Care Navigator

General Purpose

The Care Navigator provides a partnership approach to healthcare and community-based services, to support medical, social, developmental, behavioral, educational, and financial needs to optimize health and wellness. 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties/Responsibilities

Level I

• Works closely as part of a clinical team following the treatment plan and documenting appropriately.
• Works closely within the client support services team to ensure the highest level of client care.
• Works with team members and supervisor to ensure management of cases is appropriate.
• Performs case/care coordination tasks as assigned in a timely manner.
• Completes clinical documentation and navigation of Electronic Health Record.
• Maintains professional demeanor and confidentiality when interacting with co-workers and clients.
• Serves as a source of general information regarding care/case management, Solvista, and community partners.
• Participates in required learning activities and attends staff meetings.
• Completes all trainings, including, but not limited to, Bridges out of Poverty, Mental Health First Aid, and Motivational Interviewing.
• Maintains regular and predictable attendance of assigned work shifts.
• Effectively communicates with other team members.
• Fully understands client's rights and client responsibilities.
• Performs other duties as assigned.

• Maintains all Level I requirements.
• Demonstrates operational knowledge of resources and support of clients.
• Demonstrates critical thinking skills and autonomy as it relates to client care.
• Exhibits effective time management skills and ability to multitask.
• Communicates case management perspective with diverse clinical team members.
• Provides constructive consultation and support to other team members regarding ethical decision-making, healthy professional boundaries, and the level of client support needed.
• Successfully completes home or community visits with clients.
• Reviews documentation of team members and mentors as needed to build skill level.
• Participates in treatment plan development as required.
• Demonstrates full understanding of care coordination spreadsheets, deliverables, and documentation.
• Coordinates care with primary care providers and specialty clinics to meet member needs specific to their disease condition and health care utilization.
• Facilitates bachelor’s level support groups in conjunction with clinical treatment team and supervisor.
• Demonstrates competency in providing regular skills-based interventions appropriate to case/care coordinator role supporting clinical treatment plan.
• Demonstrates a full understanding of multi system approach to care.
• Actively pursues additional education and certification in case/care coordination field.
• Maintains positive community partner relationships.
• Consults with supervisor when appropriate.

• Completes and maintains all level I and level II requirements.
• Analyze complex, and sometimes contradictory information to effectively solve problems.
• Make appropriate and timely decisions that keep clients and the team moving forward.
• Gains the confidence of co-workers through honesty, integrity, and authenticity.
• Actively learns through experimentation when tackling new problems using both successes and failures.
• Assists in the coordination of department goals and work assignments of other case/care coordinators.
• Provides data-based input for budget, staffing and assignments in support of department leaders.
• Represents agency and is primary contact for at least one community partner meeting identifying resources and supports for client service needs.
• Acts as primary liaison to a community group.
• Designs and participates in specialty program development and maintenance.
• Utilizes experience and education to design client intervention strategies.
• Acts as a mentor to Level I care navigators.
• Performs other duties as assigned.

Supervisory Duties (if any)

• None

Job Qualifications

Knowledge, Skills, and Ability:

Level I

• Possesses personal qualities of integrity, credibility, and commitment to organization’s mission.
• Ability to comprehend and adhere to company and department practices, policies, procedures, rules, and regulations.
• Ability to operate phone, computer, and other office equipment.
• Proficient in Microsoft Office Suite of programs, specifically Word and Outlook.
• Ability to communicate professionally, speak, read, write, interpret, and follow instructions in English.
• Ability to work and interact professionally with a diverse population of groups and individuals.
• Ability to engage with clients under all circumstances in a calm, professional, friendly, and patient manner.
• Ability to respond timely and effectively to challenging situations.
• Possess effective time-management, prioritization, and organizational skills to ensure work is completed accurately and timely.
• Ability to work independently and as an effective member of a team.
• Ability to accurately type, track and record important details. 

• Completion of Care Navigation Certification Program, pass state assessment, and listed on the Colorado Health Navigator Registry, with 6 months post completion experience.

Working Conditions and Other Conditions of Employment

Working Environment:

This job operates in a fast-paced, professional office environment and routinely requires the use of standard office equipment such as computers, phones, photocopiers. The position may require travel to conferences, meetings and branch locations on a regular or intermittent basis. Work may involve moderate exposure to unusual elements, such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises. In the health center environment, there is potential for contact with blood-borne pathogens and communicable diseases, as well as potential for contact with dissatisfied or abusive individuals. There could be interaction with persons who are mentally ill, disabled, elderly and emotionally upset.

Physical Activities:

These are representative of those which must be met to successfully perform the essential functions of this job.

This is a largely sedentary role but can involve standing or sitting for extended periods of time, bending at the waist, and using hands and fingers to handle and file papers or operate assigned equipment. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Employee may also have to lift 10 to 25 lbs. unassisted.

Conditions of Employment:

• Annual TB, federally required drug screening, and Influenza vaccination or compliance with policy and procedure.
• Required possession of a valid state driver's license.
• Successful candidate must submit to and pass, post-offer drug screen.