Care Navigator

Primary Job Functions

Clinical Responsibilities

• Assists patient with paperwork including admissions, discharges, etc.
• Coordinates care between healthcare providers and patient.
• Ensures treatment providers have results of screeners completed at intake and as indicated.
• Assists patients in connecting to primary healthcare.
• Assists patients in connecting with benefits specialist.
• Assists patients in connecting with appropriate therapist.
• Assists patients in referrals to TCM, IPS, Day Programs, Residential Programs, ACT, and any other internal programs needed.
• Educates patient regarding services available.
• Assists in ensuring treatment team has information needed during Huddle.
• Provides support and assistance throughout the healthcare process.
• Facilitates communication between patients and healthcare teams.
• Conducts follow up after hospital admissions to ensure proper care coordination.
• Connects patient with available community resources and services.
• Helps patient overcome logistical barriers to accessing care to include assisting with transportation arrangements for medical appointments.
• Participates in interdisciplinary care teams to support complex cases.
• Coordinates implementation of internal services.
• Assesses social drivers of health to assist in reducing disparities.
• Provides ongoing monitoring of consumers' progress and needs with the patient.
• Evaluates the patient for needed changes in Risk Levels.
• Updates CCBHC Client Treatment Plan.

Supervision and Consultation

• Seeks clinical supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance care management skills.

Clinical Record Keeping

• Documents interactions with patients when needed.
• Documents within AVATAR appropriate follow up and provision of linkage to services.

Courteous and respectful attitudes towards patients, visitors and co-workers

• Treats patients with care, dignity and respect.
• Respects patient's privacy and confidentiality.
• Is pleasant and cooperative with others.
• Personal values don't inhibit ability to relate and care for others.
• Is sensitive to the patient's needs, expectations and individual differences.

Case Load Management

• Effectively manages caseload based on patient needs and staffs with supervisor regularly.

Administrative and Other Related Duties as Assigned

• Actively participates in Performance Improvement activities.
• Actively participates in AltaPointe committees as required.
• Follows AltaPointe policies and procedures.
• Attends to required in-service training and other workshops.

Qualifications

• Bachelor's degree in a mental health discipline preferred, high school diploma or equivalent.

Knowledge Requirements

Knowledge as outlined below, to be attained within six (6) months of employment:

• Knowledge of psychiatric disorders in the adult population.
• Knowledge of developmental disabilities in the adult population.
• Knowledge of substance use issues in the adult population.
• Knowledge of chronic medical condition in the adult population.
• Knowledge of cultural diversity.
• Knowledge of behavior management and crisis intervention.
• Knowledge of available community resources and internal services.