On-Call Patient Navigator

About the role

The Recuperative Care Program (RCP) is an innovative service that provides immediate access to emergency housing, primary care, and intensive case management support for individuals who have medical support needs while experiencing homelessness. The service partners with Portland area hospitals and clinics, in concert with CCC’s patient-centered medical home, to help clients/patients receive the right level of care and support for their medical and social needs.

Responsibilities

• Fill in for regular Recuperative Care staff as needed based on program capacity, staffing, and task needs.
• Work under the medical direction of the Recuperative Care Program to coordinate acute and ongoing medical care for current Recuperative Care patients in conjunction with Recuperative Care staff.
• Serve as primary point of contact for internal and external care coordination and resource linkage for patients on caseload.
• Absorb and respond to emergency medical situations as needed, complete pre-hospital care reports and incident reports when necessary.
• Provide and/or arrange for transportation for patients to and from program related appointments, interviews, and hospitals/clinics.
• Screen patient referrals via phone and/or at partner hospitals upon identification of patients referred for Recuperative Care.
• Work with other Recuperative Care and Central City Concern staff to support patients in coordinating their health care with their primary care provider and/or specialty healthcare services.
• Attend clinical meetings as structured and provide current information to team regarding caseload.
• Participate in case reviews with Recuperative Care team (including RN Complex Care Manager, Case Managers, Logistics Specialist, Housing Specialist, Program Assistant and clinical, logistics and operations volunteers) to ensure quality care for patients in Recuperative Care, including helping to identify and address psychological, social and medical needs.
• Transport clients when needed (Only if approved CCC driver).
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.
• Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
• Attend all mandatory CCC trainings in a timely manner.

Requirements

Education and experience sufficient to succeed, carry out responsibilities, and demonstrate the skills and abilities described above with at least one year of experience working in a pre-hospital or post-hospital setting. Possible experience includes: Medical case management/care coordination, social work, counseling, behavioral health work, other social service work, emergency medical technician work, medical support staff, and nursing. Must have current CPR certification prior to start date. Those with relevant lived experience are encouraged to apply. Bachelor's degree in a healthcare-related field preferred. Must have an understanding of the causes of homelessness, the medical and psychosocial sequelae of homelessness, and the systems and processes used to help clients secure and maintain stable housing. Must have a high tolerance for ambiguity and change. Must have ability to relate to patients who are substance-affected with acute mental health issues and poor hygiene. Must have a working knowledge of medical terminology. Must be able to be trained in the use of Electronic Health Records system. Must have non-violent de-escalation training, or complete within 90 days of hire. If driving, must possess a current driver’s license, pass a DMV background check and be designated an “acceptable” driver as outlined in Central City Concern’s Fleet Safety Policy. Must pass an initial drivers training within 60 days of being an approved driver and continued recertification training. Will be required to carry an agency cell phone for work use. Cell phone will be provided by Central City Concern. Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol. Must have excellent reading and comprehension skills. Must be available to work weekends and/or holidays and on-call hours when necessary for the program. Must be able to work efficiently in a very fast paced environment. Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift up to 50 pounds, and climb stairs with reasonable or no accommodation. Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit and the ability obtain ID-Badge at Partner Hospitals. Must adhere to agency’s non-discrimination policies. Ability to effectively interact with co-workers and patients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations and treat individuals with respect and dignity.

Qualifications

Must have an understanding of the causes of homelessness, the medical and psychosocial sequelae of homelessness, and the systems and processes used to help clients secure and maintain stable housing. Must have a high tolerance for ambiguity and change. Must have ability to relate to patients who are substance-affected with acute mental health issues and poor hygiene. Must have a working knowledge of medical terminology. Must be able to be trained in the use of Electronic Health Records system. Must have non-violent de-escalation training, or complete within 90 days of hire. If driving, must possess a current driver’s license, pass a DMV background check and be designated an “acceptable” driver as outlined in Central City Concern’s Fleet Safety Policy. Must pass an initial drivers training within 60 days of being an approved driver and continued recertification training. Will be required to carry an agency cell phone for work use. Cell phone will be provided by Central City Concern. Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol. Must have excellent reading and comprehension skills. Must be available to work weekends and/or holidays and on-call hours when necessary for the program. Must be able to work efficiently in a very fast paced environment. Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift up to 50 pounds, and climb stairs with reasonable or no accommodation. Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit and the ability obtain ID-Badge at Partner Hospitals. Must adhere to agency’s non-discrimination policies. Ability to effectively interact with co-workers and patients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations and treat individuals with respect and dignity.

Skills & Abilities

• Ability to consider the impacts and outcomes for underserved communities during decision-making processes.
• Ability to consider impacts of systems of oppression, structural racism, and individual bias on client outcomes.
• Ability to function as a team member and be flexible in attitude and have the desire to relate effectively with Recuperative Care Patients.
• Ability to proceed through workplace conflict in a constructive manner.
• Ability to utilize critical thinking and problem-solving skills, even in emotionally challenging situations.
• Ability to show good judgement in decision-making.
• Ability to communicate clearly and concisely both orally and in writing.
• Ability to manage time and meet deadlines.
• Ability to work courteously and effectively communicate with the general public, tenants/patients, medical personnel, corrections personnel, police, merchants and co-workers.
• Ability to develop and maintain positive working relationships with other programs staff, hospital partners and health service providers.
• Ability to develop and maintain positive working relationships with other community resources critical to program success.
• Ability to maintain accurate records and necessary paperwork.
• Ability to learn and apply training instruction.
• Ability to perform simple arithmetic computations.
• Ability to maintain strict standards of confidentiality with regard to patient information.
• Ability to maintain a calm professional demeanor and make independent judgments.
• Ability to transport patients in company vehicle.
• Ability to handle emergency/violent situations with skill, confidence and tact.
• Ability to work weekends and/or holidays and on-call hours when necessary for the program.
• Ability to supervise Recuperative Care volunteers when appropriate.

Pay

$24.52/hr - $31.88/hr

Schedule

On-Call/Variable; Monday - Sunday with a strong preference for night shift availability. Swing Shift: 4pm - 12:30am Graveyard Shift: 12:00am - 8:30am