Overview The SSVF Health Care Navigator will connect Veterans and their families to VA health care benefits or community health care services. The Healthcare navigator will work closely with the Veteran's primary care provider and members of the Veteran's assigned interdisciplinary treatment team and will act as a liaison between the SSVF grantee and the VA or community medical clinic and will work with a population of Veterans with complex needs who require assistance accessing health care services or adhering to health care plans. Duties Conduct assessments of the Veteran in collaboration with the treatment team, the Veteran, family members, and significant others. Assess the Veteran's strengths, limitations, risk factors, and internal/external supports and service needs to optimize the Veteran's ability to access and maintain health care services. Enter data in HMIS and internal database system in a timely and complete manner Works closely with Veterans to assist them in communicating their preferences in care and personal health-related goals to facilitate shared decision making of the Veteran's care. Serve as a resource for education and support for Veterans and families and help identify appropriate resources and support tailored to the needs and desires of the Veteran and their families. Act as an advocate for the client, integrating the Veteran's cultural values into their care plan. Assist in monitoring progress towards established goals. Regularly consult with other team members to addresses the needs of the Veteran. Identify barriers within the organization, communicates with organizational leadership about these barriers, and works collaboratively to find viable solutions. Provides subject matter expert consultation to staff and community providers on healthcare and links to health resources. Modifies services to best meet the needs of Veterans and coordinates services with other organizations and programs to assure such services are comprehensive; directs activities to maximize effectiveness, efficiency, and continuity of care for Veterans Participate effectively in team meetings, case conferences, and related activities. Collaborates with multidisciplinary team members in a manner that enhances the coordination of comprehensive Veteran care. Complies with all applicable training requirements. Qualifications Bachelor's level social work or related experience is required. At least two years of experience in health care or social services area of practice working with veterans is preferred.
Knowledge, Skills, and Abilities:
In depth knowledge of the health care resources in the community available for the veteran population, especially services and programs offered by the VA Have basic knowledge of severe and persistent mental illness and substance abuse Ability to form partnerships in the community and seek out community resources Strong oral and written communications Strong organizational, time management, and data management skills Proven ability to work effectively both individually and as part of a team Ability to multi-task and problem solve under pressure Ability to provide positive customer service to difficult populations
Preferred Qualifications:
SSVF, GPD, or
HUD-VASH
experience SOAR certification Motivational interviewing and trauma-informed care training Veteran status Bilingual (English/Spanish)