Patient Navigator ACCESSII

800x600 Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 TITLE: Patient Navigator DEPARTMENT: ACCESS II Care Coordination Program REPORTS TO: Assigned Care Coordinator

Primary Function: As a Patient Navigator, your function is to directly assist the Care Coordinator and the patient with the implementation of the care coordination plan developed as a result of the intake and/or assessment of the needs of the patient and her/his family. As part of the Care Coordination team, it is expected that the PN adhere to all NYC DOHMH Protocol and Health Promotion curriculum.

Specific Responsibilities:

• Familiarity with the NYC DOHMH Care Coordination Services protocol.
• Provide all field-based case finding, client assistance, referrals, linkage to services, outreach for client re-engagement
• Attend all agency and program required trainings for the CCR program
• Accompany patients to appointments (all PCP and Specialty Providers) and social service encounters, as warranted
• Coordinate support for appointments including: Reminders, transportation, child care
• Ability to perform quality, in-depth social service benefits assessments and follow-ups
• Assist Care Coordinators with the Employment, ART use, Substance Use, Prevention with Positives and Disclosure, sections of Re-Assessment
• Provide feedback to team on observations made in the field and during home visits
• Educates, coaches, and empowers the clients through working relationship
• mDOT work as needed including performing mDOT services on Saturday’s when it does not conflict with primary duties
• Attend all required meetings including daily team meetings, monthly clinical rounds, and weekly staff meetings
• Provide general assistance in case coordination functions based on patients needs as addressed in the care coordination plan and assigned by Care Coordinator
• Conduct reassessment activities to assist the Care Coordinator
• Provide health education and track patient’s progress through the health education curriculum
• Maintain a minimum of encounters as stated by Public Health Solutions and NYCDOHMH guidelines
• Participate in yearly quality management projects
• Timely and accurate documentation and CCR forms (Primary Care Status Measures) of all care coordination services provided
• Conduct home visits and/or visit participants while in the hospital to follow-up on care coordination plans and needs
• Completion of all social services applications when necessary
• Be knowledgeable and up-to-date in areas pertaining to HIV/AIDS symptoms, treatment, and medications

Qualifications:

To perform the job of Patient Navigator successfully an individual must be able to perform each essential duty satisfactorily. The qualifications 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 of the job of Patient Navigator.

• High School Diploma or GED or some college education
• One year direct case management experience* preferably working with persons with HIV/AIDS
• Meets physical and cognitive requirements needed to complete assigned tasks and duties of the position with reasonable accommodations being made for individuals with disabilities
• Ability to travel within the five boroughs of New York City via public transportation
• Knowledge of HIV/AIDS transmission and treatment
• Empathy towards and a desire to work with persons with HIV/AIDS
• Ability to be a team player and to communicate effectively with supervisors and peers
• Knowledge of computers/word processing a plus
• Bilingual in Spanish preferred