Community Health Navigator

COMMUNITY HEALTH NAVIGATOR

Status: Regular Full-Time (1.0 FTE)

Reporting To: Supervisor, Social Work & Community Health Navigator

Date Available: Negotiable

Hours of Work: 7.75 hours per day, 38.75 hours per week

Shift Pattern: Days - Occasional evening and weekend hours

Exempt/Non-Exempt: Non-Exempt

Program: Social Work & Community Health Navigation

Classification: Community Support I

Salary: $20.22 – $26.63 per hour

Closing Date: open until filled

About Us

Mosaic Primary Care Network (PCN) provides a wide range of primary health care services in the northeast and southeast Calgary communities in partnership with a group of family doctors.  Our talented interdisciplinary health care teams work together to provide services that best support patient needs.

We want YOU to bring your expertise to our growing team as we continue to develop solutions to meet the needs of our local community.  If you have initiative, are resourceful, engage easily in teamwork, and most importantly, want to make a difference in healthcare, we want to hear from you!

Position Summary

The Community Health Navigator (CHN) works with Mosaic PCN patients to help them address the challenges they may face with multiple chronic conditions in accessing necessary health services. Using non-medical community members, the CHN focuses on promoting positive self-management behaviour, assisting patients in achieving care plan goals, facilitating health system navigation, connecting patients to community resources, and offering culturally appropriate support and information to optimize overall health outcomes.

Key Responsibilities

System Navigation/Social Support

• Support patient attachment through regular, patient-centered follow-up, including home visits to engage and empower patients.


• Identify appropriate and credible resources for patient needs taking into consideration culture, language, reading level, and health literacy.


• Coordinate patient care between multiple health and social providers typically within the Mosaic PCN catchment area and leverage Mosaic PCN programs and services.


• Monitor attendance, conduct reminder and follow-up calls, and facilitate transportation to and from scheduled appointments, as necessary.

Patient Advocate

• Taking into account each patient’s values, preferences and circumstances, support the development of patient-centered goals.


• Demonstrate responsiveness to patient needs within scope of practice and professional boundaries.


• Encourage active communication between patients/families and health care providers to optimize patient outcomes.

Patient Education

• Provide appropriate patient education in the community.


• Support patient self-management techniques.


• Teach patients the health care payment structure, financing, where to refer patients to answers regarding insurance coverage and financial assistance.


• Use goal setting and motivational interviewing techniques in difficult conversations.


• Provide and/or coordinate interpretation and translation services with patients, if applicable.

Inter-professional Collaboration 

• Integrate with the clinic team and serve as liaisons between clinics and patients.


• Understand the goals related to Mosaic PCN health outcomes and support the implementation of plans.


• Regularly check in with patients to verify adherence to care plans.


• Provide timely follow-up for physicians and multidisciplinary team on the patients’ status.


• Maintain timely and accurate records in EMR capturing patient records, interactions, barriers and other pertinent information.

Community Liaison

• Liaise closely with community partners and members to understand and address barriers for access to care.


• Promote CHN role, responsibilities, and value to patients, providers, and the larger community.


• Participate in community activities to build trusting relationships across a broad range of socioeconomic and cultural backgrounds.


• Leverage community resources to assist patients to create ties to the community.

Quality Improvement

• Ensures success of the program through the identification of key successes and challenges and supporting the development of innovative approaches to leverage strengths in addressing challenges.

Continuous Professional Development

• Identifies and works to achieve own professional development needs which support goals set in performance reviews.

Other responsibilities as required.

Qualifications & Requirements

Experience:

Required Experience:

• At least 3 years’ community involvement work (formal or informal) that reflects strong ties to local community.


• Experience working with different socio-economic groups and backgrounds.

Required Knowledge/Skills/Abilities:

• Must have strong desire to help and connect patients with the community.


• Strong community links within the Mosaic PCN catchment area (NE and SE)


• Willingness to learn health care terminology.


• Understanding of the health care and social resources available in Calgary.


• Multi-cultural competence.


• Organizational and prioritization skills.


• Ability to teach others.


• Strong communication and interpersonal skills.


• Problem solving skills.


• Ability to develop strong relationships with internal and external parties.


• Ability to discuss sensitive topics with patients and maintain confidentiality.

Assets

• Multi-lingual.


• Shared experience with targeted patient population.


• Familiarity with medical terminology.

Competencies

The Core Competencies listed below are identified by Mosaic leadership and should be demonstrated by all employees across the organization:

Practice Communication Excellence (Communication)

• Plan and deliver oral and written communications respectfully and tactfully to make an impact and persuade an intended audience.

Build Community-Feeling (Teamwork)

• Able to share due credit with coworkers, display enthusiasm, and team spirit and promote a friendly group working environment.

Advocate for Patient/Client (Patient/Client-Centricity)

• Able to demonstrate a high level of patient/client service delivery in a respectful and caring manner.

Understand Values of Change (Adaptability)

• Openness to different and new ways of doing things; willingness to modify one’s preferred way of doing things with a positive attitude.

Embrace Culture and Diversity (Cultural Competency)

• Developing positive attitudes towards diverse populations; gaining knowledge of different life practices and world views.

Act with Professionalism (Personal Effectiveness)

• Takes personal responsibility for the quality and timeless or work and achieves results with little oversight.

Working Conditions

• Occasional evening and weekend hours required.


• Ability to travel on public transportation or valid drivers license with access to own car in good repair is required.

Why Mosaic PCN

We provide a competitive benefits package for eligible employees including: comprehensive health and dental coverage, Health Spending Account (HSA) / Wellness Account (WA), a group RRSP matching program, professional development opportunities, generous vacation and other paid time off, and more!

Conditions of Employment

Successful applicants must provide proof of qualifications and a current police information check (PIC) at the applicant’s expense. The results of the PIC may alter or revoke any offer made by Mosaic PCN.

We would like to thank all applicants for their interest and resumes. Please note, only those candidates chosen to proceed through the selection process will be contacted.  No phone calls or emails please.

If you require accommodation during any stage of the application or interview process, please let us know by emailing [email protected]

This position is part of the bargaining unit covered by a collective agreement with Health Sciences Association of Alberta (HSAA).