Care Navigator - Full Time

101 Clifton Springs Hospital & Clinic; United States; On-site; USD 28,000 - 36,000; Full time

Job summary

Rochester Regional Health seeks a Care Navigator to support Mental Health care within a clinic’s Integrated Care team. You will coordinate referrals to services and collaborate with PCPs, BHCs, and psychiatric providers.

The role may involve providing brief evidence-based interventions and engaging patients in ongoing care, with regular team communication and care tracking within the clinic.

Qualifications

• Minimum of 2 years of experience in Human Services, medical related field, customer service, client/patient interfacing experience required OR Associate's degree required, bachelor's degree preferred.

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.
• 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.

Skills

Experience in Human Services

Education

AS (Required)

Associate's degree required

Bachelor's degree preferred

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. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE

$20.00 - $26.00

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It's vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.