SSVF Health Care Navigator
Company: YWCA Seattle - King - Snohomish
Location: Renton
Posted on: January 12, 2021
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Job Description:
SSVF Health Care Navigators are employed by SSVF Grantees to
provide services that include connecting Veterans to VA health care
benefits or community health care services where Veterans are not
eligible for VA care. SSVF health care navigators provide case
management and care coordination, health education,
interdisciplinary collaboration, coordination, and consultation,
and administrative duties. SSVF Health Care Navigators work closely
with the Veteran's primary care provider and members of the
Veteran's assigned interdisciplinary treatment team.The Health Care
Navigator possesses excellent judgment and has at least two years
of experience in a health care or social services area of practice.
The health care navigator will act as a liaison between the SSVF
Grantee and the VA or community medical clinic and works with a
population of Veterans with complex needs who require assistance
accessing health care services or adhering to health care plans.The
SSVF Health Care Navigator works closely with the Veteran's
assigned multidisciplinary team, including medical, nursing, and
administrative specialists, and case management personnel. The SSVF
Health Care Navigator works within this team to provide timely,
appropriate, Veteran centered care equitably. The SSVF Health Care
Navigator works collaboratively with the team and the Veteran to
identify and address systems challenges for enhanced care
coordination as needed. This position will be based out of SKC
Regional Center with travel throughout King County and possibly
Snohomish County. This position has a social justice component that
requires critical thinking through the lens of racism and
intersections with poverty. Knowing the core principles of
antiracism and grounding those principles in everyday work are
required job skills and core values. As an equal opportunity
employer, we highly encourage people of color to
apply.Responsibilities:A. Non-Clinical AssessmentThe incumbent
conducts assessments of the Veteran in collaboration with the
interdisciplinary treatment team, the Veteran, family members, and
significant others. The purpose of the assessment is to understand
the Veteran's situation, potential barriers to care, the causes,
and the impact of such barriers on the Veteran's ability to access
and maintain health care services. The assessment should highlight
the Veteran's strengths, limitations, risk factors, and
internal/external supports and service needs to optimize the
Veteran's ability to access and maintain health care services. The
initial assessment will be completed as specified by the policy of
the SSVF Grantee. An assessment may be accomplished through virtual
technology.B. Health Care Team and Veteran CommunicationThe SSVF
Health Care Navigator works closely with Veterans to assist them in
communicating their preferences in care and personal health-related
goals to facilitate shared decision making of the Veteran's care.
The SSVF Health Care Navigator serves as a resource for education
and support for Veterans and families and helps identify
appropriate and credible resources and support tailored to the
needs and desires of the Veteran. The incumbent may participate in
the development of the Veteran's care plan; however, the Health
Care Navigator's emphasis is on community services, outreach, and
referrals needed for the Veteran. The plan is developed in
collaboration with the interdisciplinary treatment team, the
Veteran, family members, and significant others, and incorporates
measurable goals. The incumbent regularly reviews care plan goals
with the Veteran, conducts regular non-clinical barrier
assessments, and provides resources and referrals needed to support
adherence. The incumbent also periodically evaluates the
effectiveness of the resources and referrals provided and makes
appropriate modifications to ensure the provision of high-quality
care and interventions. The SSVF Health Care Navigator monitors
Veteran's progress, maintains comprehensive documentation, and
provides information to treatment team members when appropriate.
The incumbent reiterates provider recommendations using clear
language to support the Veteran and family members or caregivers.
The SSVF Health Care Navigator assists Veterans in identifying
concerns or questions about their treatment or medications to
develop open communication with the provider or treatment team. C.
Specialized Case Management and Care CoordinationThe incumbent
provides comprehensive case management and care coordination across
episodes of care-the incumbent acts as a health coach by
proactively supporting the Veteran to optimize treatment
interventions and outcomes.The SSVF health care navigator modifies
services to meet the needs of Veterans best and coordinates
services with other organizations and programs to assure such
services are complementary and comprehensive; directs activities to
maximize effectiveness, efficiency, and continuity of care for
Veterans; provides case management services to Veterans serves as
the liaison to VA and community health care programs, and
represents the program in contacts with other agencies and the
public. The incumbent helps coordinate supportive and additional
services with the Veteran. The incumbent ensures and links Veterans
and caregivers to supportive services, which include, but are not
limited to, housing, financial benefits, transportation.The SSVF
Health Care Navigator serves as the subject matter expert on
community resources related to the needs of the Veteran. The Health
Care Navigator collaborates with other providers in the ongoing
reassessment of the Veteran's health care needs. The Health Care
navigator is responsible for educating the Veteran and caregiver of
the available services and assisting them in establishing the
appropriate referrals based on the Veteran's preference.The
incumbent will determine the needs, strengths, limitations, and
preferences of each Veteran and will engage in problem-solving to
identify and reduce barriers to care. The health care navigator
will educate the Veteran and family on the available options for
acquiring knowledge and skills for managing health and wellness.The
incumbent coordinates referrals to VA, community health clinics,
and other programs needed to ensure access to health care. The
incumbent follows the care plan to facilitate adherence, and
collaborates with community providers to maximize the use of VA and
community resources. The incumbent acts as an advocate for the
client, integrating the Veteran's cultural values into their care
plan. The Health Care Navigator assists the Veteran in identifying
methods to monitor progress toward meeting health goals and
provides ongoing follow up.D. Health Education The incumbent
assists in identifying the Veteran and family's health education
needs and provides education services and materials that match the
health literacy level of the Veteran. The Health Care Navigator
provides ongoing education support as needed to the Veteran and
family member. The incumbent assists in identifying VA and
community resources to prevent disease and promote self-care. For
specialized health education outside of the incumbent's scope of
practice, the Health Care Navigator will refer Veterans and
families to the appropriate interdisciplinary team member for
identified health education needs.E. Interdisciplinary
Collaboration, Coordination and ConsultationTo ensure the best
possible care, the incumbent collaborates with other disciplines
involved in providing care. The incumbent regularly consults with
other team members and appropriately assesses and addresses the
needs of the Veteran. The incumbent understands the different roles
within the interdisciplinary team and acts within professional
boundaries. The Health Care Navigator will adhere to ethical
principles about confidentiality, informed consent, compliance with
relevant laws, and agency policies (e.g., critical incident
reporting, HIPPA, Duty to Warn).F. Administrative Duties and
Systems ImprovementThe incumbent participates in expanding the
knowledge related to Health Care Navigators and the Veteran
population. The Health Care Navigator identifies systemic barriers
within the organization, communicates with organizational
leadership about these barriers, and works collaboratively to find
viable solutions. The Health Care Navigator assists in developing
policy, procedures, and practice guidelines related to the
specialty program using knowledge gained from research or best
practices. The incumbent develops relationships with community
leaders, VA staff, and other referral networks. The Health Care
Navigator provides subject matter expert consultation to staff and
community providers on the specialty area of practice. The
incumbent may develop evaluation components and outcomes indicators
and report those evaluation results to VA and organizational
leadership. G. Other Duties* Actively engages in agency-wide Race
and Social Justice Initiative (RSJI), and strives for racially
equitable outcomes; takes responsibility for creating and
maintaining a safe and welcoming community by making room for
people of color, trans and gender-non-conforming folks, and other
populations who routinely encounter systemic oppressions * Adhere
to all Volunteer Services protocol relative to volunteer usage,
recognition and monitoring * Attend required safety trainings and
meetings; follow all safety and health guidelines, standards,
practices, policies and procedures; and actively participate in the
agency's Emergency Preparedness program and activities * This
position description generally describes the principle functions of
the position, the level of knowledge and skills typically required
and the general scope of responsibility. It is not intended as a
complete list of specific duties and responsibilities and should
not be considered an all-inclusive listing of work requirements.
Individuals will perform other duties as assignedQualifications &
Core Competencies:Bachelor's level social worker or equivalent
education and experience is preferred.SUPERVISORY CONTROLSThe SSVF
Program Manager provides supervision and guidance to the health
care navigator. The incumbent is expected to function
independently, exercising initiative and judgment in day-to-day
activities, based on expertise accumulated through education,
training, experience, and reference to relevant professional
literature. The incumbent will seek consultation with the
supervisor as appropriate and needed. The incumbent will receive
task supervision and assignments from the SSVF Program
Manager.CUSTOMER SERVICE REQUIREMENTSThe Health Care Navigator
participates effectively in team meetings, case conferences, and
related activities. Collaborates with multidisciplinary team
members in a manner that enhances the coordination of comprehensive
Veteran care.Effectively communicates with and utilizes community
agencies to facilitate continuity of care. With few exceptions,
gives evidence of having regular contact and interaction with a
variety of community agencies and resources. Collaborates with a
variety of community agencies and engages in problem resolution
activities.The employee's relationship with supervisors,
co-workers, patients, visitors, and the general public is
consistently courteous and cooperative and contributes to the
effective operation of the case management program. Any failure in
this area is limited, minor, and has no significant adverse impact
on the Service. He/she anticipates and avoids potential causes of
conflict, and activity promotes cooperation among co-workers. In
addition, the Health Care Navigator will have a small case load of
veterans needing housing. This case load will consist of 15-20
veterans.AGE, DEVELOPMENT, AND CULTURAL NEEDS OF PATIENTS
REQUIREMENTSThe primary age of Veteran participants cared for are
generally at the middle age adult level, i.e., 40 years of age or
older. However, occasionally there may be younger Veterans between
the ages of 18-40 years of age that require care. Sensitivity to
all Veterans' individual needs concerning age, developmental
requirements, and culturally related factors must be consistently
achieved.The incumbent takes into consideration age-related
differences of the various Veteran populations served:a) Young
adulthood (20-40). Persons, in general, have normal physical
functions and lifestyles. Establishes relationships with
significant others and is competent to relate to others.b) Middle
age (40-65). Persons may have physical problems and may have
lifestyle changes because children have left home or transition in
occupation goals. c) Older adulthood (65-75). Persons may be
adapting to retirement and changing physical abilities. Chronic
illness may also develop.d) Middle old (75-85). Persons may be
adapting to a decline in the speed of movement, reaction time, and
sensory abilities. Also, persons may have increasing dependence on
others.e) Old (85 and over). Increasing physical problems may
develop. COMPUTER SECURITY REQUIREMENTS Incumbent protects printed
and electronic files containing sensitive data following the
provisions of the Privacy Act of 1974 and other applicable laws,
organization policy. Incumbent protects the data from unauthorized
release or loss, alteration, or unauthorized deletion. Incumbent
follows applicable regulations and instructions regarding access to
electronic files, the release of access codes, and the use of
electronic information.The employee uses word processing software
to execute several office automations functions such as storing and
retrieving electronic documents and files; activating printers,
inserting and deleting text, formatting letters, reports, and
memoranda; and transmitting and receiving e-mail. SAFETYThe
incumbent appropriately uses equipment and supplies; maintains a
safe and orderly work area; reports any accidents to self or
patients and completes appropriate documentation; follows Life
Safety Management (fire protection) procedures; reports safety
hazards, accidents, and injuries; reviews hazardous
materials/Material Safety Data Sheets (MSDS)/waste management;
follows Emergency Preparedness plan; follows security
policies/procedures; complies with federal, state, and local
environmental and other requirements preventing pollution,
minimizing waste, and conserving cultural and natural resources;
and demonstrates infection control practices for disease prevention
(i.e., hand washing, universal precautions/isolation procedures,
including TB requirement/precautions).Duties as assigned. SSVF is
always changing. Flexibility is required .CORE COMPENTENCIES
EXPECTED: Fostering Diversity & Race and Social Justice Advocacy*
Demonstrates a continually increasing awareness of race-, gender-
and poverty-based disparities in health, education, housing,
economic opportunity, or other areas relevant to the YWCA's
workCollaboration/Partnership* Maintains awareness of broad,
longer-term objectives and works to ensure that all parties share
this awareness while seeking solutions.Adaptability * Accepts and
understands the benefits of using technology in the performance of
work Customer Service* Works with internal/external customers to
assess needs, provide assistance, resolve problems, satisfy or
exceed expectations. * Accepts personal responsibility for customer
satisfaction. * Establishes and maintains personal relationships
with customers and gains their trusts and respect to obtain
firsthand customer information and use it for improvement of
delivery of services. * Knows services of YWCA. Attention to Detail
* Provides information on a timely basis and in a usable form to
others who need to act on it. * Is committed to providing quality
products and services.Physical Demands:The physical demands
described here are representative of those that must be met by an
individual to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions. In performing
this position, the employee: * All positions at YWCA Seattle - King
- Snohomish are exposed to clients who have experienced or are
experiencing trauma in various forms including but not limited to:
domestic violence, sexual violence, homelessness, unemployment,
financial hardship, etc. As a result, staff are at risk of
secondary trauma. Employees are encouraged to seek external support
and maintain self-care when working indirectly or directly with
clients. * Continuously exchanges information through listening and
talking with clients, agency staff, employers, representatives of
community organizations and other individuals in the community *
Frequently stands, walks, sits, and climbs in performing duties in
the office and in traveling to off-site meetings * Frequently
reaches and grasps in using telephones, computers, fax machines and
other office equipment and supplies * Frequently lifts and carries
up to 5 lbs. of paperwork, files, and training materials,
occasionally up to 40 lbs. * Frequently to occasionally performs
close work while updating files, reading program information, and
using computer * Occasionally kneels, bends, pushes and pulls in
obtaining files in drawers * Occasionally stands for long periods
of time while conducting training programs or attending job
fairs*Continuously = Over 80% of the time * Frequently = 20-80% *
Occasionally = Under 20%Hours, Rate & Benefits:* Hourly rate:
$17.99 to $20.00 *Last updated on 12/22/2020* Pay grade: 16* Full
time, 40 hours per week* FLSA Classification: Non-Exempt* Excellent
benefits package including medical insurance, retirement plan, plus
generous vacation, holiday and sick leave plans* At the time of
hire, employees may choose to voluntarily enroll in the Fidelity
403b Plan. Typically after two years of employment, employees are
eligible to participate in the YWCA Retirement Fund.#YWCAWORKS
Keywords: YWCA Seattle - King - Snohomish, Renton , SSVF Health Care Navigator, Other , Renton, Washington
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