Social Work Transition Navigator | Reliance Community Care Partners

About the Organization

Reliance Community Care Partners (RelianceCCP) is a Grand Rapids-based, non-profit health care and case management organization specializing in coordinating community health care services for older adults and those with disabilities. We collaborate with health care providers, government agencies, insurance providers, legal representatives, and family members to help individuals transition from an institutional setting to the community. RelianceCCP has maintained a turnover rate around 10% for over 15 years.

About the Role

The Transition Navigator is a community-based role offering flexibility and the ability to work from a home office while traveling to participant locations. You will join a team of experienced navigators to assess individuals in institutional settings and assist with overcoming barriers to a safe transition into the community.

Responsibilities

• Perform in-person assessments to identify the individual’s desires, resources, strengths, and barriers to transitioning into the community.
• Formulate an individualized plan of care to facilitate the transition.
• Coordinate with natural supports and professionals to develop, initiate, facilitate, and monitor the plan of care.
• Find housing options and coordinate with apartments, assisted living facilities, and other community settings.
• Conduct or coordinate home safety evaluations.
• Advocate and refer individuals for procurement of services and entitled benefits.
• Follow the individual in the community for as long as they are eligible.
• Participate in shopping for various needs.
• Document in different software systems.
• Use reliable transportation to travel throughout various counties.

Requirements

• BSW or MSW licensure (limited or full) in the State of Michigan (master’s preferred); OR
• A bachelor’s degree in a health or human services field and at least 3 years of experience in the provision of health or social services; OR
• A Community Health Worker certification with at least 3 years of experience in the provision of health or social services.

Skills

• Flexibility, resiliency, and adaptability.
• Self-directed and autonomous.
• Ability to organize and prioritize.
• Comfortable with navigating various technologies and computer applications.
• Team player mentality.