Social Care Navigator
4 weeks ago
At Virginia Garcia Memorial Health Center, we are committed to providing high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties. We are seeking a skilled Social Care Navigator to join our team.
Job Summary:The Social Care Navigator will work as an integral part of our Behavioral Health and Medical Home Services Department to assess and address patients' needs related to their resilience, ability to access outpatient services, and social determinants of health. This individual will provide skills training and case management services, linking patients to needed community resources through their work on medical and BHMH teams to coordinate services and care that address their medical, mental health, and/or other psychosocial needs.
Key Responsibilities:- Function as an integral part of the BHMH Team, attending huddles, team meetings, and coordinating services with team members for complex patients.
- Assess patients' social determinants of health and health literacy, utilizing screening tools and questionnaires to assess the patient's living situation, health literacy, safety, cognitive abilities or status, history of or current substance misuse, physical, mental or sexual abuse, intimate partner violence, and mental health needs.
- Gather and maintain information, resources, and accessible services of community agencies, local and state organizations, acting as a liaison with outside agencies.
- Build a supportive relationship with patients to improve patients' utilization of necessary and appropriate primary care, mental health, and social services, in order to improve the patients' health status and health outcome.
- Use motivational interviewing to assess and positively affect the patient's level of engagement in their care and confidence in their ability to carry out a self-management plan.
- Participate with the team in developing a comprehensive care plan.
- Communicate with the primary care team, documenting all contacts with patients in the EHR (EPIC) in a timely manner and communicating in person or by phone as needed.
- Bachelor's degree in a relevant field or minimum four years of college education, preferably in psychology, social work, human services, or health-related field required, or equivalent combination of education and experience.
- Meet criteria for QMHA in the state of Oregon (requires a bachelor's degree in behavioral health or alternatively a combination of three years of relevant education and occupational experience).
- Training in Motivational Interviewing, skills training, and case management preferred.
- Current CPR certification.
- Experience with group facilitation.
- Prior EMR experience preferred.
- Accountability: Role model VG's mission, vision, and shared values.
- Customer-Focus: Listen to the voice of the customer and strive to delight them by exceeding their expectations.
- Teamwork: If someone needs help, help them.
- Initiative: Be innovative, apply fresh ideas, and continuously improve how you do your work.
- Confidentiality: Maintain strict confidentiality and respect the privacy of others.
- Ethical: Demonstrate integrity, honesty, and stewardship in all encounters at work.
- Respect: Demonstrate consideration and appreciation for co-workers and patients.
- Communication: Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others.
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