Health Navigator

PROMESA R.H.C.F.•New York, NY

76d•$0 - $50,000

About The Position

The Health Home Navigator works with Health Home Care Management Staff to provide intensive care management support for clients. The navigator advocates for clients and their families or identified social support networks to obtain needed services, and provides coaching, education, and advocacy to link clients to and retain them in services identified in their Plans of Care. The role includes escorting clients to appointments and gathering and sharing critical information in the field and office to promote health and wellness, reduce emergency room visits, and prevent health and social complications. The navigator engages providers involved in a client’s care to maximize communication and conducts outreach to identify and locate potential clients referred by the community or the lead Health Home. The position has no managerial or supervisory responsibilities.

Requirements

High school diploma required.
At least one year of experience navigating systems for individuals with chronic illnesses.
Obtain mandated reporter training (two hours) before the hire date.
Ability to communicate effectively orally and in writing.
Ability to connect with others and build strong relationships.
Highly organized, motivated self-starter with excellent time-management skills.
Ability to organize and maintain detailed records, complete paperwork, and meet deadlines.
General knowledge of organizational, community, and/or social service resources and programs.

Nice To Haves

Associate’s or bachelor’s degree preferred.
Spanish-speaking ability is a plus.

Responsibilities

Complete a minimum of five client contacts per day.
Participate in weekly supervision to review referrals, enrollment, barriers, and enrollment quotas.
Advocate for clients to obtain needed services and ensure coordination of those services.
Assist Health Home Care Managers in gathering enrollment and RHIO consents, eligibility information, and appropriateness assessments.
Gather information to support Care Managers in completing comprehensive assessments, screenings, Plans of Care, and other documents.
Conduct home, hospital, clinic, and other visits to support enrolled and potential members.
Complete progress notes in accordance with Health Home and departmental policies.
Participate in quality improvement activities, projects, and reviews.
Identify potential client and community sources and conduct outreach presentations as needed.
Meet regularly with a supervisor, attend staff meetings, and discuss clinical and operational issues affecting performance and program operations.
Complete and submit daily activity logs in accordance with departmental policies.
Communicate changes in members’ wellbeing or contact information to designated Care Managers, administrative staff, or supervisors.
Escort clients to entitlement offices to gain, maintain, or regain eligibility.
Verify eligibility through ePaces when requested.
Conduct outreach by phone, letter, and field work to clients, collaterals, and providers to engage clients or strengthen connectivity.
Assess and respond to client complaints or grievances in accordance with agency guidelines.
Develop linkages and monitor their effectiveness with service providers through calls, face-to-face meetings, and formal case conferences.
Help maintain health and wellness and prevent secondary disease complications.
Follow up in the community to engage clients in care, promote medical appointment compliance, and encourage self-sufficiency and empowerment.
Communicate with the supervisor about strengths, weaknesses, and opportunities in program operations.
Attend departmental and Health Home meetings as required.
Attend personal-development training, including webinars, online training, in-service sessions, and on- or off-site training.
Communicate promptly and effectively with Health Home Care Managers about client status and advocacy or escort outcomes.
Coordinate and schedule appointments to support attendance or outreach efforts.
Assist the Outreach Team with top-down attributions across service boroughs.
Assist in integrating Health Home with Acacia Network based on eligibility and appropriateness screenings.
Clearly explain the Health Home program’s aims, goals, and processes verbally and in writing to potential clients, community members, and Acacia Network staff.