Neighborhood Housing Navigator - Care Link

Neighborhood Housing Navigator

Under the Director of Social Services' supervision, provides housing services for adults on an outpatient basis and performs related work as required. Neighborhood Housing Navigators (NHN) are community-based case managers providing intensive case management support to community members through intensive coordination of health and health-related services via Enhanced Care Management (ECM). The NHN provides housing related community support to clients with identified housing needs through coordination with Neighborhood Housing Navigators and ECM services.

Main duties include conducting personal assessments, guiding individuals in developing housing care plans and goals, and connecting individuals to resources and support in the community, all with the goal of providing housing tenancy and sustaining services.

Examples of essential duties include serving as a community-based advocate and resource for health plan members, using knowledge of the community and resources available to engage and assist clients in managing needs. Engage clients with motivational interviewing and trauma-informed care practices to conduct initial intakes, confirm program eligibility, provide ongoing outreach, and set up meetings in the most easily accessible setting for members, such as in-person appointments at their homes, NHA offices or other community locations, telephonic and/or virtual settings.

Contact eligible members to assist in development, implementation, evaluation, and revision of Assessments and individualized Care Plans and objectives, which may include accessing social services such as community-based resources for housing, food, employment, etc. Assist clients to develop, implement, evaluate, and revise housing case plan goals and objectives, which may include obtaining income and establishing supportive services that will help to assure housing stability, tenant screening, housing assessments and developing an individualized housing support plan which includes housing search assistance, support in completing applications, and obtaining required documentation.

Identify, coordinate, and secure resources for subsidized rent and secure funding for security deposit, moving costs, adaptive aids, environmental modification, and other one-time expenses necessary to enable a person to establish basic housing, and arranging for and supporting move. Provide early identification and intervention for concerns that may jeopardize housing and provide education, training and coaching on maintaining housing, in addition to coordination with landlord to assist in resolving disputes, communicating, and advocating on behalf of tenants, and provide landlord education and engagement.

Assist with annual recertification, independent living and life skills training, link clients with community resources, review, update and modify housing support and crisis plans, conduct health and safety visits, and provide independent living and life skills training. Maintain communication with Neighborhood Networks Program staff, service providers, and housing resources and provide timely and accurate documentation of service delivery, status, and progress of clients.

Creates detailed documentation of clients' housing progress and performs various other administrative functions associated with the program; updates assigned clients' progress notes; maintains weekly log of clients seen. Enters necessary data and information into the database in the required time frame. Ensure that all client files are accurate, organized, auditable and stored in confidential file cabinets. Assist with recruitment of clients.

Represent NHA and the Program at meetings as requested by the Director of Social Services. Assist with administrative duties as needed. Assist Social Services Director with special projects. All other related duties as assigned by the Social Services Director.

Desired minimum qualifications include a high school diploma or equivalent, bilingual in English and Spanish preferred, experience working in a health care setting preferred, experience providing case management/case work services to underserved or…