Health Navigator

Job Details

Job Location:

FLA‑Miami Area Command - Miami, FL 33142

Position Type:
Full Time Regular

Job Category:
Social Services

Schedule/

Hours:

M – F 8:30 a.m. – 4:30 p.m. (35 hours per week)

This position is responsible for:

• Provides subject matter expertise in evaluating, supporting, and coordinating healthcare and care needs to assist clients in gaining access to health care through community resources. Supports health care plans by identifying and resolving barriers to care and providing education on OnMEd Care Station Services and related wellness topics. Health Care Navigator will not provide direct health care services. Navigators are not health care providers and do not deliver direct patient care.
  
  Navigators will not provide mental health counseling or make treatment recommendations.

Key responsibilities:

• Specialized Care Coordination (30%)
  • Provides comprehensive case management and care coordination across episodes of care; serves as a health coach by proactively supporting the patient; coordinates follow‑up actions and return visits; explains OnMEd Care Station services.
  • Conducts assessments of the patient in collaboration with the interdisciplinary treatment team to understand the patient’s situation, potential barriers, causes, and impact of such barriers on the patient’s ability to access and maintain health care services. The assessment highlights the patient’s strengths, limitations, risk factors, and internal/external support and service needs. The initial assessment will be completed as specified by policy;
    
    assessments may be accomplished through virtual technology.
  • Conducts home visits or community‑based visits with patients when appropriate to assess barriers to care, provide education, and support access to healthcare services and community resources.
  • Assists patients in accessing community resources, benefits, and supportive services including medical appointments, social services, housing support, and community programs designed to enhance health and stability.
• Health Care Team and Communication (30%)
  • Works closely with patients to assist them in communicating their preferences in care and personal health‑related goals.
  • Participates in the development of the patient’s care plan with primary emphasis on community services, outreach, and referrals needed for the patient. Regularly reviews care plan goals with the patient, conducts regular non‑clinical barrier assessments, provides resources and referrals needed to support adherence, evaluates the effectiveness of the resources and referrals, and makes appropriate modifications to ensure the provision of high‑quality care and interventions.
    
    Monitors patient’s progress and maintains comprehensive documentation.
• Administrative Duties and Systems Improvement (15%)
  • Participates in expanding knowledge related to health care navigators.
  • Identifies systemic barriers within the organization, communicates with organizational leadership about these barriers, and works collaboratively to find viable solutions.
  • Assists in developing policy, procedures, and practice guidelines related to the specialty program using knowledge gained from research or best practices.
  • Develops relationships with community leaders, Center of Hope staff, and other referral networks.
• Health Education (15%)
  • Assists in identifying health education needs and provides education services and materials that match the patient’s health literacy level.
  • Provides education to patients regarding health conditions, medication adherence, preventative health practices, and healthy lifestyle choices to improve overall wellness and support care plan goals.
  • Provides ongoing education support as needed to patients; assists in identifying community resources to prevent…