LPN Health Navigator – Behavioral Health

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Identify, facilitate, and secure access to healthcare, social service benefits, and community resources.

• Assist members in navigating efficient and effective care pathways.

• Coordinate appointments and arrange transportation for both physicians and non-physician providers.

• Handle incoming calls, make outgoing calls, and respond to voicemail inquiries.

• Assess and identify the medical, behavioral, social, emotional, and financial needs of members.

• Connect high-risk members with suitable community resources and provide health education.

• Develop relationships with members, families, and caregivers while offering support towards healthcare objectives.

• Provide emotional assistance and refer members for more intensive psychosocial interventions when necessary.

• Complete educational sessions, interventions, surveys, and assessments for members.

• Offer condition-specific education, medication adherence support, preventive care advice, and assistance with health benefits navigation.

• Address care gaps, reinforce provider care plans, and advocate for evidence-based practices.

• Collaborate with interdisciplinary teams to enhance quality outcomes and improve member experiences.

• Identify and report any quality-of-care concerns.

• Ensure member confidentiality is maintained.

• Document activities of care navigation in the care management documentation system.

• Attend company and departmental meetings, as well as training sessions.

• Retrieve and assign referrals and complete monthly reconciliation reports.

⛳️ Requirements

• Minimum of three (3) years of recent and relevant experience in health and wellness promotion, inpatient, or another appropriate clinical setting.

• Preferred experience in Behavioral Health.

• Patient Navigation certification is preferred or must be obtained within one year of employment.

• Active Licensed Practical Nurse license or degree in a healthcare-related field with three years of directly related experience.

• Strong critical thinking and problem-solving abilities.

• Excellent skills in written and oral communication, active listening, and organization.

• Proficiency in Microsoft Office Suite.

• Ability to utilize a computer system while engaging in telephonic conversations.

• Strong customer service skills, demonstrating tact and diplomacy.

• Capable of prioritizing tasks and completing responsibilities accurately and in a timely manner.

• Ability to work independently and collaboratively within an interdisciplinary team.

• Knowledge of medical, behavioral, and social systems.

• Familiarity with NCQA standards, DMAA standards, CMSA Standards of Practice, Act 68, and CMS regulations.

• Understanding of medical treatment modalities and best practice guidelines.

• Knowledge of adult learning principles, motivational interviewing, and intrinsic coaching techniques.

🏝️ Benefits

• Medical, Dental & Vision coverage.

• Retirement Plan.

• Paid Time Off.

• Holidays.

• Volunteer time off.

• Incentive Plan.

• Tuition Reimbursement.

• Flexible work environment.

• Training and continuing education opportunities.

• Community volunteering opportunities.