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Lead Case Navigator

Fresno American Indian Health Project
Fresno, CA Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 4/21/2025

Overview
The Lead Case Navigator (LCN) is responsible for coordinating all Native Wellness referrals and services for clients, and collaborates with internal departments and external resources to develop care coordination and referral plans to address social, economic, academic, familial, cultural, medical, and other issues that impact the clients’ functioning and wellbeing. This position will serve on integrated care teams and provides triage for referrals received in the Native Wellness Department. May transport clients, and assists with a variety of client activities based on treatment and referral plan needs. The LCN is part of a multi-disciplinary team and the majority of services are provided in the Native Wellness Department, but may be required to work interdepartmentally on referrals. The LCN will manage and track all referral from beginning to end for the programs within the Native Wellness department. The Lead Care Navigator also monitors performance metrics, identifies process improvement opportunities, and provides training and support to enhance team efficiency and effectiveness. May manage case load when needed in the department. The ideal candidate will have experience working with the Native American Community and/or other minority groups

Duties

  • · Liaison integrated within all FAIHP departments in order to provide warm hand off and/or linkage to resources and referrals

· Responsible for coordinating the services and referrals for each client assigned

· Administers brief client intakes in order to assess needs and make appropriate referrals

· Establishes course of action by exploring referral options with the client

· Provides case management services to adults, youth, and families when needed

· Establishes and maintains rapport with local resource agencies

· May attend community partner meetings and client meetings (TDM’s, CFT’s, court hearings, etc.)

· Conducts community presentations and trainings as assigned

· Attends community outreach events as assigned

· Maintains appropriate documentation through NextGen electronic health record system

· Monitors referrals on a regular basis and provides ongoing follow-up with clients and providers

· Transports clients as needed for activities relating to the care coordination and treatment plan

· Completes monthly and annual reporting for grants and FAIHP requirements

· Provides feedback to care teams on care coordination issues

· Assists with data collection efforts

· Conducts data entry into electronic database that maintains client encounter information and referral information

· Keeps Supervisor well informed regarding activities, pending issues, and potential problems

· Adheres to agency policies and procedures and advances the goals of FAIHP in a manner that embodies the agency’s philosophy

· Maintains strict confidentiality of client and personnel information adhering to HIPAA, professional codes of conduct, State of CA regulations, Privacy Act, and FAIHP policies and procedures

· Ensures that referrals are tracked, completed and closed to avoids gaps in care

· Other duties as assigned or required to fulfill the purpose of the position

Will provide administrative support by providing a large variety of tasks to support the Director of Native Wellness

Qualifications

  • · Required Bachelor’s degree from an accredited institution or equivalent preferred.

· Clearly demonstrated experience of a minimum of 2 years in the provision of care coordination and/or case management services in a clinical or human service setting.

· Previous experience working with Native American youth or within a Native American community is preferred.

· Knowledge of and/or sensitivity to the needs of American Indian/ Alaska Native community.

· Strong interest in providing culturally relevant services

· Demonstrate ability to communicate effectively and professionally both verbally and in writing

· Demonstrate ability and willingness to work with culturally diverse populations, youth, and other community professionals.

· Valid California Driver’s License, a clean driving record with no more than 2 points on the DMV report within the past 12 months, and proof of automobile insurance coverage are required

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Expected hours: 40 per week

Benefits:

  • 403(b)
  • 403(b) matching
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Paid time off
  • Professional development assistance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • Weekends as needed

Application Question(s):

  • As a Native-led organization, FAIHP gives preference to Native candidates in alignment with our mission. Self-identification is entirely voluntary and will not impact your eligibility. If you are comfortable sharing, do you identify as Native American, Alaska Native, or Native Hawaiian?

Experience:

  • Care Coordination within Clinic and Human Setting: 2 years (Required)

Ability to Commute:

  • Fresno, CA 93710 (Required)

Ability to Relocate:

  • Fresno, CA 93710: Relocate before starting work (Required)

Work Location: In person

Salary : $25 - $35

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