Health Navigator
Job in
San Jose, Santa Clara County, California, 95199, USA
Listing for:
Santa Clara County Health Plan
Full Time
position
Listed on 2026-02-07
Job specializations:
-
Healthcare
Community Health, Health Promotion
Salary/Wage Range or Industry Benchmark: 60111 - 87161 USD Yearly
USD
60111.00
87161.00
YEAR
Job Description & How to Apply Below
Overview
Health Navigator
Salary Range: $60,111 - $87,161
The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change.
FLSA Status: Non-exempt
Department: Health Services - Community-Based Programs
Reports To: Manager, Social Determinants of Health
Employee Unit: Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521
General Description of Position
The Health Navigator is responsible for providing on-going care coordination services for both Santa Clara Family Health Plan (SCFHP) members and other residents at designated supportive housing sites. Under the direction of the Manager, Social Determinants of Health, the Health Navigator will be proactive and responsive to members and residents needs in a friendly and professional manner. The Health Navigator provides health navigation support to help coordinate resources and services and support safety and housing retention for individuals at designated housing locations.
The Health Navigator will work in close collaboration with housing staff and participants of the member/resident's care team to ensure needed services are provided. The Health Navigator will also act as a liaison to SCFHP and its providers to solicit participation in case management, community-based programs, and primary care services. The applicant must be a proactive team player who is also able to work independently in assigned communities and build rapport with diverse members, residents, providers and local partner agencies.
Essential Duties and Responsibilities Provide on-site and in-person orientation and health navigation services for SCFHP members and other residents/clients in collaboration with housing provider on-site staff and other members of the care team as appropriate.Educate member on managed care and how to navigate and access the health care system, benefits, and services including (but not limited to): health education, case management, behavioral health, primary care, vision, nurse advice line, enhanced care management, community supports, and appropriate use of the emergency department.Coordinate client's care with primary care providers, specialists, behavioral health providers, Long Term Services and Supports providers, public services, community providers, and vendors as necessary and appropriate to assist member to achieve and maintain optimal level of functional independence to reside in the most appropriate level of care.Conduct, review, and document comprehensive needs assessments and share with other care team members as necessary.Provide guidance, education and referrals to help clients seek solutions to specific social, cultural, or financial problems that impact their ability to manage their health care needs and retain housing.Provides communication support and acts as Member advocate on issues of access and use of primary care and prevention services.Conduct in-person interviews and ongoing interactions with residents/members to assist in gathering information on their self-care ability, knowledge and adherence and challenges or risks related to housing retention.Establish ongoing primary care or achieve other improvements in health related activities.Maintain case files by ensuring that they are documented timely in accordance with SCFHP policies and procedures, state and federal requirements and organized in a manner that adheres to standards for audit requirements.Ensure the privacy and security of PHI (Protected Health Information).Share related information about client's physical and mental health conditions to client's interdisciplinary care team.Maintain knowledge of current resources in Santa Clara County to support care coordination.Develop effective and professional working relationships with internal and external stakeholders and partners.Identify issues and trends (data, systems, member or provider or other) as well as general departmental questions/concerns and report relevant information to management and make recommendations to improve operation.Collaborate with SCFHP team members on cross-departmental improvement efforts, organizational and departmental objectives, quality improvement projects, optimization of utilization management, and improvement of member satisfaction.Attend and actively participate in Health Services meetings, operational meetings, training and coaching sessions, including off-site meetings as needed.Perform other duties as required or assigned.Requirements
Required (R) / Desired (D)
High School diploma (R)Bachelor's Degree in a health-related or social services field or equivalent experience, training or coursework (D)Minimum two years of experience in Community Outreach or case coordination. (R)Knowledge of social case management and conflict resolution. (D)Knowledge of long-term services and supports, behavioral health and/or relevant public services and community resources. (R)Strong organization and…
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