My Health Team is a collaborative partnership between independent primary care practices, community organizations and regional health authorities. Partners work closely with one another to plan, develop and provide enhanced local primary care services to their client populations within their geographic area. This also will support the client journey through the health system and across community and acute care. The Systems Navigation Support Worker will provide proper linkage for clients of a My Health Team network of primary care providers, where services needed are not available through existing services, providers or where these are not accessible within the required timeframes throughout the healthcare system. Through collaboration and partnership across various health, social service and community sectors, the program strives to promote mental health and well-being for all, to reduce inequities and their impact on vulnerable populations, and to work towards sustainability of mentally healthy individuals and communities. The primary focus of the My Health Team is on enhanced primary care service through integration of healthcare services on health promotion, disease prevention, chronic disease self-management, and linkage with community-based resources. As a member of a multidisciplinary team the Systems Navigation Support Worker will assist in carrying out individual service plans under the direction of Primary care provider. The Systems Navigation Support Worker is responsible for rehabilitative and supportive functions including skill building/enhancement; creation and maintenance of formal and informal support networks; linking to and maintaining formal and informal support services; provision of appropriate and accurate information and consultation with families as related to skill building/enhancement and development of supports; community needs; identifying clients at risk for illness; strengthening and increasing supportive referral networks; and identifying linkages to community-based resources to assist all Network clients in navigating the service systems. Service delivery will take place according to client’s needs: at the client’s primary care home or in the community, including at the client’s workplace or home. The Systems Navigation Support Worker will work to provide outreach to homebound clients, and will also serve to meet clients where their needs can be met. They will work in the community, in the clinic, and with respective RHA and community partners.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED