Care Navigator

Primary Job Functions

Clinical Responsibilities

• Assists patient with paperwork including admissions, discharges, etc
• Coordinates care between healthcare providers and patient
• Ensure treatment providers have the results of screeners completed at intake and as indicated
• Demonstrates the ability to assess the consumer’s needs utilizing the SUN-R/HSNA
• Identifies goals and plans for appropriate services
• Provides appropriate linkage to community resources
• Monitors consumers to secure placement in the least restrictive environment
• Provides ongoing monitoring of consumers’ progress and needs as assessed in the SUN-R/HSNA
• Assists patients in connecting to primary healthcare
• Assists patients in connecting with benefits specialist
• Assists patients in connecting with appropriate therapists Assists patients in referrals to TCM, IPS, Day Programs
• Educates patients about their diagnoses, treatment options, and medications
• Provides emotional support 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
• Advocates for patient to ensure high-quality care
• 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
• Maintains knowledge of community resources and healthcare programs
• Coordinates implementation of internal services
• Assesses social drivers of health to assist in reducing disparities
• Provides ongoing monitoring of consumers’ progress and needs with the patient
• Provides training of basic living skills to improve consumers' quality of life and to help enable them to be able to maintain in the least restrictive setting
• Evaluate the patient for needed changes in Risk Levels
• Evaluates the consumer for discharge planning
• Effectively collaborates with the treatment team members and outside sources in the delivery of case management services
• Effectively demonstrates the application of adult specific competencies
  
  
  

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

• Document interactions with patients when needed
• Documents within Avatar 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 the ability to relate and care for others 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
• Meets AltaPointe productivity standards
  
  
  

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
• Attend to required in-service training and other workshops
  
  
  

Bachelor’s degree in a mental health discipline required. Must be at least age 23, maintain a valid verifiable driver license, and maintain a clear driving record.

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 conditions in the adult population
• Knowledge of cultural diversity
• Knowledge of behavior management and crisis intervention
• Knowledge of available community resources and internal services
• Knowledge of Psychiatric Rehabilitation principles and /or Substance abuse treatment principles
• Knowledge of educational methods appropriate to adults with severe and persistent psychiatric disorders
• Knowledge of rules and regulations regarding appropriate benefit entitlements such as social security, Medicaid, and Medicare