Community Health Navigator

PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID-19 before the first day of employment. We will offer the vaccination at no cost via our Health Centers.

JOB OVERVIEW:

The Community Health Navigator (CHN) provides home-visiting/community-centered services for the Family Services department. Programming includes but is not limited to: SafeCare Augmented and the Medical Home Community Team (MHCT). SafeCare Augmented is an evidence-based home visiting service (EBHV) with the purpose of empowering families, supporting parents, and promoting children's health, development, and safety. The CHN provides parent training for parents of children under the age of 6. The CHN will work with families in their homes or virtually to increase parents' skills and build a solid foundation for their children's health and well-being. This CHN also provides health education and systems navigation while partnering with families, medical practices, and social service providers.

RESPONSIBILITIES:

• Work closely with the MCO Coordinator to enroll and serve eligible families.

• Assist in new families' screening and orientation activities.

• Deliver in-home or virtual services to parents.

• Administer assessments required by the program.

• Provide and monitor services to families as outlined in the SafeCare Augmented Model Implementation Training.

• Deliver programmatic activities and curriculum that enhance parent education while being both creative and flexible.

• Attend all relevant planning meetings, team meetings, trainings, and other events.

• Remain open and responsive to coaching, supervision, and feedback.

• Work with Program Managers and the team to complete all relevant reports.

• Perform other duties as assigned by the MCO Coordinator and/or Program Manager.

• Enter client data via web-based applications.

• Establish flexible and after-hours appointment availability when visiting parents.

Planning, Preparation, and Documentation

• Monitor supplies needed for delivery of services and alert supervisor when replacement supplies need to be ordered.

• Maintain accurate written and electronic records and documentation. Input data in required databases.

• Participate actively in all training programs required and attend additional training as requested by the MCO Coordinator or Program Manager.

Patient Navigation Activities

• Carry a caseload of 15-20 enrolled families.

• Conduct home/virtual visits to develop individual and community-based plans of care, provide health education and promotion services, and provide follow-up visits with families.

• Establish and maintain linkages with community health, social service, education, and legal service agencies, as well as other support services, through effective communication between staff, community members, and partners.

• Coordinate all aspects of family and individual health navigation and education.

• Conduct follow-up with referral sources.

• Provide education that includes a focus on parent-child interaction, home safety, and medical wellness.

• Assess client and family needs and strengths with input from other team members (nurse, other case managers, program supervisor) and family members.

• Schedule/coordinate healthcare appointments, including: facilitating connection between patient and current primary care provider or linking patient to a new primary care provider; facilitating transportation to appointment, if needed; and accompanying patient to appointment, if needed.

• Utilize/provide interpretation services during appointments, if needed.

• Conduct appointment follow-up, if needed, including coordinating/scheduling follow-up services and providing additional referrals for supportive services.

• Provide care coordination services to families with the direction of Program Managers.

• Meet regularly with Program Managers to provide family updates and communicate successes and anticipated barriers/challenges.

REQUIREMENTS:

Skills

• Excellent problem-solving, conflict resolution, time management, and professional communication (written and oral) skills

• Comfortable delivering interventions to families in various home situations

• Excellent interpersonal skills and ability to effectively interface with partner organizations, families, parents, children, and community residents

• Ability to establish priorities, and work both independently and in a team environment to meet objectives with minimal supervision

• Open and responsive to coaching and constructive feedback

• Understands the importance of program fidelity

• Advocate for client and community strengths and needs

• Ability to assess and triage social services quickly

• Advanced proficiency in Microsoft Office suite and various web-based platforms with an ability to learn new software as needed

• Must clear child abuse, criminal history check, and FBI clearance

• Ability to acquire information about new systems, organizations, and practices

• Motivational interviewing techniques

Experience

• At least two years of experience working with diverse populations, low-income individuals, and individuals from different backgrounds

• Minimum of three years of direct in-home, community-based, and/or clinical services

• Experience in data collection/entry and evaluation monitoring

Education: Bachelor's degree in social work, public health, or a related field

Other: Must be willing and able to work with families in a variety of PA counties including Adams, Berks, Carbon, Lebanon, Monroe, Schuylkill, Wayne, and York

SALARY GRADE: 16

EOE