • Associate degree and CDP credential 
  • A willingness to obtain a CDPT credential
  • Current Automotive Insurance and CPR certification
  • Experience with case management or care coordination 
  • Experience with clients with substance use disorder
  • Experience with clients with mental illness

8. BA in Health Education with 4 years of Experience

  • A high level of personal accountability and ability to work independently
  • Ability to be flexible in an ambiguous and dynamic environment
  • A service orientation and a “can do” attitude
  • A willingness to learn on own and take initiative
  • Bias for action with a solution-oriented approach
  • Strong communication skills
  • Experience To Drive Change and BSN
  • Registered Nurse with licensure or eligibility for licensure in the state of Indiana
  • Experience in a setting that includes a collaborative, iterative process of assessing, diagnosing, planning to achieve mutually agreed upon patient goals, implementing interventions, and evaluating progress toward goals
  • Strong communication and relationship skills with demonstrated success partnering with providers and other members of healthcare teams that support wellness and prevention
  • Competency and comfort with technology including the Microsoft suite of products and a variety of electronic health records

9. BS in Community Health with 1 year of Experience

  • Experience in a direct health care setting (including either physical or virtual care)
  • Active RN compact license or RN license in the state of Illinois.
  • Knowledge of mental health community resources and providers.
  • Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions.
  • Ability to use various software programs on different standard operating systems
  • Ability to learn quickly.
  • Ability to communicate clearly and professionally in a range of circumstances.
  • Ability to handle stressful situations.
  • Ability to work independently.
  • Strong sense of shared mission and collaborative mindset.
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