Health Navigator

Career Opportunities with Integrated Services for Behavioral Health

Careers At Integrated Services for Behavioral Health

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Fairfield Community Health Center's (FCHC) goal is high-quality, better care for our patients. We have been recognized as a level 3 Patient-Centered Medical Home (PCMH) by the National Committee for Quality Assurance for all our family practice offices. PCMH means we offer a team approach, with the patient as the most important member of the team. FCHC offers improved access to care with extended hours, as well as same-day and next-day appointments.

We work with specialists and hospitals to coordinate care to be sure that the entire healthcare team is working together to assure the best possible health for our patients.

The pay range for this position is $19.00-$23.00/hr based on experience, education and/or licensure.

The Health Navigator role supports the organization's Patient-Centered Medical Home (PCMH) and HRSA Health Center Program requirements by ensuring coordinated, comprehensive, culturally responsive, and patient-centered care. This role advances access to care, continuity, population health management, community integration, quality improvement, and compliance with HRSA, NCQA, and other regulatory standards.

• Facilitatetimelyaccess to primary and preventive care services
• Coordinate referrals, transportation, hospital/ED discharges, and follow-up appointments
• Provide enabling services to reduce barriers to care (e.g., navigation, scheduling support). Support patients before, during, and after visits to improve engagement and continuity. Assist in special outreach projects
• Serve as a liaison between patients, families, providers, care teams, and community partners
• Participate in daily huddles, interdisciplinary care team meetings, and panel reviews
• Communicateidentifiedcare gaps, risks, and social barriers to providers and leadership. Serve as a resource to providers and staff related to care coordination, population health workflows, and HRSA expectations
• Promote shared decision-making, health literacy, and self-management using motivational interviewing
• Provide ongoing follow-up, coaching, accountability, and advocacy
• Manage patient panels, registries, and risk stratification using Azara DRVS Review preventive services, labs, immunizations,utilization, and chronic disease measures
• Conduct patient outreach directly or coordinate outreach based on registry and panel data Monitor population-level trends and recommend interventions to improve outcomes and equity
• Maintain current knowledge of community-based organizations and external resources Link patients to social support including food access, housing resources, insurance assistance, and transportation
• Participate in Quality Improvement (QI) activities aligned with PCMH and HRSA expectations
• Assist with development, tracking, and implementation of QI goals and action plans
• Track progress on preventive care, chronic disease outcomes, population health initiatives, and patient engagement
• Provide education and support to staff and patients related to QI initiatives
• Document all patient care and interactions (including phone calls and outreach) in the EMR per policy
• Reporttowork as scheduled and perform duties as assigned
• Serve as lead or support for special projects related to PCMH, HRSA, or population health
• Participate in internal committees and QI work groups as requested
• Ability to work in a team environment
• Recognizes andparticipatesin continuous quality improvement efforts for operational and workflow changes.
• Demonstrates strong interpersonal, organizational, and customer service skills. Demonstrates computerproficiencyand ability to work with all Microsoft Office applications, incident tracking software, and other pertinent organizational software applications.
• Demonstrates effective time management skills and ability to prioritize to meet operational demands.
• Applies professionalism to all interactions with health center patients, employees, providers, contractors, and vendors.
• Continually willing to learn, embrace change, and have a positive attitude.
• Demonstrates understanding of the importance of patient confidentiality.
• Ability to work independently and in a team…