Adult Integrated Health Navigator

JEWISH FAMILY AND CHILDRENS SERVICE INC•Phoenix, AZ

8d•$22 - $23•Hybrid

About The Position

The Adult Integrated Health Navigator provides coordination for one-on-one primary care services and behavioral health services for clients. This role establishes relationship bonds that encourage clients to live and work well, and coordinates primary care with healthcare providers and other professionals as necessary to promote whole person care. The navigator observes and removes barriers to accessing and actively participating in health care services for clients, such as transportation, insurance, and health literacy. They coordinate and provide referral services to address social determinants of health that may be impacting member health outcomes and obtains pertinent resource materials for clients, conducting SDOH screenings as necessary. The role also coordinates primary care services for preventive care, chronic condition management, and diagnosis, treatment plans, and follow-up with healthcare providers. Additionally, the navigator coordinates and connects service interventions on behalf of clients, provides non-clinical support services like client advocacy and education, and communicates with providers regarding client conditions and recovery strategies. They work with members and providers to develop health and wellness treatment goals using SMART Goals and collaborate with the treating team to share member health information under an integrated care model. Transportation for medical appointments is also coordinated. The position involves participating in staff meetings, inquiring about cultural preferences impacting health, and assisting in coordinating primary care or other supportive services with JFCS staff or external parties. Communication with various departments and staff is essential for coordination and follow-through. Other duties as assigned.

Requirements

BACHELOR’S DEGREE, AND/OR ASSOCIATE DEGREE OR HIGH SCHOOL DIPLOMA WITH ONE YEAR OF HEALTH CARE OR BEHAVIORAL HEALTH EXPERIENCE. EDUCATION MUST BE FROM AN ACCREDITED ORGANIZATION AND VERIFIED BY 3RD PARTY.
COMPUTER PROFICIENCY
GOOD COMMUNICATIONS SKILLS ORALLY AND IN WRITING
LEVEL 1 FINGERPRINT CLEARANCE CARD FROM AZ DPS WITHOUT ANY RESTRICTIONS
AZ DRIVER’S LICENSE
AZ AUTO INSURANCE
MVR REPORT THAT MEETS JFCS POLICY STANDARDS
MUST BE ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB INCLUDING PROLONGED SITTING AND IN CERTAIN POSITIONS DRIVING, LIFTING 20LBS, WALKING, STANDING AND EXECUTING DEXTERITY WITH A KEYBOARD OR SMART PAD.

Responsibilities

Provides coordination for one‐on‐one primary care services and behavioral health services for clients
Establishes relationship bonds that encourage clients to live and work well
Coordinates primary care with healthcare providers and other professionals as necessary to promote whole person care.
Observes and removes barriers to accessing and actively participating in health care services for clients (such as transportation, insurance, health literacy, etc.)
Coordinates and provides referral services to address social determinants of health that may be impacting member health outcomes and obtains pertinent resource materials for clients, conducts SDOH screenings as necessary.
Coordinates primary care services for preventive care such as well/annual visits and wellness screenings for cholesterol, diabetes, heart disease, asthma, and cancer
Coordinates healthcare and supportive services to support the member in management of chronic conditions such; diabetes, hypertension, smoking cessation, weight loss and other healthy living support care. Supports the primary care provider, treatment team and the member in closing Care Gaps within HEDIS measures
Coordinates primary care services for diagnosis, primary care treatment plans and follow‐up with health care providers
Coordinates and connects service interventions on behalf of clients and provides non‐clinical support services such as client advocacy and client education support
Communicates with primary care and other healthcare providers regarding client medical and mental health conditions and strategies for recovery and informs clients of proposed treatment plans
Works with the member and healthcare providers to develop health and wellness treatment goals for the Integrated Service Plan, using SMART Goals
Coordinates with the treating team to gather and share member health information under an integrated care model to improve member healthcare outcomes (such as population health data, Health Information Exchange, hospital alerts, EMR, team clinical staffing’s, etc.)
Transport or coordinates transportation for clients for medical appointments
Participates in site based staff meetings
Will inquire about the client’s cultural preferences and how that impacts health and wellness needs.
Assists in coordinating primary care or other supportive services with appropriate JFCS staff or external parties to ensure the clients whole health is addressed.
This position will communicate with Community Relations and Patient Advocate, Care Manager, Health Promotion or other staff as necessary to ensure coordination and follow-through for clients needing primary care services.
Performs other duties as assigned