System Navigator

3 weeks ago


San Jose, United States Pacific Clinics Full time

Who We Serve

Pacific Clinics serves children, transitional age youth, families, adults, and older adults. We offer a full range of mental and behavioral health services, foster care and social services, housing, continuing adult education and early childhood education programs to Medi-Cal eligible individuals and families throughout Alameda, Contra Costa, Fresno, Kings, Los Angeles, Madera, Orange, Placer, Riverside, Sacramento, San Bernardino, San Francisco, Santa Clara, Solano, Stanislaus, Stockton, Tulare and Ventura Counties.

What We Offer

Pay Range: $26.44-$30.57 per hour. Compensation may vary based on skills, experience, education, and location.
Shift: 8:30 am to 5 pm.
We Offer Medical, Dental & Vision benefits, retirement options, Flex Spending, EAP, and more
Employee engagement and advocacy opportunities to advance our justice, equity, diversity, and inclusion agenda across our Agency and throughout the communities we serve.

Program Description:

Enhanced Care Management (ECM) is a program within a far-reaching, multiyear plan to transform California's Medi-Cal system, known as California Advancing and Innovating Medi-Cal (CalAIM). Led by California's Department of Health Care Services, the goal of CalAIM is to help integrate Medi-Cal more seamlessly with other social services and help improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. Customers enrolled in the ECM program receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. ECM makes it easier for customers to get the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor’s office or hospital. Come join our team, partner with managed care health plans, and change the landscape of Behavioral Health and integrated care in our state

JOB SUMMARY

Works within the vision, mission and philosophy of the agency. Exhibit behaviors consistent with the Service Principles. Demonstrates and develops supportive/coaching relationship with patients and their caregivers to help them navigate the system to support their well-being. This includes providing assistance (e.g., attending appointments, providing community linkages) and supporting education related to physical health, behavioral health, and social determinants of health. Supports whole-person care principles.

RESPONSIBILITIES AND DUTIES

  1. Works actively with the program’s other team members to develop strategies for outreachto consumers who tend to isolate themselves.
  2. In coordination with a multidisciplinary team, assist consumers in selecting services and/orprograms that will be useful in achieving their recovery and/or treatment goals.
  3. Demonstrates a commitment to consumer choice and empowerment.
  4. Demonstrates an ability to develop respectful interpersonal relationships with consumerswhile maintaining appropriate boundaries.
  5. Assists and supports consumers with identifying, linking to and appropriately utilizinghealthcare resources including the member’s primary care physician as well as specialty care providers, dental care and vision care, if applicable.
  6. Assists and supports members with establishing benefits such as Supplemental SecurityIncome (SSI), Medi-Cal and other benefits for which they are eligible.
  7. Assists and supports members with identifying their housing needs and/or resources in thecommunity to meet these needs.
  8. Assists and supports members with linking to and participating in substance abuseservices both on-site, if available, as well as in the community.
  9. Assists and supports members with linking to and utilizing education and employmentservices.
  10. Assists consumers in learning social skills and independent living skills that facilitatecommunity. Integration including budgeting, transportation and grooming and hygiene.
  11. Supports consumer’s integration into the community through social and recreationalactivities.
  12. Develop and facilitate peer support and self-help groups as appropriate to recovery/treatment goals.
  13. Helps consumers and family members identify, understand and combat stigma and discrimination associated with mental illness and develop strategies to reduce self-stigma.
  14. Increases awareness and provide linkage to self-help programs and consumer advocacyorganizations that promote recovery.
  15. Supports the vocational choices consumers make and assist them in overcoming barriersto employment.
  16. Encourages and supports members’ skills and talents.
  17. Maintains billable services consistent with program needs and funding sourceexpectations, through documentation and other required paperwork.
  18. Participates in off-site presentations introducing the program to community partners andpotential new consumers.
  19. Attends and participates in staff meetings on a regular basis to provide input towardsprogram development and staff training.
  20. Attends and participates in scheduled supervision to provide or receive input towards program development and staff training.
  21. Exhibits a non-judgmental approach to effective listening maintaining, respectful eye contact and an appropriate level of engagement.
  22. Reports to work on time and maintains reliable and regular attendance.
  23. Models the agency’s mission and core values in all communication and correspondence.
  24. Communicates effectively in a culturally competent manner with a diverse memberpopulation and promotes favorable interaction with managers, co-workers and others.
  25. Provides caregivers or other support system with information about the agency, process and procedures, and the various roles to assist them.
  26. Use their voice to direct treatment.
  27. Participates in continuous learning process as it relates to engaging consumers.
  28. Required to meet applicable productivity and documentation requirements.
  29. Assists with the design and implementation of internal and external trainings about the caregiver/support system.
  30. Holds staff accountable to service delivery principles related to the consumer/family voice, choice, access, pace and process, through sharing personal experience, engaging in team meetings and consultations with staff internally and externally.
  31. Models and coaches effective coping techniques for consumers, caregivers/support system.
OTHER JOB AND RESPONSIBILITES
  1. Practices self-care remains aware that others may be contending with stress and treats other with grace.
  2. Performs other related responsibilities, as assigned, to support specific department/business needs.


JOB SPECIFIC COMPETENCIES

  • Conflict Resolution
  • Documents Clearly and Accurately
  • Encouraging Customer Focus
  • Learning on the Fly
  • Time Management
QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to ensure individuals with disabilities to perform the essential functions.

MINIMUM EDUCATION AND/OR EXPERIENCE
  • High school diploma or GED preferred but is not required.
  • Completion of Mental Health Worker Training Course is highly desirable.
  • Position is reserved for an individual who has lived or knows someone with lived experience with mental illness or the mental health system.
HIGHLY DESIRABLE QUALIFICATIONS
  • Self-identified as a person with lived (or family) experience with mental illness and the mental health system.
  • Ability to identify recovery principles and explain their recovery process.
OTHER SPECIFIC REQUIREMENTS
  • Must possess a valid California driver's license and maintain an insurable driving record under the agency’s liability policy (if driving two or more times per week on company business) OR if driving is not required, demonstrated ability to use public transportation, if applicable.
  • National Provider Identifier (NPI) registered as a Mental Health Worker
  • Must know or quickly acquire extensive knowledge of local community resources.


Equal Opportunity Employer
We will consider for employment qualified Applicants with Criminal Histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.
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