Peer Navigator - Street Medicine - Enhanced Care Management

Overview

At Healthcare in Action, we serve patients experiencing homelessness through an innovative “street medicine” approach by contracting with Medicare and Medicaid health plans as well as hospitals and health systems. Street medicine entails using a medically equipped van to deliver medical care directly to people experiencing homelessness in locations such as parking lots, encampments, and parks. The Peer Navigator supports members who are experiencing or are at risk of experiencing homelessness with managing their own health in the North Los Angeles/Hollywood area
. Assist in motivating behavioral changes in patients to improve health outcomes through education, peer support, housing & resource navigation, and the relaying of shared experiences.

• Build rapport with members by communicating personal experiences with a goal of increasing the likelihood of positive behavior changes.
• Coach members to create and implement strategies that minimize risks associated with identified health conditions and behaviors. Connect members to appropriate programs to address barriers to care and to enhance compliance.
• Link members to local, county and state services/resources. Follow up with members and serve as a member advocate, delivering medications and other supplies as needed.
• Coordinate and/or accompany members to medical and social services appointments that fall outside of the street medicine unit.
• Introduce tools to promote self-management & self-efficacy.
• Complete all required organization and health plan specific documentation in a timely fashion. Examples include: enter all patient touch points and encounter notes in HIA’s electronic health records system, document health risk, update member Plan of Care after every street medicine encounter, and update care management system during calls. Complete and submit a Monthly Audit Checklist assessment, individual care plans, and update member profiles in the Coordinated Entry System/HMIS.
• May occasionally drive the medically equipped van.
• Schedule encounters based on member’s acuity level using the Healthcare in Action electronic health record system.
• Work under the supervision of a Social Worker to ensure proper escalation of cases and coordination of care.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of HIA’s Vision and Goals and particularly housing placement for unsheltered members.
• This position is a patient-facing role.
• Employees may be eligible for differential pay.
• Other duties as assigned.

• G.E.D./High School, required plus 3+ years of work experience as defined below.
• Associate's Degree plus 2+ years of work experience as defined below.
• Bachelor’s degree preferred plus 1-2 years of work experience as defined below.
• Work Experience to include direct work experience, lived experience, training or volunteer work with patients experiencing homelessness, as well as those with active mental health and substance use conditions.
• Demonstrated Enhanced Care Management experience
• Other demonstrated relevant experience in similar community settings, for example, working with other disadvantaged groups, and/or outreach will be considered.
• A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
• Ability to work in a dynamic, outdoors environment.
• Ability to work independently as well as part of a team.
• Ability to organize effectively.
• Ability to prioritize multiple and competing tasks.
• Ability to communicate effectively, including articulating one’s own relevant personal experiences.
• Excellent oral communication skills, as well as strong interpersonal skills.
• Maintenance of reliable transportation
• Proficiency in operating a computer, including logging into and maneuvering around multiple systems such as online timesheets and call center software.
• HMIS/ Coordinated Entry System, preferred.
• Travel 50% or more; must have a valid driver’s license, automobile insurance, reliable transportation, and clean driving record.

• Base salary range: $21.78 to $31.52 per hour
• A…