Hospital Discharge Care Navigator at Solvista Health in Cañon City, Colorado

Job Description:

General Purpose
The Hospital Discharge Care Navigator works closely with multiple departments across the organization and statewide facilities to coordinate transitions of care between inpatient psychiatric facilities, residential and withdrawal management substance use disorder placements and transitions back to the community. The care navigator will also work closely with respite facilities to ensure clients are supported through admission while working with them toward a discharge plan and reintegration into the community.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties/Responsibilities

Coordinates, monitors, and evaluates provider services and care, to include home and/or school visits, physician/hospital visits, and therapy visits, for a specified client population.
Assesses client needs through thorough interviews.
Documents all client encounters and contracts made on behalf of clients/families.
Evaluates and documents the progress of individual therapeutic programs and makes modifications, as required.
Facilitates client/family access to healthcare, school, and community resources.
Assists client/family to develop natural resources and connects them with support networks.
Researches and understands community resources.
Travels throughout our service area to meet with clients/families, service providers and community partners.
Works with clients and/or families to assess, develop, implement, monitor, and modify plans.
Performs other duties as assigned.

Supervisory Duties (if any)

None

Job Qualifications
Knowledge, Skills, and Ability:

Ability to work with multidisciplinary treatment teams.
Ability to develop, implement, evaluate and modify plans for therapeutic programs and services.
Ability to follow administrative/procedural decisions and judgments.
Knowledge of billing procedures for clinical and social services.
Knowledge of clinical and social services documentation procedures and standards.
Knowledge of community health and social services agencies and networks.
Knowledge of nursing and case management theory and practice.
Knowledge of basic patient care charts and histories.
Strong interpersonal, communication skills.
Ability to work effectively in diverse populations, including high acuity patients with complex needs.

Education or Formal Training:

Bachelor's degree in social work, counseling, psychology or a related health care field, from an accredited institution.

- or -
Experience

Bachelor's degree or higher in a non-related field with one (1) year working experience in the health field.

Working Conditions and Other Conditions of Employment
Working Environment:
This job operates in a fast-paced, professional office environment and routinely requires the use of standard office equipment such as computers, phones, photocopiers. The position may require travel to conferences, meetings and branch locations on a regular or intermittent basis. Work may involve moderate exposure to unusual elements, such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises. In the health center environment, there is potential for contact with blood-borne pathogens and communicable diseases, as well as potential for contact with dissatisfied or abusive individuals. There could be interaction with persons who are mentally ill, disabled, elderly and emotionally upset.
Physical Activities:
These are representative of those which must be met to successfully perform the essential functions of this job.
This is a largely sedentary role but can involve standing or sitting for extended periods of time, bending at the waist, and using hands and fingers to handle and file papers or operate assigned equipment. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Employee may also have to lift 10 to 25 lbs. unassisted.
Conditions of Employment:

Annual TB, federally required drug screening, and Influenza vaccination or compliance with policy and procedure.
Required possession of a valid state driver's license.
Successful candidate must submit to and pass, post-offer drug screen.