Healthcare Navigator/Case Manager (52555)

Position Description

Title: Health Care Navigator/Case Manager (SSVF) Reports To: Lead Veteran Advocate

Hours: Full Time Supervises: None

FLSA Status: Non-Exempt (Hourly) OSHA Exposure Category: III

Position Summary:

The Health Care Navigator/Case Manager provides comprehensive, Veteran-centered case management, healthcare navigation, and housing stabilization services to Veterans and their families who are experiencing or at risk of homelessness. This position maintains an active caseload and works collaboratively with participants to address housing needs, healthcare access, and other barriers to stability. The Health Care Navigator/Case Manager facilitates access to care, reduces barriers, coordinates care, supports health literacy, and advocates for Veterans throughout their healthcare and housing journey. Essential Job Functions include those listed below.

Essential Job Functions:

• Maintain an active caseload of eligible Veterans and their families experiencing or at risk of homelessness and provide individualized case management, healthcare navigation, and housing stabilization services in accordance with program requirements.
• Conduct screenings, intake, eligibility and needs assessments, and ongoing reassessments; collaborate with participants to develop, monitor, and update individualized housing stability plans.
• Provide ongoing case management using Veteran-centered, Housing First, trauma-informed, strengths-based, and culturally responsive approaches.
• Assist participants in identifying, obtaining, and maintaining safe and appropriate permanent housing and addressing barriers that impact housing stability.
• Facilitate access to care by connecting Veterans with appropriate VA and community-based healthcare services.
• Identify and reduce barriers to healthcare access, including transportation, communication, eligibility, and other obstacles to receiving needed care.
• Coordinate care across providers and healthcare services to support continuity of care and transitions between VA and community-based healthcare systems.
• Support health literacy by facilitating access to education and resources related to wellness, treatment options, and healthcare system navigation.
• Advocate for Veterans and assist in ensuring their identified needs are addressed throughout their healthcare and housing journey.
• Coordinate referrals, warm handoffs, and connections to VA and community-based services, benefits, employment, public assistance, and other resources that support housing, health, and economic stability.
• Maintain regular participant contact and provide home visits and other community-based services based on assessed needs and housing stability plans.
• Coordinate with landlords, housing providers, healthcare providers, and community partners to support housing retention, healthcare access, and overall participant stability.
• Assess and coordinate requests for temporary financial assistance and other program-funded services in accordance with program and grant requirements.
• Maintain accurate, timely, complete, and confidential participant records, including required documentation and data entry in HMIS and other electronic systems.
• Monitor participant progress, participate in case reviews and multidisciplinary coordination, and communicate participant safety, health, or other concerns requiring additional support to program leadership.
• Participate in outreach and community engagement activities and maintain current knowledge of VA, healthcare, housing, benefits, and other community resources available to Veterans and their families.
• Participate in required program meetings, trainings, supervision, quality improvement activities, and professional development.
• Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation.
• Perform other duties as assigned.