Job | Patient Navigator @ BMS Family Health and Wellness Centers

Patient Navigator

BMS Family Health and Wellness Centers

Email application to Alejandra Poma at apoma@bmsfhc.org

Full/Part-time: Full-Time

Salary Range: $50,000.00 Annually

Hours per week: Monday through Friday 8:30am – 4:30pm (35 hours), Evenings or weekends, as needed.

Scope of Services:

The Patient Navigator is responsible and accountable for managing resources through interdisciplinary collaboration to achieve optimal patient outcomes for Hep C RNA positive clients. Under the supervision of the Associate Medical Director, the Patient Navigator guides Hep C clients through the health care system by assisting with access to healthcare, develops relationships with participating physicians and service providers, patient advocacy, monitors treatment and outcomes, provides treatment education and adherence, provides accompaniment, and support.

This position will be responsible for internal/external outreach to community health fairs, large-scale community events, testing events, shelters, food pantries, churches, venue-based outreach, street outreach and outreach to other Community Based Organizations. The position will be responsible for developing relationships with service providers through presentations, tabling, and assisting with the development of linkages.

Responsibilities:

1. Develop, implement and update the Patient Navigation Care Plan and complete patient navigation assessment.
2. Assist in development, implementation, and revision of individual treatment plans; ensures that services provided are specified in the Treatment Plan and monitors progress toward treatment goals.
3. Provide treatment adherence counseling to ensure readiness for and adherence to complex medication regimens.
4. Refer and link clients to appropriate services within the system of care that promote positive health outcomes, treatment adherence, and greater self-sufficiency.
5. Conduct outreach and enrollment.
6. Provide referral and assistance in accessing supportive services and health insurance.
7. Accompany clients to appointments.
8. Track treatment and referral outcomes.
9. Provide appointment reminders and follow-up for missed appointments.
10. Maintain patient and program records in accordance with applicable standards and regulations, program
    requirements, etc.
11. Complete documentation in a timely manner, which may include client follow-up, outcome evaluation, patient contact sheets, and evaluations.
12. Maintain client records in the Electronic Health Record (HER) and programmatic data entry system.
13. Case conference with medical provider.
14. Participate in regular staff meetings, staff training programs, supervisory sessions, and accept the
    responsibility for aiding the development of positive team relationships as requested.
15. Adhere to agency policy, procedures, and the professional code of ethics.
16. Work with members of the medical team to provide personalized high quality health care.
17. Collaborate with clinical provider for linkage and reengagement to medical services, treatment, and follow-up.
18. Timely and accurate program reporting requirements, data entry and generate monthly reports.
19. Conduct patient education and provide patients with health information materials.
20. Provide telehealth services.
21. Participate in huddles, unit meetings and attends other organizational or programmatic meetings and trainings
    on and off site as needed.
22. Manages client information following HIPAA guidelines.
23. Perform other duties as assigned.

Qualifications:

• Bachelor ’s Degree in Social Work, Human Services, Psychology, or related field
• Four years of experience providing case management, care coordination, health coaching, or similar services to target population, ideally with at least one of those years working in a Health Home Care Management context
• Knowledge of Hepatitis
• Health care experience
• Knowledge of community resources and counseling/social work practices with high-risk populations
• Experience with providing services to Hep C RNA positive, HIV/AIDS individuals, homeless or other underserved populations
• Ability to assess the needs of clients and develop comprehensive care plans
• Ability to work independently and as part of a team
• Excellent interpersonal, written, and verbal communication skills
• Ability to use databases to enter data and run reports

The requirements listed below are representative of the skill, and/or ability required:

• Technical Skills: Fundamental computer literacy; ability to use MS Word, MS Excel & PowerPoint; excellent writing skills; Excellent data-entry skills and experience navigating electronic health records (EHR).
• Language Skills: Ability to speak Spanish, French or Haitian Creole is an asset. Excellent interpersonal communication and skills.
• Reasoning Ability: Ability to carry out detailed but uninvolved written or oral instructions; ability to deal with problems involving a few concrete variables in standardized situations. Analytical and problem-solving ability.
• Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
• Physical Demands: 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. While performing the duties of this job, the employee is regularly required to talk or listen. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Questions? Email Alejandra Poma at apoma@bmsfhc.org

Last Updated on June 12, 2024 by HepFree NYC