Lead Care Navigator (Enhanced Care Management Program)

Global Communities•San Diego, CA

10d•Hybrid

About The Position

The Lead Care Navigator will provide outreach and conduct comprehensive, whole-person care management, assessment of strengths and needs, and resource navigation to pregnant and postpartum Medi-Cal members with complex health-related social needs. The Lead Care Navigator will conduct tele-health and in-person visits to clients throughout San Diego County and work under direction of the Enhanced Care Management (ECM) Program Manager. This project is focused on eliminating disparities for Black, Black immigrant (e.g., Somali, Haitian, etc.) American Indian and Alaska Native, and Pacific Islander communities and has a strong focus on support during pregnancy and postpartum. This position will be based in San Diego, CA and this individual will be expected to be on a hybrid schedule of at least 2 days per week in the office.

Requirements

Possess knowledge of women's health including prenatal and post-partum concerns, comfort, and interest in topics of mental health, trauma informed care, childbirth education and local community and social service resources.
Experience with case management, patient navigation, or as a Community Health Worker
Familiarity with public benefits eligibility including Medi-Cal, WIC, and Cal-Fresh.
Comfort using video conferencing technology including Zoom and MS Teams
Able to work independently and as a team-player.
Must have excellent communication skills and the ability to collect and manage data.
Undergraduate degree with at least two years professional experience in health, psychology, child development, or social work field.
Socio-cultural experiences comparable to the populations served, along with knowledge of and respect for the values and beliefs of Black, Black immigrant (e.g., Somali, Haitian, etc.) American Indian and Alaska Native, and Pacific Islander women and communities
Experience working in San Diego County and community settings (community outreach, family/public support services, Advocacy, and/or related services)
Access to a quiet and private workspace when working remotely.
Fluent in English (read, write, speak) is required; second languages are a plus.
Proficiency in computers and use of MS Word and Excel required.
A passion for the mission and values of Global Communities
Must be available for occasional travel within California and US.

Nice To Haves

Specialized training in childbirth or lactation education is a plus.
Experience with childbirth education, doula work, lactation, and/or case management.

Responsibilities

Conduct outreach and enroll pregnant people and their families into the Birth Equity program, increasing their awareness and knowledge of health issues and access to health services.
Participate in collaborative meetings with community partners, acting as a positive representative for the program and agency.
Interact with, support, and share information and resources with GC’s other local program to improve health outcomes within San Diego County.
Increase visibility of GCs local initiatives through participation in community events, storytelling, photography, social media, and other communications related activities.
Confirm eligibility for Birth Equity services under the Medicaid Cal-Aim program through insurance verification and documentation of health status.
Conduct in-person and home visits for program members, as well as on-camera telehealth sessions to ensure comprehensive outreach and support for clients.
Empower women and reduce stress during pregnancy through education to participants, offering emotional support and education relating to healthy pregnancies, childbirth, breastfeeding, and accessing associated services.
Provide long term support to clients through case management activities including: Completing and updating a comprehensive, individualized, person-centered Care Management Plan, using a standard template. implementing health screening questionnaires and assessing risk providing services to encourage and support clients to make healthy lifestyle choices, with the goal of supporting client’s ability to successfully monitor and advocate for their health, including providing connections to other services, including group activities.
Based on screening questionnaires, identify clients in need of additional services (medical, social, economic, mental health), make and follow up with referrals and help them navigate to receive quality perinatal services and resources.
Ensure review of each care management plan by a supervisor
Maintain a positive, empathetic, and professional attitude toward clients at all times.
Collect and maintain project data to document each family’s strengths, needs, and outcomes.
Enter data into a case management database on a timely basis, Monthly Data cleaning (fixing or removing incorrect, corrupted, incorrectly formatted, duplicate, or incomplete data) in collaboration with the Project Manager to ensure accurate reporting.
Ensure HIPAA compliance for all project related data.
Evaluate the progress of participants and progress towards achievement of project objectives.
Support project organized community events, health education, and group activities.
Participate in agency, project, and partner activities and Maintain continuing education as appropriate.
Perform all other duties as deemed necessary by the Project Manager
Must be available to work occasional evenings and one Saturday each month.
Be present in the office at least two times per week to support team collaboration and project needs.
Must be available to work overtime during peak periods.
Must have reliable transportation for regular travel around San Diego County.
Promote a culture of excellence, inclusion, learning, support, diversity, and innovation.