The Care Navigator Behavioral Health Specialist provides direct outreach and support to behavioral health patients and their families to address complex social determinants of health needs that negatively impact health and wellbeing.
Requirements
- Work collaboratively with the BHC to assess SDOH needs and connect patients to community-based agencies for assistance.
- Provide referral bridging to access mental health services internally and externally; help coordinate care with healthcare providers.
- Research and maintain a comprehensive community resource database for behavioral health services; improve provider and extended CN team knowledge on community resources.
- Provide case management support for an active caseload of behavioral health patients; conduct regular outreach to promote treatment plan compliance and act as liaison to the BHC.
- Administer behavioral health screening tools (PHQ-9, GAD-7) under the direction of the BHC and after completing training.
- Assist patients with form completion to access community resources and benefits when literacy or language barriers exist.
- Help patients navigate services provided by third-party agencies such as Inspectional Services, Massachusetts Commission for the Blind and Deaf/Hard of Hearing, Senior Services, Transportation Services, and homeless shelters.
- Collaborate with legal service agencies and educate patients about their rights as tenants and workers.
- Support direct service programs such as Cradles to Crayons and Food Pantry services as needed.
- Participate in supervision meetings with the collaborating BHC.
- Participate in professional development and team trainings focused on community resources and the intersections of social justice and community health work.
- Serve as a liaison between NeighborHealth and community behavioral health agencies.
- Support student interns volunteering with the Care Navigation team.
- Assist with training and orienting new Care Navigators.
- Maintain timely and accurate documentation in Epic (telephone encounters and CRM).
