Posting Number: #226-21
Position Title: Care Navigator
Closing Date: Until Filled
Location: Alameda County and/or Contra Costa County
The Public Health Institute (PHI) is an independent, nonprofit organization dedicated to promoting health, well-being, and quality of life for people throughout California, across the nation and around the world. As one of the largest and most comprehensive public health organizations in the nation, we are at the forefront of research and innovations to improve the efficacy of public health statewide, nationally, and internationally.
The Care Navigator is a key role in the Alameda County Care Alliance (ACCA) Advanced Illness Care Program™. These individuals provide front-line support for members of the community, referrals from health care systems, and ACCA congregations who are caregivers and individuals with advanced illness.
The Alameda County Care Alliance Advanced Illness Care Program™ (ACCA-AICP) is a faith-based, person-centered, lay care navigation intervention serving predominantly African American adults with advanced illness and their caregivers. The ACCA extends capacity for advanced illness care beyond the traditional health delivery system, bridging the gap between health delivery systems, community organizations and faith-based communities. ACCA care navigators provide AICP services to all community members free of charge, regardless of race, ethnicity or religious affiliation. ACCA care navigators address participant needs, provide trusted resources, and empower persons needing advanced illness care and their caregivers in 5 cornerstones: spiritual, health, advance care planning, social, and caregiving. The program is currently in more than 24 churches in Alameda and Contra Costa Counties and is continuing to add new churches. The program also works in partnership with local health systems to provide our intervention services to their referred patients.
Care Navigators are trusted, well-respected individuals in ACCA churches and the community. While they are not medical professionals, nor are they trained to provide clinical guidance, Care Navigators are well trained in the execution of our person-centered and holistic approach to relationship building, service delivery and case management. This incorporates foundational skills in motivational interviewing, storytelling and story-listening to better understand the multiple needs of each participant. Navigators are also trained to use each of the 10 tools developed for the cornerstones of the AICP as well as the case management technology solution to document their work. Services are delivered in three stages through a series of 5-12 visits, half in-person half via phone (pre-pandemic), approximately over a six-month period. In times of COVID-19, all visits are virtual/phone. Plans to begin in-person visits again are still in discussion. Care Navigators personalize the ACCA program to meet individual participants’ needs. All 5 cornerstones and a subset of resources and tools can be utilized, depending on the needs of the participant.
This position will work with patients referred through community organizations, churches and by health system partners.
Essential Duties & Responsibilities
Program Outreach and Participant Eligibility
- Conduct outreach activities to provide information on the ACCA-AICP to referred patients and community organizations.
- Through referral and/or outreach, identify individuals who can benefit from and may qualify for the ACCA-AICP.
- Determine program eligibility for identified individuals from the health systems, community or ACCA congregations.
Delivering Program Intervention
- Review consent forms and provide program overview for individuals.
- Obtain consent from individuals to enter into a working relationship.
- Conduct assessment of big 5 cornerstone needs and gather intake information.
- Clarify areas of need, available resources and sources of supports and develop a plan in collaboration with individual.
- Facilitate access to services, taking care to empower individuals to take active steps to access resources.
- Provide up to 12 visits, via phone and in-person (when it is safe to do so) for each individual.
- Assist with problem-solving among individuals, family and health care providers.
- Work closely with ACCA and the health system pilot team to ensure proper report-back procedures are followed.
- Partner closely w/ faith & health ministry leaders of assigned churches, for church-specific referrals.
- Comply with all HIPAA confidentiality requirements.
- Utilizing an online case management system, track & document required program activities during visit, but no later than 48 hours of occurrence.
Health System Pilot Work
- As directed, utilize approved secure methods for communicating with the health system patient’s primary care physician, which may involve accessing the health system’s electronic medical records system.
- Adhere to all health system compliance requirements including annual training, current immunizations, background checks, drug testing, and annual flu vaccine and TB testing.
Trainings and Supervision
- Attend bi-monthly ACCA team meetings virtually, and in-person when it is safe to do so at ACCA churches and PHI.
- Supervise volunteers, as applicable.
- Assist with training for new Care Navigators and Care Ministers, as requested.
- Collaborate w/ Program Leadership Team and health system partnership team to improve personal performance and pilot program process.
- Perform other duties as assigned.
- Minimum 1 year of Care Navigation or Case Management experience is required.
- Computer proficiency and comfort with technology is required.
- Understanding of and ability to comply with all HIPAA and confidentiality requirements.
- Strong communication skills.
- Interest in working with diverse communities with advanced illness.
- Thrives in a fast-paced, complex, and mobile work environment.
- Ability to make home visits and church visits in multiple Bay Area cities (when it is safe to do so).
- Understand and appreciate the importance of spirituality, faith and/or religion for a person’s holistic well-being.
- Experience working with seniors and/or persons with chronic & serious health conditions is highly preferred.
- Demonstrated relationship-building experience is highly preferred.
- Spanish speaking is a plus.
- Some work experience in the health care field and/or the desire to develop a career in health care is preferred.
- Experience in community outreach, working with social service agency, advocacy with behavioral and mental health is a plus.
- BA degree or equivalent education is preferred. Candidates with relevant work experience will also be considered.
- This is a Part-Time (50% FTE) position with the possibility of increasing to 75% FTE if funding permitted.
- The position will have up to 75% local travel (when safe to do so).
The Public Health Institute is committed to a policy that provides equal employment opportunities to all employees and applicants for employment without regard to race, color, sex, religion, national origin, ancestry, age, marital status, pregnancy, medical condition including genetic characteristics, physical or mental disability, veteran status, gender identification and expression, sexual orientation, and to make all employment decisions so as to further this principle of equal employment opportunity. To this end, the PHI will not discriminate against any employee or applicant for employment because of race, color, sex, religion, national origin, ancestry, age, marital status, pregnancy, medical condition including genetic characteristics, physical or mental disability, veteran status, gender identification and expression, sexual orientation, and will take affirmative action to ensure that applicants are offered employment and employees are treated during employment without regard to these characteristics.
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We’re so pleased the Public Health Institute is an organization you would like to work with. Do you have questions about this opportunity? If so, email our recruitment team at Recruitment@phi.org.