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Patient Navigator

3 months ago

Minneapolis, United States Native American Community Full time
Job DescriptionJob Description

SUMMARY

The Patient Navigator plays a crucial role in providing comprehensive support to clients in our daily dosing program in obtaining and maintaining stable housing, accessing education and jobs, and increasing awareness and access to healthcare, case management, and chemical health services. The core focus of this role includes supporting clients in all aspects of daily living, such as driving them to appointments, food shelves, and other necessary destinations. The Housing Case Manager assists patients with barriers to housing, including health insurance, transportation, and physical/mental/ and spiritual health. Utilizing strong communication and interpersonal skills, the Housing Case Manager works as part of a dynamic, integrated team of healthcare professionals. Our ideal candidate will embrace challenging cases, leveraging their problem-solving skills to remove barriers, connect patients to services, and improve quality of life.

DUTIES AND RESPONSIBILITIES:

  • Collaborate with providers on external and internal referrals as deemed necessary (e.g., case management via Behavioral Health Home or Target Case Management) and track and monitor outcomes.
  • Partner with other NACC care coordinators and support staff to meet the needs of clients and share resources.
  • Refer clients for Screening, Brief Intervention, and Referral to Treatment (SBIRT; SAMHSA evidence-based practice) assessment process that may lead to a chemical health assessment and referral to treatment.
  • Participate in outreach, including community health fairs, events, and expos, to share information, promote services, and improve community health.
  • Assist uninsured patients in enrolling for medical insurance and maintain up-to-date community resources.
  • Maintain current community resource information in an organized and accessible format, including insurance, pharmacy, traditional healing, counseling, housing, tribal enrollment, transportation, and food assistance.
  • Assess clients' needs and assist with access to necessary social services and healthcare, including chemical health treatment.
  • Advocate for patients and promote community health needs.
  • Assist individuals with applying for housing, resources, funding, and services; provide education and training to increase their ability to maintain housing.
  • Provide education and training on tenant rights and responsibilities, and support clients with referral to or completion of benefit applications.
  • Manage data entry and utilize the Homeless Management Information System (HMIS) and Coordinated Entry System to house individuals.
  • Conduct GPRA interviews and 6-month follow-ups.
  • Coach dosing clients in developing living skills strategies to increase self-empowerment.
  • Provide active case management support, including driving clients to appointments, food shelves, etc.
  • Support clients in achieving housing stability by providing assistance in all aspects of daily living, including resume and job-seeking support, treatment coordination, spiritual and mental health, and physical health.
  • Track the number of housing applications completed, participants housed, participants who received financial support, those who completed GED or training programs, and those who gained employment.

SUPERVISORY RESPONSIBILITIES:

This job has no supervisory responsibilities.