Care Navigator

Primary Job Functions:

Clinical Responsibilities

• Assists patient with paperwork including admissions, discharges, etc
• Coordinates care between healthcare providers and patient
• Ensures treatment providers have results of screeners completed at intake and as indicated
• Assists patients in connecting to primary healthcare
• Assists patients in connecting with benefits specialist
• Assists patients in connecting with appropriate therapist
• Assists patients in referrals to TCM, IPS, Day Programs, Residential Programs, ACT, and any other internal programs needed
• Educates patient regarding services available
• Assists in ensuring treatment team has information needed during Huddle
• Provides support and assistance throughout the healthcare process
• Facilitates communication between patients and healthcare teams
• Conducts follow up after hospital admissions to ensure proper care coordination
• Connects patient with available community resources and services
• Helps patient overcome logistical barriers to accessing care to include assisting with transportation arrangements for medical appointments
• Participates in interdisciplinary care teams to support complex cases
• Coordinates implementation of internal services
• Assesses social drivers of health to assist in reducing disparties
• Provides ongoing monitoring of consumers’ progress and needs with the patient
• Evaluates the patient for needed changes in Risk Levels
• Updates CCBHC Client Treatment Plan

Supervision and Consultation

• Seeks clinical supervision and consultation as needed
• Accepts and employs suggestions for improvement
• Actively works to enhance care management skills

Clinical Record Keeping

• Documents interactions with patients when needed
• Documents within AVATARNx appropriate follow up and provision of linkage to services.

Courteous and respectful attitudes towards patients, visitors and co-workers

• Treats patients with care, dignity and respect
• Respects patient’s privacy and confidentiality
• Is pleasant and cooperative with others
• Personal values don’t inhibit ability to relate and care for others
• Is sensitive to the patient’s needs, expectations and individual differences

Case Load Management:

• Effectively manages caseload based on patient needs and staffs with supervisor regularly

Administrative and Other Related Duties as Assigned:

• Actively participates in Performance Improvement activities
• Actively participates in AltaPointe committees as required
• Follows AltaPointe policies and procedures
• Attends to required in-service training and other workshops

Bachelor’s degree in a mental health discipline preferred, high school diploma or equivalent.

Knowledge as outlined below, to be attained within six (6) months of employment:

• Knowledge of psychiatric disorders in the adult population
• Knowledge of developmental disabilities in the adult population
• Knowledge of substance use issues in the adult population
• Knowledge of chronic medical condition in the adult population
• Knowledge of cultural diversity
• Knowledge of behavior management and crisis intervention
• Knowledge of available community resources and internal services