SHS DISEASE MGMT DISEASE MGMT NAV
Chicago-IL-60290-United States
About Us:
At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.
Position Purpose:
Disease Navigators act as care coordinators, facilitating communication between the high-risk patients with chronic disease, their families, caregivers, providers and other members of the healthcare program. Outreach to patients for 7-day follow-up appointments from the ER and who may qualify for different chronic condition programs with the completion of timely Health Risk Assessments. The main focus is to offer individualized assistance to patients, families and caregivers, in order to help overcome health care system and community barriers and help facilitate consistent and timely medical care, from the initial hospitalization, through all phases of the Disease Management process.
Key Job Activities:
- Knowledge of Chicago’s West Side communities (resident of a West Side community preferred)
- Demonstrate ability to collaborate and communicate effectively in a team setting.
- Punctual, reliable, and willing to learn
- Ability to maintain effective and professional relationships with patients and other members of the care team.
- Strong interpersonal skills, communication skills and confidence and persistence in seeking out providers time to review patient progress.
- Displays high energy, empathy, and organization skills
- Ability to effectively engage patients in a therapeutic relationship, when appropriate, by telephone or face-to-face
- Ability and opportunity to work flexible hours
- Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation) and evidence-based counseling techniques (e.g. CBT or PST), when appropriate preferred
- Performs other duties as assigned.
Education and Work Experience:
- High school diploma or GED
- Experience with or ability to learn assessment tools and interventions for hypertension, diabetes and mild to moderate depression
- Experience working with underserved, transient populations preferred
- Experience working with patients who have co-occurring mental health, substance abuse, and physical health problems preferred
- Experience with screening for common mental health and/or substance use disorders preferred
Knowledge and Skills:
- Knowledge of Chicago’s West Side communities (resident of a West Side community preferred)
- Demonstrate ability to collaborate and communicate effectively in a team setting.
- Punctual, reliable, and willing to learn
- Ability to maintain effective and professional relationships with patients and other members of the care team.
- Strong interpersonal skills, communication skills and confidence and persistence in seeking out providers time to review patient progress.
- Displays high energy, empathy, and organization skills
- Ability to effectively engage patients in a therapeutic relationship, when appropriate, by telephone or face-to-face
- Ability and opportunity to work flexible hours
- Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation) and evidence-based counseling techniques (e.g. CBT or PST), when appropriate preferred
Certifications/Licenses:
Workplace Conditions:
PHYSICAL DEMANDS:
- While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
- The employee frequently is required to walk and stoop, kneel, crouch
- The employee is occasionally required to stand
- The employee must occasionally lift and/or move up to 25 pounds.
- Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus
WORK ENVIRONMENT:
- General office environment and the noise level in the work environment is usually moderate
BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:
Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible
Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens
x Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.
Benefits:
Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.
Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.
Living the Values:
- TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
- RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
- QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
- INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
- SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
- ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers
1) This is a Hybrid position. (3 days on site and 2 days' work from home). This can change at any time due to the department needs. 2) Complete monthly Health Risk assessments on new members assigned to the Medical Group. 3) Outreach to members who are low risk and have been identified as having an ER visit and/or Observation Stay 4) Assist with scheduling 7-day follow-up appointments with PCP and/or Specialists after ER/Observation Stays 5) Provide reminder phone calls for various schedule appointments 6) Contact patients who have been identified with chronic conditions to complete the applicable assessments 7) Assist patient with any SDOH issues that may be identified 8) Assist patient with adherence to existing self-management goals or development of goals 9) Present outcomes at weekly huddles for patients who have been in the ER and/or Observation Stay 10) Main timely and appropriate documentation on patient integrations, in the approve disease management record/system 11) Develop and maintain excellent working knowledge of diseases assigned and weeks information on current/future state for navigation processes and techniques 12) Develop effective working relationships with PCPs, Specialist, care team members, Administrative Leadership and Physician Champion 13) Must be proficient in Excel 14) Must have excellent computer skills
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