System Navigator

Pacific Clinics; Concord (CA); On-site; USD 39,000 - 48,000; Full time

Benefits offered by this job

Benefits eligibility starts on day ONE

Medical, dental, vision benefits

401K employer match up to 4%

Competitive time off plans

Job summary

Pacific Clinics is seeking a dedicated care navigator for the Enhanced Care Management (ECM) program in California. The ECM initiative partners with managed care plans to coordinate physical, behavioral, dental, and social services, aiming to improve outcomes for Medi-Cal members with complex needs.

As a System Navigator you will work with a multidisciplinary team, assist with service selection, connect to housing, SSI, Medi-Cal benefits, and community resources, and help members navigate the

Qualifications

• High School Diploma or GED and one year of relevant experience.
• Completion of Mental Health Worker Training Course may be required by the program, and self-identified as a person with relevant experience with mental illness and the mental health system.
• National Provider Identifier (NPI) registered as a Mental Health Worker
• Must know or quickly acquire extensive knowledge of local community resources.

Responsibilities

• Works actively with the program's other team members to develop strategies for outreach to consumers who tend to isolate themselves.
• In coordination with a multidisciplinary team, assist consumers in selecting services and/or programs that will be useful in achieving their recovery and/or treatment goals.
• Demonstrates a commitment to consumer choice and empowerment.
• Demonstrates an ability to develop respectful interpersonal relationships with consumers while maintaining appropriate boundaries.
• Assists and supports consumers with identifying, linking to and appropriately utilizing healthcare resources including the member's primary care physician as well as specialty care providers, dental care and vision care, if applicable.

Education

High School Diploma or GED

1 year of relevant experience

Job description

Overview

Schedule: Monday though Friday, from 830am to 5pm

Compensation We Offer

• The initial compensation for this position ranges from $28.48 - $35.02 Per Hour, depending on experience, location and internal equity considerations

Possible Additional Compensation(may vary based on position eligibility)

• Possible Bilingual Differentials: Up to 7.5% for qualifying direct-service roles; up to $80.00/month flat fee for qualifying non-direct service roles.

Benefits We Offer

• BenefitsEligibilitystarts on day ONE
• We provide a robust benefits package which includes medical, dental, vision, See our Benefits Page HERE.
• 401K Employer Match up to4%
• Competitive Time Off Plans

Must meet eligibility requirements based on employment status

Pay Range

$28.48 - $35.02

Job Summary

About Program: Enhanced Care Management (ECM) is a program within a far-reaching, multiyear plan to transform California's Medi-Cal system, known as California Advancing and Innovating Medi-Cal (CalAIM). Led by California's Department of Health Care Services, the goal of CalAIM is to help integrate Medi-Cal more seamlessly with other social services and help improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. Customers enrolled in the ECM program receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. ECM makes it easier for customers to get the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor’s office or hospital. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated care in our state.

Demonstrates and develops supportive/coaching relationship with patients and their caregivers to help them navigate the system to support their well-being, consistent with the service principals including providing assistance (e.g., attending appointments, providing community linkages) and supporting education related to physical health, behavioral health, and social determinants of health. Supports whole-person care principles.

Responsibilities

• Works actively with the program's other team members to develop strategies for outreach to consumers who tend to isolate themselves.
• In coordination with a multidisciplinary team, assist consumers in selecting services and/or programs that will be useful in achieving their recovery and/or treatment goals.
• Demonstrates a commitment to consumer choice and empowerment.
• Demonstrates an ability to develop respectful interpersonal relationships with consumers while maintaining appropriate boundaries.
• Assists and supports consumers with identifying, linking to and appropriately utilizing healthcare resources including the member's primary care physician as well as specialty care providers, dental care and vision care, if applicable.
• Assists and supports members with establishing benefits such as Supplemental Security Income (SSI), Medi-Cal and other benefits for which they are eligible.
• Assists and supports members with identifying their housing needs and/or resources in the community to meet these needs.
• Assists and supports members with linking to and participating in substance abuse services both on-site, if available, as well as in the community.
• Assists and supports members with linking to and utilizing education and employment services.
• Assists consumers in learning social skills and independent living skills that facilitate community integration including budgeting, transportation and grooming and hygiene.
• Supports consumer's integration into the community through social and recreational activities.
• Develop and facilitate peer support and self-help groups as appropriate to recovery/treatment goals.
• Helps consumers and family members identify, understand and combat stigma and discrimination associated with mental illness and develop strategies to reduce self-stigma.
• Increases awareness and provide linkage to self-help programs and consumer advocacy organizations that promote recovery.
• Supports the vocational choices consumers make and assist them in overcoming barriers to employment.
• Encourages and supports members' skills and talents.
• Maintains billable services consistent with program needs and funding source expectations, through documentation and other required paperwork.
• Participates in off-site presentations introducing the program to community partners and potential new consumers.
• Attends and participates in staff meetings on a regular basis to provide input towards program development and staff training.
• Attends and participates in scheduled supervision to provide or receive input towards program development and staff training.
• Exhibits a non-judgmental approach to effective listening maintaining, respectful eye contact and an appropriate level of engagement.
• Reports to work on time and maintains reliable and regular attendance.
• Models the agency's mission and core values in all communication and correspondence.
• Communicates effectively in a culturally competent manner with a diverse member population and promotes favorable interaction with managers, co-workers and others.
• Provides caregivers or other support system with information about the agency, process and procedures, and the various roles to assist them.
• Use their voice to direct treatment.
• Participates in continuous learning process as it relates to engaging consumers.
• Required to meet applicable productivity and documentation requirements.
• Assists with the design and implementation of internal and external trainings about the caregiver/support system.
• Holds staff accountable to service delivery principles related to the consumer/family voice, choice, access, pace and process, through sharing personal experience, engaging in team meetings and consultations with staff internally and externally.
• Models and coaches effective coping techniques for consumers, caregivers/support system.

Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• High School Diploma or GED and one (1) year of relevant experience required, or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:
• Completion of Mental Health Worker Training Course may be required by the program, and self-identified as a person with relevant (or family) experience with mental illness and the mental health system. Ability to identify recovery principles and explain their recovery process.
• National Provider Identifier (NPI) registered as a Mental Health Worker
• Must know or quickly acquire extensive knowledge of local community resources.

Job Competencies

• Conflict Resolution
• Documents Clearly and Accurately
• Encouraging Customer Focus
• Learning on the Fly
• Time Management

Physical Requirements

While performing the duties of this job the employee is frequently required to stand or sit. The employee is required to use hands to produce records and/or documentation in manual or electronic format. The employee must regularly lift and/or move up to 5 pounds and occasionally move or lift up to 10 pounds. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Driving Required May have unsupervised contact with children. Requires full background check and TB Exam. We are Equal Opportunity Employer, which includes providing reasonable accommodations for individuals with a disability.We will consider for employment, qualified Applicants with Criminal Histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.