Navigator II

All About Hamilton Health Center

Hamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) within a 30-mile radius of Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania’s residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.

Benefits offered: In addition to your base pay, you are also eligible to receive:

• Paid time off, Catastrophic (CAT)/Sick time, Birthday holiday, and 7 paid holidays.
• Medical, Dental & Vision,
• Company paid life insurance.
• Retirement Plan
• Employee Assistance Program

Job Summary:

The Navigator II is responsible for the coordination of care between the health center and patients by helping to facilitate and connect patients with health and social services needed to improve health outcomes. The Navigators will utilize screening tools to assess social determinant of health needs and connect patients to appropriate supports, providing follow up for continuity of care. In addition, these positions will explain advantages of applicable service opportunities suited to the patient’s apparent situation, including but not limited to; support services offered by Hamilton and in the community. The Navigator II will be responsible for covering multiple departments as needed. The Navigators will be active members of assigned care teams with the responsibility of in-reach, home visits, and education activities, designed to improve participation in evidence-based care.

Essential Duties and Responsibilities:

• Participate as a Care Team member to help patients overcome barriers to care, such as lack of insurance or lack of transportation, mental health and /or drug and alcohol problems.
• Provide access to early intervention, screening; inclusive of depression, substance abuse, child development and social determinants of health and facilitate access to internal and external referral services.
• Help develop, assess, and adjust as necessary in collaboration with care team the patient centered care plan and promote desired outcomes along with monitoring the effectiveness of the plan along with establishing measurable goals and outcomes.
• Screen for Social Determinants of Health using approved tool and report specific health and social information back to the care team to assist in development of the continuum of care/service plan.
• Support the Care Team(s) by reaching out to patients who have missed critical appointments or who are overdue for preventive or obstetric care services.
• Maintain constant communication with patient while addressing their concerns goals and helping them keep positive attitudes and adherence to the treatment plan.
• Utilize clinical judgment and critical thinking skills to help patient navigate appropriate physical and behavioral healthcare and coordinate psychosocial and medical wraparound services to promote effective utilization of available resources.
• Identify social agencies and other resources as appropriate to the needs of the patient, including but not limited to medical, dental, mental, financial and community resources.
• Provide patient and family education to promote understanding of service rationale and coordination among community organizations/network providers and constituent groups.
• Screen, identify, and close clinical and nonclinical gaps in patient care
• Mitigate family dynamics and patient compliance issues.
• Provide service coordination and facilitation of case management, and client advocacy.
• Document service coordination activities throughout the continuum of care.
• Monitor and follow-up on client referrals and access to prevention/intervention and treatment needs.
• Facilitate access to referral services to school districts.
• Ensure accurate and appropriate use of medical terminology within documentation of patient interactions.
• Maintain confidentiality and security rules when providing information to internal and external sources.
• Travel throughout the service areas as required, providing home visits if needed by patients.

Minimum Education/Certifications: High School diploma required with 2 or more years comparable work experience; Associate degree preferred. Bi-lingual speaking preferred. Knowledgeable in The Joint Commission regulations, preferred.

Bi-lingual speaking preferred. Knowledgeable in The Joint Commission regulations, preferred.

Minimum Work Experience: Minimum of three years of experience in a clinical environment working directly in-patient care required.

Working with children and families in Public Health, Outreach, Social Work or related field performing care coordination /care management in a medical setting, preferred, but not required if other relevant experience can be demonstrated.

Other Requirements: Reliable transportation to travel throughout the service area.

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.