Job Summary: The Healthcare Navigator will work as part of a team to provide services that include connecting Veterans to VA health care benefits or community health care services where Veterans are not eligible for VA care. SSVF Healthcare Navigators provide case management and care coordination, health education, interdisciplinary collaboration, coordination, and consultation, and administrative duties. SSVF Healthcare Navigators work closely with the Veteran’s primary care provider and members of the Veteran’s assigned interdisciplinary treatment team- including medical, nursing, and administrative specialists, and case management personnel. The SSVF Healthcare Navigator works within this team to provide timely, appropriate, Veteran centered care equitably. The SSVF Healthcare Navigator works collaboratively with the team and the Veteran to identify and address systems challenges for enhanced care coordination as needed.

Responsibilities:

Direct Service:

· Conducts assessments of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members, and significant others to understand the Veteran’s situation, potential barriers to care, the causes, and the impact of such barriers on the Veteran’s ability to access and maintain health care services.

· Collaborates with case manager and 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.

· Serves as a resource for education and support for Veterans and families and helps identify appropriate and credible resources and support tailored to the needs and desires of the Veteran.

· Regularly reviews care plan goals with the Veteran, conducts regular non-clinical barrier assessments, and provides resources and referrals needed to support adherence.

· Determine the needs, strengths, limitations, and preferences of each Veteran and engage in problem-solving to identify and reduce barriers to care.

· Assists the Veteran in identifying methods to monitor progress toward meeting health goals and provides ongoing follow up.

· Assists in identifying VA and community resources to prevent disease and promote self-care.

Community Organizing:

· Identify and provide community presentations targeting new partnerships for healthcare connections

· Coordinates services with other organizations and programs to ensure such services are complementary and comprehensive; directs activities to maximize effectiveness, efficiency, and continuity of care for Veterans; provides case management services to Veterans; serves as the liaison to VA and community health care programs, and represents the program in contacts with other agencies and the public.

· Responsible for educating the Veteran and caregiver of the available services and assisting them in establishing the appropriate referrals based on the Veteran’s preference.

· Follows the care plan to facilitate adherence, and collaborates with community providers to maximize the use of VA and community resources.

· Network with other agencies, coalitions, and local community meetings

· Actively participate in staff meetings and complete trainings as assigned

· Other duties as assigned by Program Manager

Qualifications:

Educational and Professional

· LICSW preferred, Bachelor’s degree required.

· Experience, education and/or training in social work, occupational therapy, counseling, case management, psychology or other related human service field

Knowledge/Abilities/Requirements

· History working with Veterans and with at risk/homeless populations

· Veteran status preferred, but not required

· Experience/knowledge of computers applications

· Be aware of and adhere to all HIPAA rules and regulations and must be an active participant in safety measures for ensuring confidentiality of information as it relates to clients and this agency

· Ability to work independently

· Ability to work effectively with people, and function as part of a team

· Respect of client diversity and/or families cultural, religious, and ethnic differences

· Resourcefulness, flexibility, integrity, and organizational skills

· Ability to develop relationships with a wide variety of stakeholders

· Understanding of SSVF Program requirements and services

· Clean Driving Record

Job Type: Full-time

Pay: $45,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:
Please be aware that due to a Federal mandate, all Harbor Care employees are required to be vaccinated for Covid-19, unless granted an exemption.

Ability to commute/relocate:

• Nashua, NH 03062: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Required)

Experience:

• Case management: 1 year (Preferred)
• Care plans: 1 year (Preferred)
• Social work: 1 year (Preferred)

License/Certification:

• Driver's License (Required)

Work Location: Hybrid remote in Nashua, NH 03062

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