The Systems Navigator (Behavioral Health Homes Registered Nurse) takes the lead in conducting assessment and planning for Behavioral Health Home Services, meeting with each member as necessary to assess needs, review progress, make and assist with referrals, and provide health and wellness education, direct support and advocacy for individuals served. With members, identify potential needs and barriers to accessing necessary services and arrange for necessary supports (arranging transportation, attending with, advocating on behalf of individuals, or teaching self-advocacy skills).