Health Care Navigator - SSVF

The Salvation Army USA Central Territory • Garden City, KS

3d • Hybrid

About The Position

The Health Care Navigator provides services connecting SSVF-eligible Veterans who are homeless or at risk of homelessness to VA health care benefits or, when Veterans are ineligible for VA care, to community health care. The role provides case management, care coordination, health education, interdisciplinary collaboration, consultation, quality improvement, and risk management in coordination with the Veteran’s primary care provider and assigned interdisciplinary treatment team.

The Navigator completes non-clinical assessments of Veterans’ health and mental health situations, barriers to care, and care needs; develops and monitors individualized health care plans; communicates Veterans’ preferences and goals to providers; and coordinates referrals and community resources. The position also provides health education and ongoing follow-up, advocates for Veterans, collaborates with providers and community organizations, and participates in case reviews, quality improvement, reporting, and required training. Work takes place in an office and in the community, with travel of up to 50% of the time, including local and in-state travel and periodic overnight trips. After successful completion of a 90-day probationary period, work from home is available.

The position requires a bachelor’s degree, although the posting states that the experience noted may substitute. Prior experience in medically based case management is preferred, as is experience serving homeless populations and Veterans, crisis intervention, and community resources. The employee must have a valid driver’s license in their state of residence and meet agency driving, background-check, and drug-free workplace requirements. This is a full-time position of 40 hours per week.

Requirements

• Bachelor’s degree required; the posting states that years of experience noted below may substitute.
• Advanced case management skills in a medical or medical case management environment.
• Ability to work independently while seeking supervisory consultation when appropriate.
• Sound judgment and initiative in day-to-day work, informed by education, training, experience, and current best-practice literature.
• Competence using computer technology for documentation, data entry, and virtual technologies.
• Ability to sustain mental and visual attention, use critical thinking, and solve problems creatively.
• Valid driver’s license in the state of residence; approval through The Salvation Army Fleet Safety Program is required to drive for agency business.
• For use of a personal vehicle on agency business, appropriate insurance must be maintained.
• Must pass a background check and meet the agency’s drug-free workplace policy.
• Must be able to follow infection-control and pandemic-control and prevention guidelines.
• Applicants with felony convictions for child abuse, endangerment, or crimes against persons cannot be considered.
• Must be able to perform the listed physical activities, operate office and electronic communication equipment, and occasionally lift up to 25 pounds.
• Must be able to travel up to 50% of the time, including local, in-state full-day travel and periodic overnights.
• Employees must agree not to undermine The Salvation Army’s religious mission.

Nice To Haves

• Prior experience performing medically based case management.
• Experience serving homeless populations and Veterans.
• Experience with crisis intervention and community resources.

Responsibilities

• Conduct non-clinical assessments of Veterans’ health and mental health situations, barriers to care, and health care needs; obtain relevant information in collaboration with the interdisciplinary team and others while observing confidentiality requirements.
• Help Veterans communicate care preferences and personal health goals to providers, support shared decision-making, and provide education and support to Veterans and families.
• Develop individualized SSVF health care plans with Veterans, families, significant others, and the interdisciplinary team; establish measurable goals, review progress, assess barriers, and update plans and referrals as needed.
• Provide case management and care coordination across episodes of care, supporting Veterans in optimizing treatment interventions and outcomes.
• Coordinate referrals to VA services, community health clinics, and other programs, and connect Veterans and caregivers with supportive services including housing, financial benefits, and transportation.
• Coordinate with community organizations and providers to promote complementary services and maximize use of VA and community resources; represent the program in contacts with agencies and the public.
• Advocate for Veterans, incorporate their cultural values into care plans, help them monitor progress toward health goals, and provide ongoing follow-up.
• Identify health education needs and provide appropriate services, materials, and referral information matched to Veterans’ health literacy and preferences.
• Collaborate with health care providers, interdisciplinary care teams, and the SSVF team; consult regularly on Veteran needs and respect professional roles and boundaries.
• Complete required training; report accidents and injuries; follow risk-management, infection-control, COVID-19 prevention, and safety protocols.
• Follow ethical practice, confidentiality, informed-consent, computer-security, legal, and agency requirements, including applicable incident-reporting and duty-to-warn policies.
• Participate in case reviews, team meetings, trainings, and continuous quality improvement; submit required monthly reports and help improve navigation services and systems.
• Deliver services in accordance with VA-SSVF regulations and guidance, SSVF and Salvation Army policies, and applicable program requirements.
• Communicate and collaborate effectively with team members and community agencies to support continuity of care.
• Meet position expectations for collaboration, attendance, communication, responsible use of resources, adaptability, initiative, innovation, self-development, service orientation, technology proficiency, and efficient, high-quality work.
• Travel as required, potentially up to 50% of the time, including local and in-state travel and periodic overnights.
• Operate office and communication equipment and perform the physical activities and occasional lifting described in the posting.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Life insurance
• Supplemental insurance
• Retirement plans
• Paid time off (PTO)
• Work from home following successful completion of the 90-day probationary period

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level