NFT Navigator - Full Time

Position Overview

The NFT Specialist provides direct support to Medicaid recipients living in nursing facilities who wish to transition back into the community. This role focuses on person-centered planning, community resource coordination, and ongoing follow-along services to support successful transitions and long-term independence.

Key Responsibilities

• Provide direct services to nursing facility residents seeking community-based living.
• Conduct consumer assessments and develop person-centered transition and independent living plans.
• Coordinate all aspects of the transition plan and make appropriate referrals.
• Provide information and referral on community resources.
• Complete outreach to nursing facilities and residents regarding available services.
• Document all consumer interactions within 24 hours and maintain accurate files.
• Submit reports as requested and meet required monthly benchmarks.
• Participate in state and community meetings related to Long-Term Care/NFT.
• Conduct weekly follow-along phone calls and monthly in-person follow-ups per NFT guidelines.
• Meet designated billable unit expectations each month.
• Travel regularly throughout the service area and occasionally outside the area.

Required Competencies

• Knowledge of HIPAA and Mandated Reporter guidelines.
• Familiarity with person-centered processes.
• Knowledge of developmental and mental health disabilities.
• Strong organizational, time management, and problem-solving skills.
• Excellent written and verbal communication.
• Ability to work independently, maintain confidentiality, and respect consumer choice.
• Comfort with public speaking and community outreach.
• Computer proficiency and ability to track timelines.

Qualifications

Candidates must meet ONE of the following:

• Licensed Registered Nurse in Michigan, OR
• Licensed Social Worker in Michigan, OR
• Bachelor’s degree in a health or human services field or Community Health Worker certification and at least 3 years of experience providing health or social services.

Additional Requirements:

• Understanding of the Independent Living Philosophy.
• Three or more years of experience working with community resources.
• Ability to travel to nursing facilities, consumer homes, and community sites, including locations with stairs.

Work Expectations

• Maintain a caseload of 12–20 consumers.
• Cover assigned nursing facilities monthly.
• Ensure all documentation is completed within 24 hours.
• Attend agency meetings, trainings, and collaborative community projects.
• Work a full 32–40 hour week, with occasional flexibility outside typical business hours.

Work Environment & Travel

Work occurs in office settings, consumer homes, community locations, and nursing facilities. Regular local travel and some out-of-area travel are required.

Other Duties

This job description is not exhaustive. Additional duties may be assigned as agency needs evolve.

Pay: $20.00 per hour

Benefits:

• 403(b)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $20