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 disparties

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 AVATARNx 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

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

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