Health Navigator

We are seeking a dedicated Health Navigator to assist us in the coordination of client treatment both at our facility and with other health care community providers. This position will be responsible for consulting with clients and determining their health care needs, developing care plans, coordinating clients’ health care services, educating them about their condition, and working with the care team to evaluate interventions.
The successful applicant will display a compassionate nature, be knowledgeable about health care practices, and provide exceptional customer service.

Essential Responsibilities and Target Outcomes:

• Meet clients upon Intake and assess their health needs via a thorough interview and medical questionnaire; use the information gathered in that Intake assessment to create a treatment care plan that reinforces positive health behaviors, identifies; and
• Connect clients with medical homes consistent with the needs of the client and the criteria of the primary care provider (CHI, Open Doors, Good News Care Center and Jackson Health)
• Create and/or edit procedures to ensure that clients meet the eligibility requirements of the primary care provider
• Inures that all documentation and follow up instructions from the primary care provider are uploaded to NHC client chart
• Coach clients through the process to encourage their own positive health behaviors as they move toward a self-management role in their own healthcare needs, providing technical and skill-based support as needed.
• Link clients to the Homestead Hospital Follow-Up Care Clinic if the client is subsequently admitted to the ER despite the program process to further expedite their acceptance into charity clinics supported by BHSF (Open Doors, Good News Care Center).
• Ensure that the entire Patient Navigator process will be directed in compliance with the WRAP/WHAM best-practice model.
• Identify medical homes for New Hope’s residential treatment population (approximately 165 of 300 patients annually) as measured by the number of patients who are assessed by a permanent physician and secure ongoing medication supplies as recommended in their treatment plans.
• Increase coordination with Baptist Health Systems and Homestead Hospital ER/Follow-Up Care Clinic staff to help them get their patients added to the waitlist for residential treatment beds by performing Assessments required by SFBHN to put them into the existing Continuum of Care for eligibility determinations and placement in other beds funded by SFBHN (at New Hope and other treatment facilities.)
• Ensures that all clients funded through SFBHN have undergone required physical, ppd, medical questionnaire, STD, and HIV test, and that documentation is uploaded in NHC client chart
• Assist clients in obtaining the resources to meet their ongoing medication needs through the above-mentioned providers or Patient Assistance Program applications coordinated by the Patient Navigator and primary care providers.
• Receive and track outpatient and residential referrals from Baptist Health Systems.
• Maintain and establish a relationship with the point of contact (social worker) from the Baptist emergency room
• Educate clients about their condition, and medication, and give them specific instructions.
• Develop a care plan to address their personal health care needs.
• Consult and collaborate with other health care providers and specialists to set up client appointments and coordinated care treatment plans.
• Check in on the client regularly, evaluate and document their progress.
• Assist the care team with developing and assessing health interventions.
• Attend ongoing training and courses to keep abreast of new developments in health care.
• Assist clients to avoid unnecessary visits to hospital emergency rooms.
• Treat clients with empathy and respect and conduct oneself in a professional manner.
• Comply with organizational guidelines, health care laws, and regulations

Education: • A BA/BS in Social Work or related field preferred but not required.
• Computer skills and proficiency in Microsoft Office.•
Credentials and Licenses: • Valid Driver's License
• LPN preferred but not required