Patient navigator Jobs in Worcester ma

Overview

Under the general supervision of the Senior Director Justice & Health Equity and Regional Reentry Supervisor, or designee, the Parole Reentry Navigator is responsible for providing direct service support to individuals released under parole supervision. The position will also receive supervision, on an as needed basis, through their respective Regional Parole Staff secondary to dual reporting relationships to the Massachusetts Parole Board and UMass Chan Medical School. This position will assist individuals reentering into their community by providing assessments, an array of supported referrals to community resources, which include case management, housing assistance, employment assistance, family reunification, emergency mental health services, substance use services, and support obtaining all required documents. They will develop individualized treatment plans for each parolee as a means to provide the necessary support for successful reentry. These plans will be designed to suit the needs of the parolee and use evidenced-based modalities and interventions to increase the individual parolees motivation to engage in treatment services and programming and prosocial behaviors. The Parole Reentry Navigator will work in close collaboration with the Transitional Parole Staff and Field Parole staff to ensure a smooth transition to the community with the appropriate discharge appointments scheduled and appropriate documentation completed. The individual will participate in inter-agency meetings held with community behavioral health agencies to support continuity of care and establish relationships with local agencies to streamline services provided and decrease duplication of service and gaps in service. The Reentry Navigators will become Certified Application Counselors in MassHealth and will work with Parole to ensure that applications for health insurance are completed in a timely manner, follow up related to eligibility, and communication around barriers to accessing treatment will be effectively communicated to supervisors. The Reentry Navigator serves as a direct contact for parolees in their respective Regional Reentry Center and will work directly with them on their treatment plan.

Responsibilities

Engage in direct communication with institutional parole staff to ensure that all necessary steps are completed prior to release.

Provide direct communication with institutional staff with comprehensive understanding of parolees needs, including review of LS / CMI, medical and behavioral health diagnoses and appointments, and discharge plan.

Facilitate communication with community providers to ensure that all necessary paperwork and documentation is completed for successful transition of services. Follow up on referrals placed prior to discharge.

Conduct necessary assessment and evaluation in a timely manner related to the needs of the parolee. This may include bio-psych social assessment to help generate treatment plans aimed to meet the needs of the individual on parole. Conduct assessments to determine level of need for mental health support and substance use disorders.

Serve as a liaison between institutional staff and field staff to ensure that all necessary discharge steps have been effectively discussed and reviewed.

Build relationships with community providers and serve as content expert in services related to behavioral health, medical health, vocation, education, housing within their catchment area.

Engage in community building in conjunction with family relationship building for individual parolees.

Complete substance use and mental health evaluations on an as needed basis, when requested by the Massachusetts Parole Board and make referrals on needs assessed upon release.

Keep clear and timely record of all direct and indirect services provided to parolee and parole staff and maintain client files specific to UMass Chan Medical School / ForHealth Consulting requirements.

Enter data into appropriate record keeping database.

Assist parolees with obtaining identification cards and necessary documents related to their reentry treatment plan.

Hold basic knowledge of MassHealth and willingness to assist with application process for appropriate parolees. Ability to maintain as a Certified Application Counselor (CAC) for MassHealth.

Attend scheduled meetings to discuss release plans for parolees pending their discharge from an institution.

• Attend trainings related to job duties and professional development on an as needed basis or required by employer.

Maintain basic knowledge of institutional and parole operations as it relates to supervision of individuals in the community.

Qualifications

Additional Information

Preferred Work Experience :

Options

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