Health Navigator (6561)

Schedule/Hours: M - F 8:30 a.m. - 4:30 p.m. (35 hours per week)

This position is responsible for:

Provides subject matter expertise in evaluating, supporting and coordinating healthcare and care needs assisting clients in gaining access to health care through community resources, supporting health care plans by identifying and resolving barriers to care and providing education on OnMEd Care Station Services and other related wellness related topics. Health Care Navigator will not provide direct health care services. Navigators are not health care providers and do not deliver direct patient care. Navigators will not provide mental health counseling or make treatment recommendations.

Key responsibilities:

Specialized Care Coordination (30%)

• Provides comprehensive case management and care coordination across episodes of care; serves as a health coach by proactively supporting the patient; coordinate follow-up actions and return visits; explains OnMEd Care Station services.
• Conducts assessments of the patient in collaboration with the interdisciplinary treatment team. The purpose of the assessment is to understand the patient's situation, potential barriers to care, the causes, and the impact of such barriers on the patient's ability to access and maintain health care services. The assessment should highlight the patient's strengths, limitations, risk factors, and internal/external support and service needs to optimize the patient's ability to access and maintain health care services. The initial assessment will be completed as specified by policy. An assessment may be accomplished through virtual technology.
• Conducts home visits or community-based with patients when appropriate to assess barriers to care, provide education, and support access to healthcare services and community resources.
• Assist patients in accessing community resources, benefits, and supportive services including medical appointments, social services, housing support, and community programs designed to enhance health and stability.

Health Care Team and Communication (30%)

• Works closely with patients to assist them in communicating their preferences in care and personal health-related goals.
• Participates in the development of the patient's care plan with primary emphasis on community services, outreach, and referrals needed for the patient. Regularly reviews care plan goals with the patient, conducts regular non-clinical barrier assessments, and provides resources and referrals needed to support adherence. Evaluates the effectiveness of the resources and referrals provided and makes appropriate modifications to ensure the provision of high-quality care and interventions. Monitors patient's progress, maintains comprehensive documentation.

Administrative Duties and Systems Improvement (15%)

• Participates in expanding the knowledge related to health care navigators.
• Identifies systemic barriers within the organization, communicates with organizational leadership about these barriers, and works collaboratively to find viable solutions.
• Assists in developing policy, procedures, and practice guidelines related to the specialty program using knowledge gained from research or best practices.
• Develop relationships with community leaders, Center of Hope staff, and other referral networks.

Health Education (15%)

• Assists in identifying health education needs and provides education services and materials that match the health literacy level of the patient.
• Provides education to patients regarding health conditions, medication adherence, preventative health practices, and healthy lifestyle choices to improve overall wellness and support care plan goals.
• Provides ongoing education support as needed to patients; assists in identifying community resources to prevent disease and promote self-care.

Other Responsibilities: (10%)

• Ensures the best possible care and collaborates with other staff involved in providing care.
• Adheres to ethical principles about confidentiality, informed consent, compliance with relevant laws, and agency policies (e.g., critical incident reporting, HIPPA, etc.).
• Perform other duties as assigned.

Physical Requirements and Working Conditions:

• Ability to apply complex procedures requiring independent judgment.
• Ability to speak with medical professionals and arrange care coordination meetings on behalf of clients.
• Ability to prepare, organize, and prioritize reports and complete extensive paperwork.
• Ability to maintain accurate records and prepare report/required documentation.
• Ability to maintain the confidentiality of all information associated with the job.
• Ability to follow instructions and work independently with limited supervision.
• Ability to interpret and enforce departmental policies and procedures in a tactful and courteous manner.
• Ability to coordinate services and communicate effectively with providers and community partners.
• Ability to build and maintain effective working relationship with residents, staff, healthcare providers, and community agencies.
• Work is performed in a normal office environment where there are little or no physical discomforts associated with changes in weather or discomforts associated with noise, dust, dirt, and the like
• Work may be performed indoors and occasionally require outdoors to attend meetings. There is low to moderate noise level for this position.
• The position requires travel over a multi-county region and is required to spend up to 2 hours at a time conducting a vehicle.

Employee Benefits

• Medical, Dental and Vision Insurance
• Paid Time Off (PTO) and Holiday Pay
• Life Insurance
• Retirement Plans and more!
• Bachelor's degree in social work or health care administration, or a related field with a LCSW, Master's level social worker or equivalent education and experience preferred. AND
• At least one year's experience in performing client outreach, care coordination, and navigation in community health, social services, public health, or related setting. Experience providing patient/resident education and supporting telehealth or clinic workflows preferred. OR
• An equivalent combination of education and experience to perform the job.

LICENSES AND CERTIFICATIONS:

• Certified Community Health Worker (Community Health Worker Certification)
• Valid State Driver's License

Equal Opportunity Employer: Veterans | Disabled