Peer Navigator, Street Medicine; Redwood , CA

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 Redwood City,
CA
, primarily onsite 4 days per week at the San Mateo Navigation Center, and 1 day remote. The Peer Navigator will assist in motivating behavioral changes in patients to improve health outcomes through education, peer support, housing & resource navigation, and the relaying of shared experiences.

In addition to onsite work, Peer Navigators will encounter following clients outside the shelter who transition out of the Navigation Center but are still experiencing homelessness. This may require travel within the county, depending where is the client located anywhere from 5-30mi. In addition, they may support clients from the Street Medicine team. Lastly, we’ve recently expanded to serve Justice-Involved (JI) clients.

This involves close collaboration with Correctional Health staff and supporting individuals that are custody in county jail and support their transition back into the community.

• 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 the identified common 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 their medications and other supplies as needed.
• Conduct regular outreach to onsite patients at Nav Center as well as to offsite (as needed) patients to provide support for medical needs.
• Provide accompaniment and support to patients for their medical/dental/other appointments.
• Collaborate actively with staff of the Navigation Center as well as with HIA team members for care management of patients.
• Introduce tools to promote self-management & self-efficacy. Complete all required organization and health plan specific documentation in a timely fashion. Some examples include and are not limited to the following: enter all patient touch points and encounter notes in HIA's electronic health records system, member health risk, and update members' Plan of Care after every street medicine encounter. Document all required information in the care management system during phone calls with members.
  
  Complete and submit a Monthly Audit Checklist assessment, individual care plans, and update member profiles in the Coordinated Entry System/HMIS.
• 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 define below.
• Bachelor's degree preferred plus 1+ year 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.
• Other demonstrated relevant experience in similar community settings, for example, working with other disadvantaged groups, and/or outreach will…