Community Health Resource Navigator

JOB TITLE: COMMUNITY HEALTH RESOURCE NAVIGATOR

The Community Health Resource Navigator (CHRN) is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. The CHRN supports providers through an integrated approach to care management and community outreach.

Summary

Under indirect supervision, works closely with Director to provide short term care coordination and connection to social services resources and support to program clients to improve their health and general well-being through education and provision of coordination of care and services.

Duties and Responsibilities

1.    Assists clients in office or community settings. Communicates to clients/patients the purposes of the program and the impact it may have on their wellbeing. Helps patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.

2.    Documents client encounters and contacts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic client files, which include client notes, release of information, assessments and other medical documents acquired on behalf of the client. Documents activities, service plans, and outcomes achieved by client in an effective manner. Track and report patients COVID-19 illness and deaths.

3.    Educates client on the proper use of the Emergency Room, and provides information for alternatives.

Coaches patients in effective management of their chronic health conditions and self-care. Assists patient in understanding care plans and instructions. Motivates patients/clients to be active and engaged participants in their health and overall wellbeing.

4.    Aspire to improve and leverage capacity support for COVID-19 prevention amongst vulnerable populations with significant health disparities for the medically underserved and uninsured.

5.    Assists clients in accessing health related services, including but not limited to: obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and /or social services.

6.    Provides support and advocacy during initial medical visit or when necessary to assure clients' medical needs and referrals required are being conveyed. Follows up with both clients and providers regarding health/social services plans.

7.    Facilitates communication and coordinate services between providers and the clients/patients.

Coordinates and monitors services, including comprehensive tracking of clients' compliance in relation to care plan objectives.

8.    Provides support for grants and other funding proposals to secure extramural funding for the Medical Foundation particularly related to medically underserved targeted population health disparities and chronic disease management prevention expansion of programs and services for targeted medically underserved population.

9.    Some local travel to community locations, various agencies, and other outreach destinations.

10.  Performs miscellaneous job-related duties as assigned.

Reports To

Executive Director directly on business, personnel, and administrative matters.

Minimum Job Requirements

•      At minimum a 2-year associate's degree with an emphasis or focus on health prevention / wellness, social work, case management, advocacy and cultural awareness. 1 year of experience directly related to the duties and responsibilities specified.

Knowledge, Skills and Abilities Required

•      Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.

•      Knowledge of community agencies and resources.

•      Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.

•      Ability to plan, implement, and evaluate individual client care plans.

•      Knowledge of transportation and other barriers to care that may be encountered by client.

•      Ability to communicate medical information to health care professionals and care coordinators over the telephone.

•      Skill in use of personal computers and related software applications, including e-mail.

•      Skill in organizing resources and establishing priorities.

•      Bilingual, preferably in Spanish a plus.

•      Creative and analytical thinking.