Care Navigator - Full Time

Rochester Regional Health; Springs, Northern (NY, KY); Hybrid; USD 28,000 - 36,000; Full time

Job summary

Rochester Regional Health Clifton Springs Hospital is seeking a Care Navigator to coordinate and support mental health care within the clinic, reporting to the Manager, Behavioral Health/Primary Care Integration.

You will screen and assess patients, provide patient education, monitor symptoms, support medication management, and facilitate referrals to mental health and substance use treatment programs.

Qualifications

• Minimum 2 years in human services or medical field.
• Customer service experience required.
• Associate’s degree required; bachelor’s preferred.

Responsibilities

• Coordinate behavioral health care with PCP, BHC, and psychiatric provider.
• Screen and assess patients for mental health and substance use disorders.
• Educate patients about disorders and treatment options.
• Monitor patients for changes in symptoms and treatment side effects.
• Assist with psychotropic medication management and adherence.
• Facilitate referrals to mental health or SUD programs.
• Participate in Integrated Care team meetings and share recommendations.
• Maintain a registry for engagement and PHQ-9 outcomes.

Skills

Patient interfacing

Customer service

Medical field experience

Education

Associate degree

Job description

STATUS: Full Time

LOCATION: Clifton Springs Hospital

DEPARTMENT: Addiction Services

SCHEDULE: Monday-Sunday, 7AM-7:30PM or 7PM to 7:30AM, Every other weekend rotation, 12 hour shifts

Summary:

The Care Navigator functions as a core member of an Integrated Care team that includes the Primary Care Provider (PCP), Behavioral Health Clinician (BHC), and psychiatric provider. The Care Navigator is responsible for coordinating and supporting Mental Health care within the clinic and for coordinating referrals to clinically indicated services within and outside of the clinic. The Care Navigator may provide evidence-based treatments to patients or collaborate with other Mental Health providers when such treatment is indicated. This role will report to the Manager, Behavioral Health/Primary Care Integration or designee.

Key Responsibilities:

• Support and coordinate behavioral health care with the patient, patient’s Primary Care Provider (PCP), BHC, psychiatric provider and other Integrated Care team members.
• Screen and assess patients for common mental health and substance abuse disorders. This may involve completing or assisting with completion of identified screening tools utilized in practice.
• Provide patient education about common mental health and substance abuse disorders and available treatment options.
• Monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications.
• Support psychotropic medication management prescribed by PCPs and/or psychiatric provider, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment.
• Provide brief interventions using evidence-based techniques such as Behavioral Activation, Problem-Solving Treatment, Motivational Interviewing, or other treatments appropriate for primary care settings.
• Provide or facilitate referrals to mental health clinic/substance use disorder treatment programs as clinically indicated.
• Participate in regularly scheduled Integrated Care team meetings and communicate treatment recommendations to team members and outside collaborators as indicated.
• Facilitate patient engagement and follow-up in care.
• Maintain a registry of patients in the Integrated Care track that includes engagement, measurement- based care outcomes (PHQ-9) results and other items being used by the team to track and manage care.
• Facilitate the Integrated Care team’s review of care of patients not responding optimally to treatment that may lead to management changes in medications or psychosocial treatments, or appropriate referrals for additional services.
• Handle confidential information with discernment and sensitivity.

Minimum Qualifications:

• Minimum of 2 years of experience in Human Services related field, medical related field, customer service, client/patient interfacing experience required

OR

Associate’s degree required, bachelor’s degree preferred.

EDUCATION:

• AS (Required)

PHYSICAL REQUIREMENTS: Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

PAY RANGE: $20.00 - $26.00