Community Resource Navigator

Job Title

Community Resource Navigator

The role of the Community Resource Navigator is to provide information and assistance to individuals seeking health coverage, health care and other local resources that aid them in maintaining a healthy life style. They help in educating eligible individuals on how to navigate health insurance options, public programs, and Sea Mar services and assist with the application processes. They aid newly assigned and high risk patients in scheduling their initial appointment for medical, dental and care management services.

They provide case management and or participate in intervention strategies that remove barriers that may result in appointment no shows. This service is provided at both Sea Mar service locations or through home visits as necessary. They are responsible for meeting and maintaining all Washington State and Sea Mar testing and certification requirements related to their duties.

As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally-aware services. Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:

• Understanding and empathizing with client needs
• Surpassing client expectations
• Demonstrating a high level of integrity
• Exhibiting compassion and commitment
• Advocating for social justice
• Taking pride in individual work as well as that of the team
• Continually learning to stay current with industry standards, best practices and technology

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily.

• Pro-actively aid in increasing public awareness regarding health coverage enrollment opportunities by planning and conducting outreach activities within the community, participating at both Sea Mar sponsored and non-Sea Mar sponsored events.
• Assist in the development and distribution of informational/promotional materials, and establishes and maintains referral relationships with local organizations, agencies, institutions and businesses as directed by the Managed Care Department.
• They will routinely work uninsured lists from Sea Mar dental, behavioral health, and ancillary service sites to advance enrollment of eligible individuals onto health coverage and inform non eligible individuals about health care options.
• Assist consumers with online public health coverage and program applications, provide the necessary information for consumer to navigate health plan options and make well informed decisions.
• Serve as a service navigator for consumers wishing to establish Sea Mar as their medical home, by providing information regarding services available, and consumer rights and responsibilities.
• Be responsible for assisting high risk patients in scheduling a care manager appointment and facilitate processes to ensure they’ve established care. In using a case management model incorporating home visits if necessary to assist patients who fail to keep their initial medical visit by removing impediments by identifying and linking them to necessary resources.
• Be responsible for maintaining daily activity records, submitting progress reports in a timely manner, and assist in identifying areas for quality improvement and efficiency to the Managed Care Department.
• Assists in identifying, monitoring and tracking uninsured individuals and advocating on their behalf regarding barriers to coverage and or access of health care services.
• Perform all duties in a professional manner, participates at all mandatory state and corporate trainings and meet all competency testing requirements, on health coverage policy changes impacting consumers and or processes.
• Perform any and all other duties as may be assigned while adhering to all corporate and…