Patient Care Navigator (Salinas)

Description

• Telephonic and field-based outreach to engage clients in our care management program..
• Establishes close relationships with and serves as a point of contact for clients.
• Deliver weekly or monthly health education and promote self-management to clients.
• Communicate with Care Team members (Care Coordinators, Community Health Worker, Primary Care Physicians and other health care providers) to facilitate client care.
• Observe, report, and assess client self-administration of medication.
• Identify resources for clients to overcome barriers to care, such as transportation, housing, and childcare arrangements.
• Remain aware of current services offered by service providers, such as mental health, housing, and employment assistance.
• Maintain strict confidentiality in accordance with agency policies.
• May meet with clients after primary care physician appointments to review and update care plan with the Care Coordinator

• Meet with Care Team (including, but not limited to, Care Coordinator, Community Health and primary care provider) to discuss client care issues and needs and facilitate client health care.
• Maintain documentation of all client encounters and complete reporting requirements according to organization standards
• Track client information, schedules, files, and forms in a confidential manner.
• Track client attendance at medical appointments and patient navigation sessions and initiate outreach and missed appointment procedures, as necessary.
• Attend and represent the organization at professional conferences, in-service trainings, and meetings at the request of or with the approval of supervisor.
• Interest in working with underserved, homeless populations.
• Physical demands associated with office work.
• 40% local travel
• Some evening work may be required.

• Minimum high school degree, some college education preferred.
• Strong understanding of cultural competency with the target population
• Bilingual (English/Spanish) preferred.
• Computer literacy desirable
• Commitment to the mission of care coordination
• Passionate, trustworthy, and empathetic when working with clients.
• Ability to build relationships with different types of people, including clients, organization members, and health care providers.
• Good communication and interpersonal skills and ability to speak concisely to clients and Care Team members.
• Organized with confidential client material and appointment tracking.
• Flexible and adaptable in response to changing client and health care providers’ needs.