Patient Navigator

About the role

Overview:The Patient Navigator will provide care coordination services to members with chronic health conditions. Patient Navigator will act as an intermediary between providers and members - serving in numerous roles such as educator, evaluator, service coordinator, community resource researcher and more. The Patient Navigator will assist in achieving fewer emergency room visits and hospitalizations, better coordination of services, and social service navigation.

Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York State’s first harm reduction-based, OASAS-licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs. A pioneer in the social entrepreneurship movement, Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit www.housingworks.org Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services.

Responsibilities

• Provides case management services including but not limited to: Weekly and monthly progress summaries, quarterly assessments, quarterly care planning, counseling, outreach, case conferences, advocacy, Targeted Case Finding, Naloxone training/Education/Dispensation, referrals (on-site & off-site) and discharge planning.
• Completes initial assessment and quarterly reassessments on all assigned clients in a timely manner in-order to develop individualized treatment goals for each client.
• Establishes treatment goals and objectives with clients as part of the interdisciplinary team.
• Aid Case Manager in discussing, tracking appointments, documenting, educating and engaging clients in PREP/PEP, STI/STD and HIV treatment services.
• Ensure timely submission of clinical documentation to care organization for uninterrupted services.
• Facilitates harm reduction strategies support groups as needed.
• Assess client’s needs for services and cooperatively develop an integrated care plan and goals with the client, family, and other providers.
• Coordinate transitional care from inpatient service to other settings as per care plan.
• Work collaboratively with