Community Care Navigator (Part-time: 25 hours per week)
About The Position
The Community Care Navigator delivers telephonic and electronic support to individuals managing chronic health conditions and caregivers of older adults. The role provides guidance, coordination, and resource navigation; manages an assigned caseload; and supports outreach and engagement to promote awareness of and participation in services. The position provides person-centered care planning and consultation in line with evidence-based protocols and applicable federal requirements, including GUIDE. It develops personalized care strategies, including respite plans, and helps clients and caregivers address challenges related to chronic conditions and dementia by connecting them with appropriate community resources. The navigator coordinates with referral partners, colleagues, leadership, and community stakeholders, and maintains timely, accurate documentation in client record and billing systems. The role requires compliance with confidentiality, protected health information, adult mistreatment, and other applicable legal and ethical requirements. The navigator maintains knowledge of community services and referral and eligibility protocols, completes required training, maintains applicable credentials, and participates in continuing education. The work is performed in a professional office or home-office environment and may be done remotely if necessary.
Requirements
- Bachelor’s degree in social work, nursing, or a related field in aging services.
- At least three years of experience working with individuals with chronic health conditions, preferably older adults, and their family or friend caregivers.
- Prior experience working in a healthcare setting.
- Strong verbal, written, and electronic communication skills.
- Ability to work independently, prioritize tasks, and manage time effectively.
- Proficiency in Microsoft Office and ability to learn and navigate client documentation systems.
- Understanding of the needs and challenges faced by people with chronic conditions and dementia and their caregivers.
- Knowledge of relevant laws, ethical standards, and confidentiality requirements.
- Sensitivity to cultural and age-related diversity.
- Comfort delivering services and completing documentation entirely by telephone and computer.
Nice To Haves
- Current and unrestricted Ohio licensure, such as LSW.
Responsibilities
- Provide person-centered care planning and consultation by telephone and computer in alignment with evidence-based protocols and applicable federal regulations, including GUIDE.
- Develop personalized care strategies and respite plans, including for clients who have no caregiver or live alone.
- Identify challenges related to chronic conditions and dementia and connect clients and caregivers with appropriate community-based resources.
- Manage an assigned caseload and support outreach and engagement to promote service awareness and participation.
- Communicate and collaborate with referral partners to coordinate care and share information between platforms, including uploading Action Plans to EMRs and integrating health system notes into client records.
- Establish and maintain effective working relationships with colleagues, leadership, and community stakeholders.
- Complete accurate, high-quality documentation in designated client record and billing systems, such as CCIS and BenRose360, in a timely manner.
- Comply with applicable laws, regulations, and ethical standards regarding confidentiality, protected health information, and adult mistreatment.
- Maintain current knowledge of community services, referral protocols, and eligibility guidelines in the geographic regions served.
- Complete required onboarding and ongoing training, including training related to federal program requirements such as GUIDE.
- Maintain applicable licensure and certifications and participate in continuing education.
- Work independently on most clinical and administrative matters, seeking supervision or consultation as needed.
- Participate in internal committees, projects, and other initiatives as assigned.
- Contribute to outreach and awareness efforts with potential partners and stakeholders.
- Perform limited case management functions as needed, including outreach calls and assistance with forms or documentation.
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What This Job Offers
Job Type
Part-time
