Community Health Navigator

Summary

MedZed is re-imagining the house call. Will you innovate with us? MedZed is a fast paced, organization focused on inspiring and enabling better health. We are seeking exceptional Community Health Navigators to join our team. MedZed uses technology to bring healthcare to complex, hard to reach patients. We partner with health plans and managed care organizations to allow these high-risk patients to be treated in the comfort of their homes. Our Community Health Navigators are an integral part of the patient’s panel management team by providing direct social service needs in the members’ home when they need it most.

Daily Responsibiliti

• Conduct health-related social needs screening and peer support in the field, home, or by phone, on issues related to social support, food insecurity, nutrition and physical health literacy, social isolation, housing safety, homelessness, transportation barriers, job/financial insecurity, among others.
• Provide ongoing follow-up, motivational interviewing, and goal setting with patients/families.
• Support Member in the home by reviewing and updating After Visits Summary (AVS) and Care Plans to assist patients in achieving goals.
• Assist members by completing field visits to members for purpose of program enrollment and helping enrolled members meet their goals.
• Work with patients on developing achievable goals to enhance their daily living.
• Help patients make healthy and supportive connections in the community.
• Support patient access to local community-based organizations, self-help groups, and other relevant organizations, ensuring warm handoffs to service providers.
• Support patient in improving completion of medical appointments.
• Complete timely bedside visits while patient is admitted to the hospital. Coordinate discharge planning needs with hospital staff, case management and/or other care team members
• Document peer support activities, monitor patient progress, update the care team, and maintain thorough notes.
• Support the growth and development of the Health Coach initiative across care teams by providing timely feedback and active participation on relevant projects.

Qualifications and Values

• Experience providing peer support to child/youth members with complex and multiple chronic conditions and challenging social and mental health conditions (e.g., Community Health Worker, Patient Navigator, In-Home Support Specialist, etc.).
• Experiencing working with children and youth to help meet health and/or social needs.
• Training or experience in Community Health, social determinants of health, and peer counseling.
• Understanding of mental illness and addiction and ability to engage with clients who struggle with these issues at all levels.
• Training and experience in using Motivational Interviewing strongly preferred.

• Strong interpersonal and social skills with demonstrated ability to collaborate with a variety of individuals from a wide range of professional and personal backgrounds.

• Knowledge of community-based healthcare and social services systems and the needs of medically underserved populations, and older adults/seniors
• Ability to collaborate with individuals from varied professional backgrounds and diverse cultures with multiple chronic conditions.
• Ability to thrive in a complex and rapidly changing environment.
• Ability to build credibility and trust with clients/members.
• Maintains confidentiality and follows HIPAA standards in safeguarding patient information.
• Good oral and written communication skills.
• Strong organizational skills.
• Able to operate small office equipment, including photocopier, telephone, and personal computer.

Basic knowledge of Microsoft Office.

• Knowledge and/or experience within home support Services (IHSS) is highly desirable.
• Life experience overcoming the challenges of chronic disease or work experience with people living with complex chronic conditions is highly desirable.
• Experience collaborating with people living with addiction desirable.
• Bilingual (Spanish) required.

Education & Work Experience:

• High School Diploma/GED required
• Bachelor's Degree preferred
• Community Health Worker Certificate preferred
• Minimum of 2 years experience working in health, social, or community services required
• State-based certification may be required

Physical & Other Requirements:

• Must reside in or be very familiar with the language and culture of the community served. There will be daily travel to local geographic regions and, depending on the region, it may require frequent walking
• The CHN will need to pass reference and background checks, submit to a drug test, and have a clean driving record

Candidate Must Possess the Following:

• A valid driver's license
• Access to an insured car