CARE NAVIGATOR - COMPASS
Company: The Institute for Family Health
Location: Bronx
Posted on: March 16, 2023
Job Description:
Job Details
Job Location
Urban Horizons - Bronx, NY
Remote Type
Optional Work from Home
Position Type
Full Time
Education Level
High School
Salary Range
$20.00 - $21.77 Hourly
Travel Percentage
Negligible
Job Shift
Day
Job Category
Health Care
Description
SUMMARY:
The COMPASS Care Navigator is responsible for managing a caseload
of patients living with HIV that are enrolled in the Care
Coordination Program. The Care Navigator works as a part of a
diverse, multi-disciplinary team, playing a vital and active role
supporting the HIV health of their patients. The position works
with their patients to address barriers to HIV treatment, viral
suppression, or engagement in care as well as supporting patients
to become physically and mentally health while living with HIV. The
role is a mix of field-based and in-clinic types work, as well as
community outreach efforts to connect patients to healthcare.
The mission of the COMPASS Programs is to provide individualized,
patient-centered, comprehensive services, rooted in harm reduction
with an anti-stigma, anti-racism, social justice lens. The COMPASS
Care Navigator is an active participant in reaching this mission,
and moving COMPASS programs to embody this mission.
COMPASS Programs are committed to hiring candidates that are
reflective of the many diverse identities of our patients.
Candidates that are from diverse identities and communities are
strongly encouraged to apply.
RESPONSIBILITIES:
- Assists with the screening of all patients receiving HIV
primary care at Institute sites for eligibility in the Care
Coordination Program
- Meets with enrolled and not-yet enrolled patients when they
present for medical care or seen in the community, to engage in
services and screen for needs
- Carry out field and clinic based outreach, to re-engage
patients to care
- Sees, supports, and outreaches patients according to program
guidelines, to ensure services are delivered with timeliness and
quality
- Responsible for independently monitoring their caseload to:
track upcoming appointments, make appointment reminder and missed
appointment outreach calls, make collateral and referral follow-up
calls, engage in health education, and address viral
suppression
- Assists with the completing of program intakes, reassessments,
care plans, and self-management assessments, when needed
- Engages patients in individual sessions of health education,
adherence counseling, harm reduction, barriers to viral load
suppression and care through home, field and clinic based
visits
- Regularly assesses concrete needs, and supports patients via
case management and care coordination efforts
- Provides accompaniments for patients to attend healthcare and
social service appointments
- Regularly screens patients for mental health and substance use
needs, assesses readiness for change and referrals, and refers for
relevant resources
- Provides occasional crisis intervention with the help of
managers, as needed
- Works closely with medical providers, nursing staff and others
(internally and externally) to coordinate care for patients ,
through formal and informal case conferences, huddles, warm
hand-offs, joint visits, referral/collateral contacts
- Conducts creative outreach, using various strategies, to
re-engage patients previously out of care several months
- Completes timely and thorough documentation in Epic of all
patient contacts. Qualifications
QUALIFICATIONS:
- High School diploma or equivalent required
- Bachelor's degree in social work or in related field
preferred
- Experience working with marginalized and underserved
communities preferred
- Experience working in HIV care, medical or social service
preferred
- General knowledge of HIV prevention and treatment
- General knowledge of the impact substance use, mental health,
and stigma have on health outcomes and engagement in services
- Demonstrated organizational, interpersonal, oral and written
communication skills and the ability to handle multiple assignments
at any time
- Familiarity with concepts of the stages of change, principles
of harm reduction, and elements of motivational interviewing
- Ability to engage with patients from many diverse communities,
using an anti-racist, person-centered, and judgement free lens
Keywords: The Institute for Family Health, New Rochelle , CARE NAVIGATOR - COMPASS, Other , Bronx, New York
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