Kaiser Permanente Community Health Navigator in Portland, Oregon
The Community Health Navigator supports the social, economic and behavior health needs of vulnerable populations within Kaiser and for the communities we serve. The CH Navigator works on inter-disciplinary care teams supporting members who are experiencing complex socio-economic circumstances impacting their health and health care. They work to identify goals an enable members and their families to achieve those goals through identifying local community assets. CH Navigators are non-licensed. They are highly trained communicators and experts on how to access local community resources and social services. They are skilled in motivational interviewing and person-centered care. Specifically, the CH Navigators coordinate alternative services for patients with social and non-medical needs and where other avenues of care are more appropriate to affect optimal patient outcomes, achieve continuity and quality of care and reduce cost (Triple Aim). Patient/Family education will be a key component of success.
Supports members and their families who are experiencing complex circumstances. Works to identify goals and enable members and their families to achieve those goals through identifying local community assets, vetting their services and making these resources accessible to members and providers.
Be the system coordinator and point of contact for patients and families. May assume advocate role on the patient's behalf to ensure approval of the necessary services or accessibility of needed resource(s) for the member in a timely fashion.
Addresses social, economic and behavior health needs of members and their families. Communicates all care and coordination activity, risks and care plans using standard documentation, information technology and care coordination tools in the electronic medical record. Coordinates care with the right licensed professional, medical provider or community resource at the right time to ensure patient safety.
Creates collaborative relationships with patients and clinical staff across a variety of areas within Kaiser and entities external to the organization to promote a high level of intra-department collaboration and multi-system coordination.
Educates and advocates for the function in a variety of venues to increase awareness and understanding of social determinants and the impact on triple aim. Supports the orientation and training of all new navigator hires. Supports and educates KP staff across the care continuum about the role of non-traditional health workers in care delivery.
Works collaboratively with multidisciplinary teams across the continuum of care and community organizations to coordinate care and care plans for high risk and vulnerable populations.
Provides consulting and educational services with patients and families to reach collaborative agreements regarding appropriate venues of care and non-medical interventions.
Increases access to health and heath care services through innovative health models, virtual care strategies and collaborative community partnerships.
Applies motivational interviewing and patient centered approaches to address concerns around cost, coverage and care to improve the care experience.
Minimum one (1) year of experience in a health care or related field.
Bachelor's degree in a business or health care related field (the following may substitute: associate's degree in a business or health care related field with an additional two (2) years of directly related experience).
License, Certification, Registration
Competent computer skills with proficiency in Microsoft Office products and ability to learn new programs to support the program
Ability to demonstrate flexibility and adaptability when faced with internal or external barriers, or when faced with differing points of view
Ability to anticipate next steps, be proactive and collaborate with coworkers and stakeholders
Ability to use integrated technology platforms and virtual care coordination tools
Ability to use good judgment and problem solving skills, able to effectively respond to difficult situations and resolve conflicts
Ability to work independently in a fast-paced environment
Excellent written and verbal communication skills
Ability to complete Motivation Interviewing Certification
Ability to organize and prioritize workload; effective time and project management skills in achieving program initiatives and priorities
Ability to successfully complete tasks with little or no supervision.
Ability to anticipate patient and team member needs
Preferred experience in the community health care setting
Preferred experience as a health coach and/or community health care worker
Community health worker certification
Bachelor's or Master's degree in a business or health care related field
TITLE: Community Health Navigator
LOCATION: Portland, Oregon
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.