Job Description
Job Description
ABOUT THE COMPANY
American GI Forum - National Veterans Outreach Program is a nonprofit organization. Our mission is to establish and maintain a comprehensive community service agency with a diversified funding source serving the needs of Veterans, their families, and other individuals of the community who are in need. Our goal is to establish innovative programs of service for the contemporary needs, through an expansion and growth policy that will seek complimentary services that will generate self-sustaining mechanisms for the organization.
SUMMARY
The Healthcare Navigator position provides services that include connecting Veterans to VA health care benefits or community health care services where Veterans are not eligible for VA care. This position provides case management and care coordination, health education, interdisciplinary collaboration, coordination, and consultation, and administrative duties. SSVF Healthcare Navigators collaborate closely with the Veteran’s primary care provider and members of the Veteran’s assigned interdisciplinary treatment team.
RESPONSIBILITIES & DUTIES
NOTE : These job duties are not all-encompassing of the responsibilities and duties (or other terms) that are required of the employee and may change at any time with or without notice.
General Duties
- This position is the first point of contact for all applicants. The person in this position must be able to communicate effectively with applicants, clients, staff members, and outside agencies.
- Conducts assessment of the Veterans in collaboration with the interdisciplinary treatment team, the Veteran, family members, and significant others.
- Function as a liaison between the SSVF grantee and the VA or community medical clinic and other healthcare providers, coordination care for a population of Veterans with complex needs who require assistance accessing health care services or adhering to health care plans.
- Work closely with the Veteran’s assigned multidisciplinary team, including medical, nursing, and administrative specialists, and case management personnel.
- Work within SSVF team to provide timely, appropriate, Veteran centered care in an equitable manner.
- Work collaboratively with healthcare team and Veteran to identify and address system challenges for enhanced care coordination as needed.
Non-Clinical Assessments
Conducts assessments of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members and significant others. The purpose of the assessment is to understand the Veteran’s situation, potential barriers to care, the causes, and the impact of such barriers on the Veteran’s ability to access and maintain health care services.Assessments should highlight the Veteran’s strengths, limitations, risk factors and internal / external supports and service needs to optimize the Veteran’s ability to access and maintain health care services.Initial assessments will be completed as specified by the policy of the SSVF grantee and may be accomplished through virtual technology.Health Care Team and Veteran Communication
Work closely with Veterans to assist them in communicating their preferences in care and personal health-related goals, to facilitate shared decision making of the Veteran’s care.Serve as a resource for education and support for Veterans and families and help identify appropriate and credible resources and supports tailored to the needs and desires of the Veteran.Participate as needed in the development of the Veteran’s care plan; with emphasis on community services, outreach, and referrals needed for the Veteran.Review care plan goals with Veteran and conduct regular non-clinical barrier assessments and provide resources and referrals to address barriers as needed.Periodically review effectiveness of resources and make modifications as needed.Monitor Veteran’s progress, maintains comprehensive documentation, and provides information to the treatment team members when appropriate.Use understandable language to communicate recommendations to support the Veteran and family members or caregivers, as well as identify questions Veterans and their families may have about their treatments.Specialized Case Management and Care Coordination
Provide comprehensive case management and care coordination across episodes of care – acting as a health coach by proactively supporting the Veteran to optimize treatment interventions and outcomes.Coordinate services with other organizations and programs to assure such services are complementary and comprehensive, directing activities to maximize effectiveness and a continuity of care for the Veteran.Serve as a liaison to VA and community health care programs and represent the SSVF program in contacts with other agencies and the public.Assist in coordinating supportive and additional services with the Veteran, which includes linking Veterans and caregivers to supportive services, which include, but are not limited to housing, financial benefits, and transportation – in collaboration with their SSVF housing Case Manager.Serve as the subject matter expert on community resources related to the needs of the Veteran.Health Education
Assist in identifying the Veteran and family’s health education needs and provide education services and materials that match the health literacy level of the Veteran.Provide ongoing education and support as needed to the Veteran and family members.Interdisciplinary Collaboration, Coordination and Consultation
Collaborate with other disciplines involved in providing care to the Veteran.Regularly consult with other team members and appropriately assess and address the needs of the Veteran.Understand the different roles within the interdisciplinary team and acts within professional boundaries.Adhere to ethical principles about confidentiality, inform consent, compliance with relevant laws and agency policies (i.e., critical incident reporting, HIPPA, Duty to Warn).Administrative Duties and Systems Improvement
Assist in developing policies and procedures related to this specialty and the program.Maintain accurate and detailed case notes.Enter relevant data into HMIS and other digital platforms in a timely manner.Provide subject matter expert consultation to staff and community providers on the specialty area of practice.Develop evaluation components and outcomes indicators and report those evaluation results to VA and organizational leadershipSKILLS & COMPETENCIES :
Knowledge of social service resource systems and self-help intervention strategies.Independently counsel populations of mental health, substance abuse, homeless individualsKnowledge and skills in handling substance abuse and mental health issues.Ability to successfully develop relationships utilizing motivational interviewing techniques.Crisis intervention and conflict resolution skills including use of motivational interviewing, harm reduction approach, and trauma-informed care.Knowledge of family budgeting and money managementThoroughness and accuracy with data collection, entry, and quality control in a web-based database.Patience, tolerance, tact, and diplomacyClear / firm yet flexibly boundaries, consistent energy level and positive demeanor.Strong oral / written communication and listening skillsSelf-motivated and accountable for work time and other agency resources.Well organizedFamiliar with health care systems, specifically within the Veteran’s Health Administration / VA.REQUIREMENTS & QUALIFICATIONS
Have a Master’s in Social Work (MSW) with at least 2 years’ work experience in a health care or social services area of practice. Candidates with documented experience working with veterans or themselves a veteran or veteran spouse are preferred. Candidates must be willing to attend periodic training as required by the position. Candidates selected for the position must be available to begin immediately and carry professional liability insurance.
A valid driver’s license and vehicle general liability insurance is required.Must be able to pass a drug test, background check, and motor vehicle record check.Clearance must be obtained prior to hiring.TRAVEL
Primarily, must be willing to travel within the local city during business day; although, some out-of-area travel may be expected via airline or automobile based on the discretion of management.
BENEFITS
Retirement Program6% Employer matching (after 1 year of employment; 100% vested)
500, company-provided, monthly allowance for :Dental insurance
Health insuranceVision insurance12 hours (monthly) of PTO (after completed probationary period)Employer provided life insurance14 paid holidaysEmployer reserves the right to hire the most qualified person if no applicants meet minimum qualifications.
It is the policy of the Company to be an Equal Opportunity Employer that protects applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training classification and other aspects of employment on the basis of race, color, religion, sex, (including pregnancy), disability, age, national origin and genetics. It’s also the policy of the Company to hire individuals solely upon the basis of their qualifications and ability to do the job to be filled. The American GI Forum National Veterans Outreach Program (NVOP) is committed to assuring equal opportunity and equal access to services, programs and activities for individuals with disabilities. It is the policy of NVOP to provide reasonable accommodation to a qualified individual with disabilities to enable such individual to perform the essential functions of the position for which the individual is applying and for which the individual is employed. Additionally, it is the policy of the NVOP to provide reasonable accommodation for religious observers. The policy applies to all employment practices and actions. It includes, but is not limited to, recruitment, job application process, examination and testing, hiring, training, disciplinary actions, rate of pay or other compensation, advancement, classification, transfer, reassignment and promotions.
