Care Navigator I

Join Our Team and Make a Difference!

Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you are part of our care coordination team or play a supporting role, the work our colleagues do every day enables us to collectively reach our mission of getting people the care they need when they need it. By staying committed to our core values of Think Big, Go Fast, Deliver Awe, Win Together and Care Deeply,we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life.

Salary Range:

This compensation range considers a wide range of factors, including, but not limited to, skill set, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate is not adjusted for geographic differential associated with the location where the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decisions are dependent on the facts and circumstances of each case.

What We Provide in Return for Your Commitment to Our Mission
We offer a vast array of benefits to help support the whole you, including:

• Remote Work: We are a remote-first company, and almost all positions receive the flexibility of working from home.
• Generous Time Off: Besides 8 company holidays and 2 personal days every year, all colleagues receive a minimum of 18 days of paid time off.
• Comprehensive Benefits Package: Including medical, dental, vision, and pet insurance; 401(k) matching program; and company-paid life insurance and short and long-term disability coverage.
• Supportive Services: Just like our colleagues get injured workers the care they need when they need it, we want to do the same for our colleagues in their time of need. We offer a Colleague Assistance Program that provides free counseling and financial services, and our One Call Foundation, a non-profit arm of our company, provides colleagues financial assistance during times of unexpected hardships.

JOB SUMMARY:

This role is an internal case management support to ensure that One Call customers are being provided the best continuum of care for their injured workers. This associate will work with all business units to ensure that services are provided timely and at the best cost based on the clinical needs of the injury/injured worker. Provides support to the carrier in coordination of injured workers until the case is closed by the carrier and/or discharged by the physician.

GENERAL DUTIES & RESPONSIBILITIES:

Analysis and Review 70%

• Management of work-related injuries which includes assessment planning coordination implementation and evaluation of injured worker

• Initial review of a referral includes conducting a customer call that provides an overview of injured worker needs the plan of care and steps being taken to mitigate injured worker health care needs

• Determines injured worker needs by completing interviews; reviewing documentation collaborating determining need for area of evaluations; reviewing evaluations treatment objectives and plans.

• Establishes treatment programs by setting schedules and routines; coordinating services being provided; arranging resources including transportation and escorts.

• Monitors cases by verifying clients’ attendance; observing and evaluating treatments and responses; advocating for needed services and entitlements; obtaining additional resources; intervening in crises; providing personal support.

• Reviews records by reading discipline notes; internal documentation medical records and logging events and progress.

Collaboration 10%

• Accomplishes injured workers care by assessing treatment needs; developing monitoring and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring provider performance

• Communicates clients’ progress by conducting meetings and evaluations; disseminating results and obstacles to therapeutic team customer and injured worker; identifying treatment influences.

• Collaborates with appropriate One Call department(s) of referrals requiring their expertise.

• Improves staff competence by providing educational resources; balancing work requirements with learning opportunities; evaluating the application of learning to changes in treatment results.

• Prepares injured worker discharge by reviewing and amplifying discharge plans; coordinating discharge and post-discharge requirements; orienting and educating family members; providing resources.

Process improvement/Problem Solving 10%

• Improves treatment results by studying evaluating and re-designing processes; implementing changes;

• Prepares reports by collecting analyzing and summarizing treatment and results data and trends; compiling statistics;

• Monitors referral expenses; implementing cost-saving actions.

Development 10%

• Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.

• Enhances department and organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

• Assists in training new associates as requested by Nursing Department Training Leader.

• Performs special projects as assigned and prioritized by management.

• Improves staff competence by providing educational resources; balancing work requirements with learning opportunities; evaluating the application of learning to changes in treatment results.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

• R.N. L.P.N. or M.A. with a minimum of two (2) years of experience or the equivalent combination of One Call processes and education

GENERAL KNOWLEDGE SKILLS & ABILITIES:

• Knowledge of the company’s products services and business operations to enable resolution of customer inquiries

• Excellent customer service skills that build high levels of customer satisfaction

• Excellent communication skills- written verbal and interpersonal

• Computer navigation and operation skills

• Demonstrates effective people skills and sensitivities when dealing with others

• Ability to work both independently and in a team environment

• Excellent organization and timeline adherence skills

• Ability to analyze information

• Ability to make decisions based on injured worker medical need and customer request

• Excellent research skills

• Ability to resolve conflict

PHYSICAL/EMOTIONAL DEMANDS & WORK ENVIRONMENT:

• For roles located in office or home settings; this job is primarily sedentary and may involve repetitive motions; the employee is regularly required to sit use hands and fingers speak and hear.

• For roles located in the field; this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving) sit use hands and fingers speak and hear.

• The employee is occasionally required to stand walk and lift objects (up to 10lbs weight; up to 4 ft. height).

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We are an equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, nationality, disability status, protected veteran status, or any other status protected by law.

Originally posted on Himalayas