Public Health Management Corporation

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Community Network Navigator

at Public Health Management Corporation

Posted: 6/28/2019
Job Status: Full Time
Job Reference #: e1776f12-eb01-4dc5-8c20-6d8d319d75b5
Keywords: technology, system

Job Description

Job Overview:

Accountability: Reports to Program Manager, TACHP

Location: 1500 Market Street; Frequent travel required throughout Eastern PA

The Social Work Navigator (Navigator) will provide home visiting services to families with technology assisted children through HPC's Technology-Assisted Children's Home Program. The Navigator will provide individualized health education, promote health and medical care literacy and provide medical system navigation services for individuals and families in the Eastern PA region. The Navigator maintains contact with clients via in-person visits, email, phone and videoconferencing. This person will be responsible for conducting assessments and health screenings, observing behavioral health, communicating with clients about their child's health and making referrals to community agencies and organizations. Through referrals from health systems and community organizations, the Navigator assesses needs, coordinates care at home and in the clinical setting, and supports other needs within the home. The Navigator collaborates with health care, social service, and other agencies to function as an advocate and liaison between families, promoting healthy communication. This position will have contact with enrolled families and the corresponding medical and social systems. This position will require travel throughout the Eastern Pennsylvania, a driver’s license and access to a reliable vehicle with current registration, and current auto insurance. Some evening and weekend work, as well as some overnight travel required.

The Community Network Navigator (Navigator) will provide home visiting services to families with technology assisted children through HPC's Technology-Assisted Children's Home Program as well as oversee marketing activities including, participation in community and public events, presentations at conferences and networking with stakeholders. The Navigator will provide individualized health education, promote health and medical care literacy and provide medical system navigation services for individuals and families in the Eastern PA region. The Navigator maintains contact with clients via in-person visits, email, phone and videoconferencing. This person will be responsible for conducting assessments and health screenings, observing behavioral health, communicating with clients about their child's health and making referrals to community agencies and organizations. Through referrals from health systems and community organizations, the Navigator assesses needs, coordinates care at home and in the clinical setting, and supports other needs within the home. The Navigator collaborates with health care, social service, and other agencies to function as an advocate and liaison between families, promoting healthy communication. This position will have contact with enrolled families and the corresponding medical and social systems. The Community Network Navigator will identify and create relationships with appropriate organizations and providers throughout 31 eastern PA counties to increase referral sources and overall awareness of the Technology Assisted Children’s Home Program. This position will require travel throughout the Eastern Pennsylvania, a driver’s license and access to a reliable vehicle with current registration, and current auto insurance. Some evening and weekend work, as well as some overnight travel required.

Responsibilities:

  • Prepares and maintain records, reports and/or test data on participating children
  • Maintains contact with participating clients via phone, email, mail, home visits, videoconference; as appropriate
  • Work as a part of the TACHP team and has ability to function in peer-to-peer learning environment
  • Attends all required meetings and trainings, including active participation in Eastern PA consortium and advisory committee meetings
  • Documents all client contacts using required written forms: assessment forms, progress notes, referral forms, discharge and transition plans
  • Communicates formally on a weekly basis with Program Manager
  • Assists in the development of new approaches to improve program delivery, content, and/or evaluation implementation
  • Attends local and regional meetings and trainings, as needed
  • Utilize network connections to expand TACHP’s referral sources

Community Navigation:

  • Develop marketing strategies that will contribute to TACHP’s marketing campaign and increase public awareness of the program
  • Provide community education about services available through TACHP and the Eastern Pennsylvania Special Needs Association(EPSNA) partnerships
  • Assist in strengthening partnerships with ESPNA participants
  • Identify and establish relationships with appropriate partners, including providers, parents and social and medical agencies throughout the 31 Eastern PA counties
  • Coordinate and conduct outreach activities throughout the year in a variety of community and partner locations
  • Collect contact information and transmit that information for appropriate follow-up
  • Review established network relationships weekly to identify areas of need
  • Coordinate identified outreach opportunities with appropriate navigators
  • Lead monthly discussion/review during team meetings
  • Provide support to case navigators when new partnership and programs to improve program delivery, content, and/or evaluation are implemented

Patient Navigation Activities:

  • Carries a caseload of 15-20 cases of medically fragile children
  • Conducts home visits to develop individual and community based plans of care, provide health education and promotion services, and provide follow-up visits with families
  • Establishes and maintains linkages with community health, social service, education and legal service agencies, and other support services through effective communication between TACHP staff, community members and TACHP partners
  • Provides health education to families and social support teams   
  • Assists participating families to access appropriate health and social services
  • Develops service plans that support both program and family goals
  • Meets participants in various locations, including doctor's office, home, schools and community locations
  • Serves as an advocate and stabilizes children and families with emphasizes on social services
  • Participates with TACHP staff in coordinating referral and services for high risk children and families
  • Maintains accurate records and observes HIPAA requirements; generates data and reports appropriately; evaluates the effectiveness of service
  • Equips families with emergency preparedness response strategies through co-development of individualized preparedness plans
  • Develops formal communication protocols for individual families and health care professionals working directly with the child; doctors, specialists, nurses, school nurses, home care professionals, MCOs/insurance companies

Skills:

  • Must demonstrate strong organization, time management and problem solving skills
  • Ability to deliver effective individual health education
  • Advocate for client and community strengths and needs
  • Ability to assess and triage social services quickly
  • Advanced proficiency in Microsoft office suite and various web-based platforms with an ability to learn new software, as needed
  • Must clear child abuse, criminal history check and FBI clearance
  • Must travel throughout eastern Pennsylvania
  • Ability to work both independently and in a team environment to meet objectives with minimal supervision
  • Ability to acquire information about new systems, organizations and practices
  • Motivational interviewing techniques
  • Bi-lingual a plus but not mandatory

Experience:

  • Demonstrated experience in issues related to children with special health care needs, child development, and technology used to compensate for the loss or diminishment of a vital organ
  • Experience working with diverse populations and low-income individuals
  • At least two years' experience in community health and home visiting
  • Experience providing workshops and trainings to other professionals
  • Experience successfully coordinating community events with multiple stakeholders
  • Knowledge in nursing principles and practices
  • Experience in data collection/entry and evaluation monitoring
  • Plan and execute initiatives to reach the target audience through appropriate channels (social media, e-mail, etc.).

Education Requirement:

  • Bachelor's degree in social work or related field required

Salary:

  • Commensurate with education and experience