CMT Health Navigator

SAC Health; San Bernardino (CA); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Full benefits package

PTO incl. holidays and sick leave

Education and training benefits

Retirement plan

Job summary

SAC Health is seeking a Health Navigator to guide patients through medical, mental, and social healthcare needs. You will connect patients with resources, schedule appointments, arrange transportation, and assist with Medi-Cal applications, coordinating with care teams.

In this role, you will identify Social Determinants of Health, create individualized care plans, provide health education, and participate in community events.

Qualifications

• Must have High School Diploma or GED; a BSW or related field is preferred.
• Current CPR/BLS certification required (AHA or Red Cross). EPIC certification for the hired module is required.
• 3+ years of experience in a community-based setting; healthcare experience preferred.

Responsibilities

• Monitor and respond to referrals for health navigation services and ensure prompt follow-up.
• Conduct psychosocial intakes and provide resource linkage.
• Evaluate social determinants of health and identify resources; assist with accessing them.
• Coordinate care across the health care continuum including scheduling and transportation.
• Assist with Medi-Cal applications or linkage to managed care services.
• Develop individualized care plans and monitor patient progress.
• Collaborate with providers and care teams to support quality objectives.
• Participate in community events and outreach.

Skills

Communication skills

Teamwork

Organizational skills

Problem-solving

Multitasking

Education

High School Diploma or GED

Bachelor's degree in Social Work or related field preferred

Tools

Electronic Medical Records

WebEx Contact Center

Care Management

Database systems

Job description

Who We Are:

SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients.

Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | Participation in NHSC & NCLRP loan forgiveness programs

What We Are Looking For

The Health Navigator will play a vital role in supporting patients of SAC Health by guiding them through the complexities of their medical, mental, and social healthcare needs. This position will provide comprehensive assistance to ensure patients can access critical resources, including scheduling appointments, arranging transportation, connecting with community services, and accessing health education and preventative care. Health Navigators will also focus on addressing Social Determinants of Health (SDOH), offering support in identifying needs, assisting with applications, conducting interviews, and helping patients secure the resources necessary to improve their overall health and well-being.

Schedule: 5 days per week, 8 hours per day, Monday - Friday, 7:00 am - 4:30pm | Location: SBC Clinic - San Bernardino , CA

ESSENTIAL FUNCTIONS AND DELIVERABLES

• 1.Monitor and respond to incoming referrals for health navigation services, ensuring patients receive prompt and appropriate follow-up care to address identified needs.
• Conduct psychosocial intakes to identify service needs and provide appropriate resource linkage.
• Evaluate patient social determinants of health and identify appropriate resources. Assist patients is accessing and securing resources.
• Evaluate patient needs and support systems and link to appropriate integrated care teams.
• Assist patients in securing and maintaining health care coverage including assisting with Medi-Cal applications or linkage to managed care services.
• Assist patients in the coordination of care across the health care continuum. This may include scheduling, referrals, transportation, and resource linkage.
• Maintain a working knowledge of available resources, both internal and community-based.
• Work as a liaison between the clinical team and community resources. Facilitate the connection of appropriate resources.
• Provide patients with tailored health education and coaching, under the direction and guidance of the clinical team, to support the effective management of chronic diseases.
• Provide education to individuals and families surrounding chronic conditions, preventative care, and social determinant of health.
• Develop individualized care plans addressing patient needs and goals. Monitor and reevaluate patient progress as necessary.
• Collaborate with patients to develop goals and interventions necessary for positive health outcomes.
• Partner with providers, care management teams, and other health care team members to help support overall quality objectives.
• Participate in organization and community-based events to foster connections and outreach.
• Others duties as assigned, as needed to support organizational goals.

QUALIFICATIONS:

• Education: High School Diploma or GED required. Bachelors degree in Social Work or related field preferred.
• Licensure/Certification: Current CPR/BLS certification (must be American Heart Association or Red Cross accredited program) required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. Community Health Worker Certification preferred.
• Experience: 3+ years of experience in community-based setting required. Healthcare experience preferred.
• Essential Technical/Motor Skills: Must have strong technical skills and simultaneously utilize multiple platforms, including Electronic Medical Records, WebEx Contact Center, Care Management, and database systems.
• Interpersonal Skills: Work in a team to accomplish specific goals, new procedures, demonstrate use of equipment/supplies, communicate by phone/in person with department staff and outside sources. Display assertiveness and leadership capabilities, effectively balancing administrative duties, client needs, and task management. Be highly organized, detail-oriented, and proficient in presentation and communication skills.
• Essential Mental Abilities: Able to perform basic mathematical calculations and handle multiple duties simultaneously. Strong organizational and problem-solving skills. The ability to work well under pressure and maintain a calm demeanor.
• Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas.

EEO

SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Full Benefits Package!

Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip | and much more!

Learn More About the Work We Do:

SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish.

SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect