Division: Bureau of Programs and Services
Department: Supportive Services for Veterans Families (SSVF)
Status: Full Time Non-Exempt
Reports to: Assistant Director North
The overall purpose of the Healthcare Navigator is to work directly with the Veterans on a variety of issues to assist them in identifying and overcoming challenges to accessing the healthcare system or adhering to recommended healthcare plans. The incumbent may participate in the development of the Veteran’s care plan; however, the health care navigator’s emphasis is on community services, outreach, and referrals needed for the Veteran.
Duties and Responsibilities
- Conduct non-clinical assessments of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members, and significant others
- Work closely with Veterans to assist them in communicating their preferences in care & personal health-related goals to facilitate shared decision making of the Veteran’s care
- Serve as a resource for education and support for Veterans and families and help identify appropriate & credible resources and support tailored to the needs & desires of the Veteran
- May participate in the development of the Veteran’s care plan; however, the healthcare navigator’s emphasis is on community services, outreach, and referrals needed for the Veteran
- Regularly review care plan goals with the Veteran, conduct regular non-clinical barrier assessments and provide resources and referrals needed to support plan adherence
- Periodically evaluate the effectiveness of the resources and referrals provided and make appropriate modifications to ensure the provision of high-quality care and interventions
- Monitor Veteran’s progress, maintain comprehensive documentation and provide information to treatment team members when appropriate
- Assist the Veterans in identifying concerns or questions about their treatment or medications to develop open communication with the provider or treatment team
- Provide comprehensive case management and care coordination across episodes of care acting as a health coach by proactively supporting the Veteran to optimize treatment interventions and outcomes
- Serve as the liaison to VA and community health care programs, and represent the program in contact with other agencies and the public
- Determine the needs, strengths, limitations, and preferences of each Veteran and engage in problem-solving to identify and reduce barriers to care
- Act as an advocate for the client, integrating the Veteran’s cultural values into their care plan
- Other duties as assigned or requested
Other Skills and Abilities
- Ability to effectively communicate clearly and concisely in both oral and written format
- Ability to reason logically given both concrete and variable factors
- Must be flexible, and maintain composure in difficult situations
- Ability to relate to and interact with individuals from diverse cultural backgrounds
- Maintain confidentiality of all client information
- Basic computer literacy skills in Microsoft Office products
- Knowledge of Service Point is a plus
- BSW is required, MSW preferred
- Minimum two years’ experience navigating healthcare and the healthcare systems
- Experience delivering services to SUD, COD, or homeless population preferred
- Valid driver’s license and proof of current insurance
- Experience working with Veterans is preferred
General office environment 25% of the time with 75% with home and hotel visits. The working environment is generally favorable. Lighting and temperature are adequate and there are no hazardous or unpleasant conditions. Work is performed in an office environment with standard office equipment available. Travel will be more than 50% and generally local.
Work is generally sedentary in nature and will require standing and walking for more than 50% of the time. There will occasionally be bending, lifting, and carrying of up to 10-15 pounds.
There are no direct reports.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.