Guide Care Navigator

Homedica House Calls is seeking a Part-time Guide Care Navigator in Baton Rouge, Louisiana

Why Join Us?

At Homedica, we invest in our people through an Employee Stock Ownership Plan (ESOP) — a unique benefit that makes you a true employee-owner.

As part of our team, you’ll receive company stock at no cost to you, with benefits that include:

• Building long-term wealth for your future
• Enjoying a retirement benefit you don’t pay for
• Sharing directly in the success you help create every day

POSITION SUMMARY:

The GUIDE Care Navigator is responsible for coordinating care for patients enrolled in the CMS Guiding an Improved Dementia Experience (GUIDE) Model. This role manages a panel of dementia patients and caregivers, ensures compliance with CMS program requirements, and supports care coordination, quality reporting, and patient engagement.

As a Guide Care Navigator with our team, you will play a crucial role in enhancing the lives of our patients with dementia and their families through comprehensive care coordination.

We offer competitive compensation, cell phone allowance, complete benefits package including health, dental, vision and life insurance, paid time off (PTO), opportunities for professional growth, and a supportive work environment where your contributions are valued.

QUALIFICATIONS:

• Two (2) to three (3) years of healthcare experience required; case management, primary care, home health, hospice, or geriatrics preferred

• Nurse, Social Worker, or Counselor preferred, but not required

• Strong organizational skills with ability to prioritize in a fast-paced environment

• Professional handling of confidential and sensitive information

• Strong communication skills with interdisciplinary teams

• Proficiency in Microsoft Office (Excel, Outlook, Teams) and general computer systems

ESSENTIAL JOB FUNCTIONS:

Patient Identification & Enrollment

• Identify and outreach eligible patients for GUIDE program participation

• Educate patients and caregivers on program benefits

• Provide and document CMS-required beneficiary notifications

• Facilitate enrollment and submit required forms to CMS

• Manage patient consent and data-sharing preferences

Care Coordination

• Manage an assigned panel of GUIDE beneficiaries

• Conduct required monthly patient or caregiver contacts

• Track and update patient acuity tiers and caregiver status

• Communicate patient status to primary care providers and care teams

• Support care planning and follow-up on identified needs

Program Compliance & Reporting

• Maintain accurate patient rosters and census reporting

• Track patient counts for PMPM/DCMP billing

• Submit quality and program data to CMS dashboards

• Monitor patient movement including enrollments, disenrollments, and tier changes

• Maintain practitioner roster and service area tracking

Interdisciplinary Team (IDT)

• Facilitate and coordinate IDT meetings

• Collaborate with providers, social workers, and care teams

• Ensure communication and execution of care plans

Training Requirements

• Complete required dementia care training (didactic and experiential)

• Pass required competency assessments

• Complete ongoing annual training requirements per CMS guidelines

Other Duties

• Perform other duties as assigned

PHYSICAL DEMANDS:

• Frequent speaking, listening, and computer use

• Visual acuity for documentation and data entry

• Repetitive motion activities

• Occasional bending, lifting, stooping, and walking

• Possible local travel for meetings or training

WORK SCHEDULE:

Part-Time position with flexible scheduling based on program needs

Join a dynamic healthcare team dedicated to providing compassionate hospice and palliative care services to our community. We are committed to excellence in patient care and support, ensuring each individual receives the highest quality of life in their journey.

If you are passionate about making a meaningful difference in healthcare and meet the qualifications listed above, please submit your application today. We look forward to hearing from you!

The Carpenter Health Network is an equal opportunity employer committed to diversity and inclusion in all aspects of recruiting and employment.

Make a difference in the lives of others — and your own — with Homedica House Calls. Apply today!