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High Risk Navigator-Social Services

Location: Norwalk, CT, United States
Salary Range: 28.78 - 53.45
Work Type: Full-Time
Standard Hours: 40
FTE: Exempt
Work Schedule: Day 8
Work Shift: monday-friday,8am-4:30pm
Date Posted:

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See what’s possible in our system of care

Nuvance Health extends from New York’s Hudson Valley to western Connecticut. Our team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services and telehealth visits. With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. As we journey forward, we are guided by our values: personal, imaginative, agile and connected. Our curiosity is opening new pathways and creating new advancements in healthcare for all.

Description

Summary:

 

The High-Risk Navigator plays a critical role in strengthening community partnerships to bridge gaps in healthcare, coordinate care, and connect at-risk populations with essential resources. This role focuses on improving outcomes by addressing social determinants of health and referring targeted individuals to appropriate services, including community-based mental health and addiction providers. Acting as a liaison, the High-Risk Navigator coordinates and leverages existing community resources to enhance the quality of care, reduce barriers, and foster patient engagement.

Responsibilities:

 

1. Convenes coordinated care team meetings that may include representatives from hospitals, local mental health authorities and treatment providers, residential facilities, home care agencies, federally qualified health centers, homeless outreach teams, substance use disorder treatment organizations, social services, health departments, city agencies and housing providers.


2. Identifies individuals in need of intervention. Prepares and delivers case presentations. Develops and oversees community treatment plans for high-risk clients. Serves as a liaison between local hospitals and community based organizations to better coordinate care for complex need individuals.

3. Provides outreach as appropriate for identified high-risk individuals.

4. Facilitates ongoing collaboration among hospital and community service providers to reduce service duplication, optimize resource utilization, enhance care coordination and outreach efforts, connect individuals to providers addressing health-related social needs, and share aggregate outcome data to drive improved outcomes

5. Acts as a representative in local, regional, and statewide committees and meetings to advocate for and advance initiatives that improve care for clients.

6. Establishes policies and protocols to expedite access to services and implements mechanisms that ensure effective follow up.

7. Collects and manages data, including patient reviews, care plans, demographics, and outcomes, to support care coordination and support initiatives.

8. Works with local implementation teams to ensure program goals are being met.

9. Fulfills all compliance responsibilities related to the position. 

10. Maintains and Models Nuvance Health Values.  

11. Demonstrates regular, reliable and predictable attendance.  

12. Performs other duties as required.

 

 

Other Information:

 

Required: Bachelor's degree. Knowledge of health care field and supportive housing required. Must possess strong leadership skills and strong written and verbal communication skills. Excellent organizational skills are required. Ability to work well with multi-disciplinary service professionals. Good computer skills are required.
Minimum Experience: three years.

Desired: Masters degree in social services, health care, public administration or policy field preferred. A bilingual ability (English/Spanish) is desirable.

 

Company: Western CT Health Network Inc

Org Unit: 681

Department: Community Health

Exempt: Yes

Salary Range: $28.78 - $53.45 Hourly

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We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.