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About the Role
As a JASA GUIDE Care Navigator, you will deliver Montefiore’s Guiding an Improved Dementia Experience (GUIDE) program in the community. You will provide comprehensive care navigation, disease management education, medication reviews, and access to respite care for Medicare beneficiaries living with dementia and their caregivers, helping seniors maintain their quality of life.
Responsibilities
- Conduct targeted outreach to enroll eligible Medicare beneficiaries and maintain ongoing program engagement.
- Complete comprehensive assessments to help build and update individualized care plans for participants and caregivers.
- Conduct clinical medication reviews to identify concerns/barriers; educate caregivers on dementia progression, symptom management, and medication adherence.
- Coordinate medical, behavioral health, social services, home care, transportation, and respite care options.
- Provide support via home visits throughout the service area (Bronx and Westchester), as well as virtually, by phone, or in clinical settings.
- Monitor participant needs, communicate clinical changes promptly to Montefiore/JASA team members, and participate in case conferences and supervision.
- Maintain accurate, timely records in electronic health record (EHR) systems to support quality improvement and program reporting.
Requirements
- International Medical Graduate (IMG) required.
- Must be fluent in both English and Spanish.
- Strong clinical knowledge with the ability to review medications, explain disease progression, and deliver disease management education.
- Ability and willingness to conduct home visits throughout the Bronx and Westchester.
- Experience working with older adults, individuals living with dementia, caregivers, or clients with complex medical/social needs is preferred.
- Proficiency with Electronic Health Record (EHR) systems and standard computer applications; exceptional documentation and organizational skills.
Skills
- Care navigation
- Disease management education
- Medication reviews
- Care coordination
- Electronic Health Record (EHR) systems
- Documentation
- Organizational skills
Location
- Bronx
- Westchester
Work Type
- Community outreach
- Home visits
- Virtual
- Clinical settings
Education Level
- International Medical Graduate (IMG)
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Employee Wellness Programs
- EAP
- 403(b) plan with Roth option
- Employer-funded pension
- Four weeks of vacation
- Holidays
- Floating holidays
- Sick days
- Specialized clinical training
- Career growth opportunities
About the Company
- JASA is one of NYC’s largest and most trusted nonprofits serving older adults.
- Our dedicated professionals help improve the lives of thousands of seniors through impactful, mission-driven work.
- Work at the intersection of healthcare and community support through an innovative partnership with Montefiore Health System.
Equal Opportunity
- JASA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other protected classification under federal, state, or local law.
- SUBJECT TO REVIEW FOR PURPOSES OF ADAAA