Bachelor's Level System of Care Navigator

Mental Health Resource Center • Jacksonville, FL

21h • Onsite

About The Position

The System of Care (SOC) Navigator serves as the central referral hub for MHRC programs and community resources. This position coordinates internal and external referrals, facilitates warm handoffs, addresses barriers to care, and promotes timely access to integrated, person-centered services. A primary focus is ensuring uninsured and underinsured individuals are connected to appropriate services within seven (7) days of discharge, including psychiatric and medication follow-up when needed. The SOC Navigator engages individuals prior to discharge, provides education regarding MHRC’s Comprehensive Services Center (CSC) Central Receiving System, facilitates intake and service connections, and follows up to confirm successful linkage. The SOC Navigator also identifies individuals at risk for repeated acute-care utilization and provides outreach, referral coordination, and continuity-of-care support to help prevent unnecessary crisis episodes, Baker Act admissions, and re-hospitalizations through least-restrictive interventions.

Requirements

• Bachelor’s degree in Social Work or a related Human Services field from an accredited college or university required. A related Human Services field must include at least 30 hours of coursework addressing human behavior and development.
• One (1) year of experience in human services, behavioral health, or a related field required.
• Strong communication, interpersonal, organizational, and problem-solving skills required.
• Ability to work independently, prioritize multiple referrals, and respond appropriately to urgent situations.
• Proficiency in Microsoft Office, Outlook, and Internet-based resources required.
• Background screening and clearance through the Florida Care Provider Background Screening Clearinghouse is required for all positions.

Nice To Haves

• Experience working with adults with mental illness preferred.
• Proficiency in the RBHS/MHRC Electronic Health Record (EHR) and Patient Information System must be demonstrated within three (3) months of employment.

Responsibilities

• Serves as the primary point of contact for MHRC and community referrals.
• Receives, triages, tracks, and follows up on referrals to ensure timely and appropriate linkage to care.
• Facilitates warm handoffs and coordinates with behavioral health, medical, social service, housing, and community providers.
• Maintains knowledge of MHRC programs, intake pathways, and community resources.
• Supports uninsured and underinsured individuals in accessing services within seven (7) days of discharge.
• Links individuals requiring psychiatric or medication services to appropriate care within seven (7) days and follows escalation procedures when timely appointments are unavailable.
• Participates in treatment and discharge planning meetings and identifies individuals needing bridge appointments or enhanced follow-up.
• Conducts outreach to high utilizers of crisis stabilization, inpatient, and detoxification services.
• Provides post-discharge follow-up, rescheduling assistance, and barrier resolution.
• Identifies and addresses Social Determinants of Health (SDOH) barriers, including transportation, housing, identification, and other obstacles to care.
• Advocates for individuals and supports their rights in accordance with applicable laws and regulations, including the Baker Act.
• Builds rapport with individuals and their chosen supports and encourages involvement when appropriate.
• Serves as a liaison to community partners and promotes awareness of MHRC services and referral pathways.
• Maintains accurate and timely documentation of contacts, referrals, outreach, follow-up, assessments, and required consents/releases.
• Completes required reports and monitors referral outcomes to identify service gaps and improvement opportunities.
• Participates in quality improvement activities and complies with organizational and regulatory requirements.
• Recognizes and responds appropriately to safety risks, trauma, abuse, neglect, abandonment, emergencies, and other emergent concerns.
• Exercises sound independent judgment in performing job duties.

Benefits

• Medical, Dental, and Vision Insurance
• Life Insurance
• Disability Insurance
• 403(b) Retirement Plan
• Paid Time Off (PTO)
• Paid Holidays
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)

What This Job Offers

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