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Community Health Center of Cape Cod Patient Navigator in North Falmouth, Massachusetts

The Patient Navigator (PN) plays a key role by providing resource support to patients as they navigate the health care system. The PN is a member of the health center\'s primary care team, and partners closely with different providers, patients, and outside organizations. He/she is responsible for increasing patients\' access to health care and community resources/social services, facilitating communication between patient and care teams; and providing culturally appropriate health education and self-management support. Key Responsibilities: Coach patients in effective management of their chronic health conditions and self-care Assist patients in identifying the barriers to health that they identify and prioritize Document activities, care plans, and outcomes in an effective manner consistent with organization\'s policies and procedures Provide ongoing follow-up, basic motivational interviewing and goal setting with patients Build and maintain positive working relationships with clients, providers, supervisors, and staff Continuously expand knowledge and understanding of community resources, services and programs provided Calling and tracking patients who are overdue for a visit, or have missed a visit Confirming access to appointments Arranging to add interpreters to telehealth visits, if needed Assisting patients in scheduling visits and provide guidance on visit requirements Providing education for patients on-request by providers Providing community-based education through outreach and engagement with local, community-based organizations Screening patients for social determinant of health and be knowledgeable to refer to community resources Responsible for maintaining registries of patients for outreach Attend team meetings Qualifications Requirements/Qualifications: Any combination of 3-years health/social services experience preferably in a healthcare or community-based organization. Fluency in Portuguese is a plus. Creativity, flexibility, sound judgment, and ability to take initiative. Strong communication and writing skills Excellent time management and organizational skills Demonstrated ability to work as an effective team member in a complex and fast-paced environment. Excellent interpersonal skills and demonstrated ability to interact professionally with culturally and educationally diverse staff and clients Verifiable good driving record and reliable transportation Demonstrated technical experience with Microsoft Word, Excel (or similar databases), and Internet Explorer Positive attitude and open to changing environment.

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