Description

　　Job Title: SSVF Healthcare NavigatorFLSA Status: Full Time - non-exemptReports to: Program SupervisorSchedule: FT, variesSupervises: N/ARate of Pay: $26/hourClose Date: 2/6/2024Benefits: Standard; Full-Time, Non-Exempt employees are eligible for butnot limited to the following:Health, vision, dental, life as well as voluntary life and disabilityinsuranceSick leave benefit - 1 day per month, 12 sick days per year (accrual andavailability begins at hire)Vacation benefit - 10 vacation days per year, accrued at the rate of .0385hours for each hour worked, excluding overtime (accrual begins at hire butmay not be used until the completion of six months of employment)One floating day off for use (accrued immediately, and again annually,but may not be used until the completion of the initial three-monthintroductory period of employment)Pension Plan (after one year of continuous service)Voluntary Tax-Deferred Annuity Plan (403(b)plan)Scope of Position/Essential Functions: The Supportive Services forVeterans Families Healthcare Navigator position provides services that includeconnecting Veterans to VA health care benefits or community health careservices when Veterans are not eligible for VA care. This position providessome case management, but focuses on care coordination, healtheducation, interdisciplinary collaboration, coordination andconsultation, and administrative duties. SSVF Healthcare Navigatorscollaborate closely with the Veteran's primary care provider and members ofthe Veteran's assigned interdisciplinary care team.General Duties (NOTE: This list is not meant to comprise anall-encompassing list of duties, responsibilities, or other tasks theHealthcare Navigator will be asked to perform, but is to provide a baselinefor expectations)This position is the first point of contact for all applicants. The person inthis position must be able to communicate effectively with applicants,clients, staff members, and outside agencies.Conducts assessment of the Veterans in collaboration with theinterdisciplinary treatment team, the Veteran, family members, andsignificant others.Function as a liaison between the SSVF grantee and the VA or community medicalclinic and other healthcare providers, coordinating care for a population ofVeterans with complex needs who require assistance accessing appropriatehealth care services or adhering to prescribed health care plans.Work closely with the Veteran's assigned multidisciplinary team, includingmedical, nursing, and administrative specialists, and case managementpersonnelWork within the SSVF team to provide access to timely, appropriate,Veteran centered care in an equitable manner.Work collaboratively with healthcare team and Veteran to identify and addresssystem challenges for enhanced care coordination, as needed.Non-Clinical AssessmentsConducts assessments of the Veteran in collaboration with theinterdisciplinary treatment team, the Veteran, family members andsignificant others. The purpose of the assessment is to understand theVeteran's situation, potential barriers to care, the causes, and theimpact of such barriers on the Veteran's ability to access and maintainhealth care services.Assessments should highlight the Veteran's strengths, limitations, riskfactors and internal/external supports and service needs to optimize theVeteran's ability to access and maintain health care services.Initial assessments will be completed as specified by the policy of the SSVFgrantee and may be accomplished through virtual technology.Health Care Team and Veteran CommunicationWork closely with Veterans to assist them in communicating their preferencesin care and personal health-related goals, to facilitate shared decisionmaking of the Veteran's care.Serve as a resource for education and support for Veterans and families andhelp identify appropriate and credible r sources and support tailored to theneeds and desires of the Veteran.Assess and evaluate social determinants of health for Veterans and theirfamilies while they are enrolled in the SSVF program, providing appropriateresources or referral information when needed.Participate as needed in the development of the Veteran's care and treatmentplan; with emphasis on community services, outreach, and referralsneeded for the Veteran.Review care and treatment plan goals with Veteran and conduct regular clinicalaccess barrier assessments providing resources and referrals to addressbarriers as needed.Periodically review effectiveness of resources and make modifications asneeded.Monitor Veteran's progress, maintains comprehensive documentation, andprovides information to the treatment team members when appropriate.Use understandable language to communicate recommendations to support theVeteran and family members or caregivers and identify questions Veterans andtheir families may have about their treatments.Specialized Case Management and Care CoordinationProvide case management and comprehensive care coordination across episodes ofcare - acting as a health coach by proactively supporting the Veteran tooptimize treatment interventions and outcomes.Coordinate services with other organizations and programs to assure suchservices are complementary and comprehensive without being duplicative;directing activities to maximize effectiveness and a continuity of care forthe Veteran.Serve as a liaison to VA and community health care programs and represent theSSVF program in contacts with other agencies and the public.Assist in coordinating services with the Veteran, which includes linkingVeterans and caregivers to supportive services, which include, but are not