Health Navigator - Frontier and LIFT Clinics
Health Navigator - Frontier and LIFT Clinics
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Job Description
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
SummaryResponsible for assisting patients in navigating the healthcare system including coordinating care providing education and connecting them with appropriate resources. Ensures patients understand their treatment options and supports them in overcoming barriers to care with a focus on improving health outcomes and patient satisfaction.
Does this position require Patient Care
Yes
Essential Functions
-Guide patients through the healthcare system by coordinating appointments referrals and follow-up care.
-Provide education to patients on available health services treatment plans and preventative care options.
-Collaborate with healthcare providers social workers and community resources to support patient care needs.
-Assist patients in understanding their insurance coverage benefits and potential costs for services.
-Identify and address barriers to care including transportation financial concerns or lack of access to resources.
-Support patients in managing chronic conditions by providing health education and connecting them to relevant services.
-Document patient interactions care plans and outcomes in accordance with hospital policies and regulations.
-Advocate for patients needs within the healthcare system to ensure they receive timely and appropriate care.
The Department is seeking a dedicated and compassionate Health Navigator to support our Long-term Individualized Follow-up after Transplant (LIFT) and Frailty Obesity and Nutrition in Transplant (FRONTieR) programs. This role is essential in engaging with patients to improve health outcomes promote wellness and provide comprehensive care coordination before and after transplant. The position combines administrative clinical and health navigating responsibilities to optimize patient care.
Qualifications
Education
Bachelors Degree Health Administration required and Bachelors Degree Social Work required and Bachelors Degree Related Field of Study required
Can this role accept experience in lieu of a degree
No
Licenses and Credentials
Experience:
Experience in care coordination case management or patient advocacy 2-3 years required and Experience working with a broad patient population and understanding of community health resources 2-3 years preferred
Knowledge Skills and Abilities:
- Strong interpersonal and communication skills to effectively engage with patients families and healthcare providers.
- Knowledge of healthcare systems insurance processes and community health resources.
- Ability to work independently and manage multiple patient cases simultaneously.
- Problem-solving skills to identify and address barriers to care.
- Empathy and cultural sensitivity when working with patients from various backgrounds.
Key Responsibilities:
Patient Coordination & Administrative Duties:
Serve as the primary point of contact for patients in the LIFT and FRONTieR programs.
Manage incoming referrals contact new patients explain program pathways and coordinate scheduling.
Maintain clinic calendars appointment schedules and provide timely appointment reminders.
Attend in-person clinics (LIFT Tuesday mornings; FRONTieR Friday mornings) to assist with clinical operations.
Perform patient assessments including InBody Scans and Frailty Testing.
Conduct follow-up calls after clinic visits to assess barriers to care confirm treatment plans and coordinate follow-up needs.
Provide ongoing support including 2-week post-appointment check-ins to address clinical referral or resource needs.
Facilitate care coordination among transplant post-transplant and other relevant departments within MGH.
Assist with patient admissions discharge planning and communication with inpatient and outpatient teams.
Distribute program announcements support patient group sessions and troubleshoot patient access or scheduling concerns.
Track and monitor clinical tests (e.g. PEth orders) and communicate relevant updates to the care team.
Maintain accurate documentation in EPIC and update resource databases and clinic spreadsheets.
Health Coaching & Patient Empowerment:
Provide individualized health coaching to support behavior change lifestyle modification and wellness promotion.
Utilize evidence-based approaches such as Motivational Interviewing (MI) and SMART goal setting.
Empower patients to develop problem-solving skills and take actionable steps toward their health goals.
Facilitate Virtual Group Visits (VGVs) and engage in sensitive health-related discussions with empathy and professionalism.
Connect patients to internal and community resources including wellness programs behavioral health recovery services and transportation support.
Data Collection & Program Development:
Collect and manage patient-reported outcome measures (PROMs) and survey data.
Support clinical research activities including data coding IRB submissions and study coordination.
Contribute to ongoing quality improvement initiatives within LIFT and FRONTieR clinics.
Collaborate with clinical teams to optimize program operations and enhance patient experience.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Employment Type
Full-Time
