The Patient Navigator acts as the liaison between the behavioral health team and the community. This person will provide care coordination and assist with Social Determinants of Health (SDoH) screening, Health Risk Assessment and Trauma Screenings. The PN assists all patients in achieving self-management goals and improved health outcomes. Works closely with the therapist and behavioral health team with the goal to provide integrated care. The PN will also assist with quality and compliance measures for the program along with PIMS and other reporting needs. The goal is to integrate community resources to facilitate substance use disorder, mental health, and/or medical care for those we serve, thereby improving health and quality of life.
Minimum of an Associate degree in health care, LPN, MA or counselor.
Prefer a Licensed RN, LPN or MA.
Experience:
2-3 years general or health related experience.
3-5 years health care experience related to mental health and/or care coordination.
Required Skills:
Exceptional Customer service and telephone etiquette
Excellent organizational abilities with attention to detail
Excellent human relations, oral and written communication skills
Excellent IT skills, comfortable using Excel, email and willing to learn other applications.
Positive attitude
DUTIES AND RESPONSIBILITIES:
The PN will be the point of contact between the community needs and the clinic resources acting as a resource specialist.
Provide care coordination to patients and willing to learn payers regulations for this service.
Assist with patient scheduling for the behavioral health team as needed. Learn how to admit and schedule patients.
Conducts behavioral health screenings to all incoming patients.
Oversees SDoH (Social Determinants of Health) screening and HRA (Health Risk Assessments) ; engages patients in care coordination to meet social needs including housing, food, utilities and transportation assistance.
Network in the community and develop and distribute appropriate resource materials regarding the Schoolcraft Memorial Hospital Behavioral Health Care team. (brochures, website content and community calendars).
Facilitate patient access to appropriate medical care including substance use disorder, mental health, dental health and/or medical providers. Educates patients on importance of keeping appointments and assists with this process.
Monitor all referral for the behavioral health care team. This includes MC3 contacts, Dial Help and the Rides to Wellness Program.
Participate in department and interdepartmental process improvements; recommends improvements in clinical process as opportunities are identified. Attend weekly huddles and monthly staff meeting for the clinic.
Maintain tracking systems for identified patients and quality of care performance measures.
Work with the BH team to collect aggregate data of adverse childhood experiences (ACE's) for program participants.
Track and assist with Behavioral Health compliance.
Responsible for assisting with PIMs report and other quality reporting measures.
Attend conferences/workshops to enhance/maintain expertise.
Demonstrates appropriateness in meeting objectives in age-specifics.
Perform other duties as may be assigned.