Veteran Health Care Navigator

Job Description

Title: Health Care Navigator – SSVF

Position Summary:

This full-time position supports services that include connecting Veterans to VA healthcare benefits or community health care services where Veterans are not eligible for VA care. This position provides case management, care coordination, health education, interdisciplinary collaboration, consultation and administrative duties. The health care navigator works closely with SSVF case managers and HOPE/PATH Peer Support Specialists, Veterans primary care provider, and members of the Veteran’s assigned multidisciplinary treatment team.

The health care navigator acts as a liaison between the VSC SSVF team to the VA healthcare system and/or community medical clinics. Aiding SSVF eligible Veterans by providing timely, appropriate, Veteran centered care equitably. This positon assists Veterans currently enrolled with SSVF that present with complex and co-occurring needs who require assistance accessing health care services or adhering to health care plans.

This position will also work with VSC leadership to identify and address healthcare systems challenges and access to continued healthcare coordination as needed. This position is located in Fayetteville, NC and will serve the Cumberland County area.

Position Type:

Classification –Full time

FLSA Classification – Exempt

Paygrade level – Professional/Assistant Director

Duties / Responsibilities:

· Completes Non-Clinical Assessments to understand potential barriers to care, including the causes and ability to access and maintain health care services.

· The health care navigator identifies systemic barriers within the organization, communicates with organizational leadership about these barriers, and works collaboratively to find viable solutions.

· Assists Veteran with communicating personal preferences in care and health-related goals.

· Provides comprehensive case management and coordination of care across all episodes of care and acts as a health coach by proactively supporting the Veteran to optimize treatment interventions and outcomes.

· Serves as a resource for health education and support for Veterans and families.

· Educate the Veteran and family on the available options for acquiring knowledge and skills for managing health and wellness; acts as resource for health education.

· Identifies appropriate and credible resources and supports tailored to the needs and desires of each individual Veteran.

· Assists Veterans in identifying concerns or questions about their treatment or medications to develop open communication with the provider or treatment team.

· Periodically evaluates the effectiveness of the resources and referrals and makes modifications to ensure the provision of high quality of care and interventions are met.

· Makes recommendations for improved program performance and quality of services.

· Assists in developing policy, procedures, and practice guidelines related to the specialty program using knowledge gained from research or best practices.

· Develops relationships with community leaders, VA staff, and other referral networks.

· Adheres to ethical principles about confidentiality, informed consent, compliance with relevant laws, and agency policies (e.g., critical incident reporting, HIPPA, Duty to Warn).

· Provides staffing and consultation with SSVF case managers.

· Collaborates and works with the NCServes team in order to track referrals and outcomes.

· Maintains case file for Veterans receiving services; in collaboration with SSVF case managers.

· Provides quarterly reports, complete with analysis and recommendations, to ABCCM and VSC leadership.

· Other duties as assigned.

Skills / Competencies:

• Minimum experience of 5 years working with human services programs;
• Excellent communication skills; both verbal and written;
• Prior experience with SSVF preferred;
• Thorough knowledge of the following:

o Care Management, complex care management and population health principles, practices and application;

o Medicaid waiver criteria, including but not limited to eligibility for LME/MCO, service definitions, entitlements and restrictions for state plan Medicaid services, 1915(b) and (c) Waivers, 1115 Waiver criteria and general knowledge of Long-Term Services and Supports.

· Knowledge of standard office practices, procedures, equipment and techniques and have intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Zoom, Teams, etc.)

Qualifications:

• Master’s degree in social work or equivalent education and experience.

Relationships / Working Environment:

• The SSVF health Care Navigator reports to the Assistant Director of Housing.
• Physical Demands: Must be able to write legibly.
• Mental Demands: Must have verbal ability; must be able to comprehend instructions; comprehend/ interpret charts, diagrams, prescriptions, and possess inductive and deductive reasoning.
• Manual Dexterity Required: N/A.

Job Type: Full-time

Pay: $45,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $45,000 - $50,000