Health Navigator

THE SALVATION ARMY•Miami, FL

140d

About The Position

The Health Navigator evaluates, supports, and coordinates clients’ healthcare and care needs, helping them access healthcare through community resources. The role supports healthcare plans by identifying and resolving barriers to care and educating clients about OnMed Care Station services and related wellness topics. The navigator does not provide direct healthcare or patient care, mental health counseling, or treatment recommendations. The position provides case management and care coordination across episodes of care; assesses barriers, strengths, risks, and support needs; assists with access to appointments, benefits, social services, housing support, and community programs; and coordinates follow-up. The navigator works with patients and an interdisciplinary team on care plans, goals, referrals, and non-clinical barrier assessments, monitors progress, and maintains documentation. Additional duties include identifying systemic barriers and contributing to service improvements, developing community relationships, and providing health education suited to each patient’s health literacy level. This is a full-time regular position serving the Miami, Florida area. The schedule is Monday through Friday, 8:30 a.m. to 4:30 p.m., for 35 hours per week. Work is primarily in a normal office environment, may occasionally take place outdoors for meetings, and requires travel across a multi-county region. The position may involve driving for up to two hours at a time.

Requirements

At least one year of experience in client outreach, care coordination, and navigation in community health, social services, public health, or a related setting.
Certified Community Health Worker (Community Health Worker Certification).
Valid state driver’s license.
Ability to apply complex procedures requiring independent judgment.
Ability to communicate with medical professionals and arrange care coordination meetings on behalf of clients.
Ability to prepare, organize, and prioritize reports and complete extensive paperwork.
Ability to maintain accurate records and prepare required documentation.
Ability to maintain confidentiality of job-related information.
Ability to follow instructions and work independently with limited supervision.
Ability to interpret and enforce departmental policies and procedures tactfully and courteously.
Ability to coordinate services and communicate effectively with providers and community partners.
Ability to build and maintain effective working relationships with residents, staff, healthcare providers, and community agencies.

Nice To Haves

Bachelor’s degree in social work, healthcare administration, or a related field.
LCSW, master’s-level social worker qualification, or equivalent education and experience.
Experience providing patient or resident education.
Experience supporting telehealth or clinic workflows.

Responsibilities

Provide comprehensive case management and care coordination across episodes of care, including proactive health-coaching support, follow-up actions, and return visits.
Explain OnMed Care Station services.
Assess patients with the interdisciplinary treatment team to identify their circumstances, barriers to accessing and maintaining healthcare, strengths, limitations, risk factors, and support and service needs; assessments may be conducted using virtual technology.
Conduct home or community-based visits when appropriate to assess barriers, provide education, and support access to healthcare and community resources.
Help patients access community resources, benefits, and supportive services, including medical appointments, social services, housing support, and community programs.
Help patients communicate their care preferences and personal health-related goals.
Participate in developing patient care plans, emphasizing community services, outreach, and referrals.
Review care-plan goals with patients, conduct non-clinical barrier assessments, and provide resources and referrals to support adherence.
Evaluate the effectiveness of resources and referrals and make appropriate changes to support high-quality care and interventions.
Monitor patient progress and maintain comprehensive documentation.
Identify organizational barriers, communicate them to leadership, and collaborate on viable solutions.
Contribute to policies, procedures, and practice guidelines for the specialty program using research or best practices.
Build relationships with community leaders, Center of Hope staff, and referral networks.
Identify health-education needs and provide education and materials appropriate to patients’ health literacy levels.
Educate patients about health conditions, medication adherence, preventive health practices, and healthy lifestyle choices; provide ongoing education and help identify resources for disease prevention and self-care.
Collaborate with staff to support the best possible care.
Follow ethical principles and applicable laws and agency policies concerning confidentiality, informed consent, and compliance, including critical incident reporting and HIPAA requirements.
Perform other duties as assigned.