Community Health Navigator Lead Panel Support - Pacific Tower (Hybrid, 1.0 FTE

Community Health Navigator Lead – Panel Support

The Community Health Navigator Lead – Panel Support is responsible for providing community health and social service system navigation to Neighbor care Health patients in assigned populations to reduce barriers to effectively participating in primary care. They achieve this by providing care coordination services for moderate to high-risk patients with identified health-related social needs, including maintaining regular contact with referred patients and assisting them in utilizing appropriate support services.

The Community Health Navigator works in partnership and joint accountability with RN Care Management, external Community Health Navigation services, and other internal care team members to achieve Neighbor care's Mission, Guiding Principles and Goals.

Health, Wellness & Retirement Benefits:

• Medical, Dental & Vision insurance
• Paid time off & paid holidays
• Retirement with contribution match
• Life & AD&D, pet insurance
• Employee assistance program, & more!

Compensation:

• The target wage range for this position is $24.48 per hour to $30.78 per hour.
• Final offers are individually based on various factors, including skill set, years of experience, location, qualifications, work schedule and other job-related reasons.

Union: SEIU Healthcare 1199NW

Primary Responsibilities:

• Effectively maintain a caseload of empaneled patients in a designated population.
• Provide high-quality community health navigation support to referred patients in a timely manner. This includes assessing needs, assisting individuals to access and navigate community services, and following up to ensure that services are received. Examples include, but are not limited to:
• Housing and emergency shelter placement
• Clothing, food and hygiene resources
• Medical appointments and specialty referrals
• Referrals to community behavioral health resources
• Coordinating with other team members for appropriate benefits, e.g. FMLA, DSHS programs, Social Security, Medicare, VA, etc.
• Child or Adult Protective Services
• Parenting support services
• Transportation services
• Older adult services
• Patient Assistance - DME supply logistics
• School IEP services
• External Case Managers, Social Workers, or Community Health Workers as needed
• Collaborate with clinic teams—including RN care management, pediatrics, behavioral health, and support staff—to ensure coordinated care and maximize patient access to navigation services.
• Assist patients and care teams in documenting screenings, social histories, and navigation activities in the electronic medical record (EHR).
• Maintain accurate and timely documentation of all care coordination activities.

Family Medicine Panel Support

Primary Responsibilities:

• Carry a rotating panel of patients requiring social services support based on internal referrals or identified needs via screening.
• Assess clients' needs to develop individualized treatment plans that coordinate care with NCH providers and provide ongoing support and advocacy.
• Work closely with clients to help them navigate the complexities of health-related social needs and play a key role in helping them achieve their goals.
• Facilitate collection of further behavioral health and health-related social needs screenings as appropriate and dictated by Neighbor care care guidelines.
• Refer highest risk and highest complexity patients to Neighbor care RN Care Management or external case managers/social workers as needed in accordance with Neighbor care care guidelines.

CHN Lead Panel Support

Primary Responsibilities:

• Serve as a Subject Matter Expert in community health navigation for specific patient populations.
• Serve as a Subject Matter Expert in Epic documentation and processes for the community health navigators.
• Assist in training new team members.
• Participate in the design, pilot, and implementation of new or optimized workflows.
• Supports the Community Health Navigation Manager in monitoring progress.

Key Skills, Knowledge, & Abilities Required for this job:

• Demonstrated ability to work respectfully and effectively with individuals of diverse racial, ethnic, socio-economic, cultural, sexual orientation, and ability backgrounds.
• Ability to communicate clearly and…