Patient Navigator

The Patient Navigator (PN) plays a key role by providing resource support to patients as they navigate the health care system. The PN is a member of the health center's primary care team, and partners closely with different providers, patients, and outside organizations. He/she is responsible for increasing patients' access to health care and community resources/social services, facilitating communication between patient and care teams; and providing culturally appropriate health education and self-management support.

Key Responsibilities:

• Coach patients in effective management of their chronic health conditions and self-care
• Assist patients in identifying the barriers to health that they identify and prioritize
• Document activities, care plans, and outcomes in an effective manner consistent with organization's policies and procedures
• Provide ongoing follow-up, basic motivational interviewing and goal setting with patients
• Build and maintain positive working relationships with clients, providers, supervisors, and staff
• Continuously expand knowledge and understanding of community resources, services and programs provided
• Calling and tracking patients who are overdue for a visit, or have missed a visit
• Confirming access to appointments
• Arranging to add interpreters to telehealth visits, if needed
• Assisting patients in scheduling visits and provide guidance on visit requirements
• Providing education for patients on-request by providers
• Providing community-based education through outreach and engagement with local, community-based organizations
• Screening patients for social determinant of health and be knowledgeable to refer to community resources
• Responsible for maintaining registries of patients for outreach
• Attend team meetings

Requirements/Qualifications:

Any combination of 3-years health/social services experience preferably in a healthcare or community-basedorganization.

• Fluency in Portugueserequired.
• Creativity, flexibility, sound judgment, and ability to takeinitiative.
• Strong communication and writing skills
• Excellent time management and organizational skills
• Demonstrated ability to work as an effective team member in a complex and fast-paced environment.
• Excellent interpersonal skills and demonstrated ability to interact professionally with culturally and educationally diverse staff and clients
• Verifiable good driving record and reliable transportation
• Demonstrated technical experience with Microsoft Word, Excel (or similar databases), and Internet Explorer
• Positive attitude and open to changingenvironment.