Resource Navigator

The Resource Navigator is a trusted member of the team who supports clients within primary care to navigate health and social service systems to improve overall health and wellbeing.

Requirements

• Conduct outreach to individuals in the clinic and community
• Build trusting, non-judgmental relationships with clients using a trauma informed approach
• Assist clients in accessing health care, behavioral health, housing, financial assistance, and community resources
• Advocate for client needs with service providers while supporting client autonomy
• Interviews clients/patients to obtain basic data, past medical history, etc.
• Implement individual and community assessment and treatment plans
• Deliver culturally relevant health education on topics such as preventative care, chronic disease management, sexual health, mental wellness, and substance use
• Support clients in understanding treatment plans, medication adherence, and self-management strategies
• Promote health literacy and help clients navigate insurance, benefits, and community systems
• Assist patients with paperwork and or referrals as needed
• Assist with MyChart navigation
• Foster and maintain up to date relationships with community partners, resources, organizations, and opportunities to remove barriers and ease access to services
• Follow up with patients who request resource assistance through the PRAPARE tool
• Meet with patients for warm hand-offs after primary care physician appointments to review and update care plan with Panel Care Coordinator and Integrated Behavioral Health Counselors
• Participate in daily huddles, case consultations, interdisciplinary care planning and team meetings
• Communicate client updates, barriers, and successes to medical, behavioral health, and social service staff
• Provide peer level insight into community needs and support care team decisions
• Participate in process improvement projects pertaining to this role
• When necessary, accompany patients to appointments
• Maintain accurate, timely, and complete documentation of all patient encounters and complete reporting requirements according to organization standards
• Track client contacts, referrals, outcomes, and care plans
• Follow HIPAA, 42 CFR Part 2, and organizational compliance requirements
• Follow up with patients when there are missed medical appointments and patient navigation sessions to initiate outreach and missed appointment procedures, as necessary.
• Attend and represent the organization at in-service trainings, meetings, and professional conferences at the request of or with the approval of supervisor
• Maintain strict confidentiality in accordance with agency policies

Benefits

• Paid Time Off
• Health Insurance
• Retirement Plan
• 401k Matching
• Other benefits may apply