Veteran Services; SSVF- Health Care Navigator

WHO WE ARE: We are more than a nonprofit organization. We are a ministry of service that includes nearly 600 paid professional employees dedicated to helping those we serve. We provide compassionate care today for flourishing communities tomorrow. Founded locally in 1911, VOA Northern California & Northern Nevada is one of the largest providers of social services in the region, delivering a broad range of community-based services that transform lives while meeting immediate needs of families, individuals, veterans, seniors, and youth.

In fact, VOA-NCNN provides shelter or housing to over 3,500 men, women, and children every night.

OUR MISSION: VOA puts faith into action by providing compassionate human services to empower individuals and strengthen communities. VOA aspires to create a world in which every person lives a life of emotional, physical, and spiritual well-being, filled with hope across Northern California & Northern Nevada.

PROGRAM AND

LOCATION:

VOA is recruiting a full‑time Health Care Navigator for our Veterans Services Team in Mather, CA. Funded by the U.S. Department of Veterans Affairs, the Supportive Services for Veteran Families (SSVF) program provides supportive services to very low‑income Veteran families living in or transitioning to permanent housing.

POSITION SUMMARY:

The Health Care Navigator works to connect eligible veterans and beneficiaries to VA health care benefits and community health care services in the assigned counties. This position provides case management coordination, health education, interdisciplinary collaboration and coordination, and assist with some administrative duties. Health Care Navigators work closely with the client’s primary care provider and members of the client’s assigned interdisciplinary team to help the client eliminate barriers to successful permanent housing, gainful employment, and overall healthy living.

This individual will work within an assigned VA Medical Center area, often covering large geographical regions. The Health Care Navigator will perform much of their work with clients remotely, but is expected to travel on occasion to VA medical centers and other community health centers to assist in collaborative client efforts.

OBJECTIVES/

ACTIVITIES:

Responsible for performing daily work requirements to achieve established objectives of the department.

• 1. Conducts assessments of veterans in collaboration with the larger interdisciplinary treatment team including the veteran, their family members, medical, nursing, clinical, case management, and administrative staff.
• 2. Identifies strengths, limitations, risk factors, internal and external supports and service needs, and potential barriers to health care, including assisting in the identification of the cause of the barrier(s.)
• 3. Works closely with clients to assist them in communicating their preferences regarding health care and personal health goals to facilitate shared decision making of the client’s care.
• 4. In collaboration with the interdisciplinary team, helps create a tailored health care plan for assigned clients.
• 5. Regularly reviews care plan goals, conducts barrier assessments, and provides resources and referrals needed to help the client adhere to the established plan.
• 6. Periodically reviews the effectiveness of the resources and referrals provided, and makes appropriate modifications to ensure the provision of high-quality care.
• 7. Monitors client progress, creates and maintains comprehensive documentation, and provides information to the treatment team when appropriate.
• 8. Helps veteran clients and family members communicate questions, needs, and plan modifications to the treatment team.
• 9. Acts as a health coach by proactively supporting…