ESSHI Care Navigator
POSITION SUMMARY
The Care Navigator acts as a liaison between the tenant and other program support services. Tenant advocate to ensure quality services to maintain optimum health and wellness needs are being met without barriers.
ESSENTIAL RESPONSIBILITIES:
Activities include but are not limited to the following:
- Greets new tenants on arrival, shows new ESSHI tenant to their unit, provide basic tour of building.
- Provides review of included services eligible to those enrolled in ESSHI program.
- Assist tenant in identifying needs for unit to sustain in supportive housing.
- Assist tenant in getting settled in ESSHI unit.
- Completes lifestyle review tool with tenant within 72 hours of arrival and annually thereafter.
- Creates individualized care plan within 5 days of admission, update with significant change, and reassess annually.
- Acts as liaison and works in conjunction with Presbyterian Residential Care Management Agency to make sure tenant makes monthly visit and completing any necessary requirements as directed by agency.
- Conducts monthly unit checks with tenant.
- Monitor Medicaid status and report to Presbyterian Residential Care Management Agency when recertification is required as well as for alternative benefits.
- Ensures all initial linkages are established and maintained.
- Collaborates with all service providers and establishes team communication plan.
- Advocates for additional services and linkages as appropriate based on any observed or reported change in conditions.
- Collaborates with all ESSHI team members for active involvement in ESSHI programing.
- Attend team meetings.
- Maintains current documentation related to admission, continued check-ins, and annually.
- After hours on call rotation as designated by Program Manager.
- Perform all other duties as outlined by the Program Manager/Director.