CCR- Patient Navigator

Job Description

Job DescriptionPOSITION SUMMARY:

Joseph P Addabbo Family Health Center s seeking compassionate, energetic, and dedicated professionals to support patients in accessing and staying engaged in HIV care services.

As a Patient Navigator you will play a vital role in helping individuals living with HIV (PLWH) remain actively involved in their treatment. Navigators bring a deep understanding of the communities we serve—including PLWH, communities of color, and LGBTQ+ individuals—and apply best practices to assess patient needs and connect them to both internal services and external community resources.

RESPONSIBILITIES:

• Educate and link patients to programs or outside services to support maintenance within their home and community.
• Builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities, such as outreach, community education, informal counseling, social support, and advocacy.
• Utilize strategies such as motivational interviewing to encourage individuals to start and remain in care
• Contact patients that have cancelled or no-show appointment records to reengage into care.
• Provide HIV education including prevention, chronic disease management, HIV treatment and medication adherence.
• Follow-up with new/returning patients after their initial appointment/ returning appointment regarding follow-up questions, concerns, or barriers to care.
• Follow-up with patient who have newly been prescribed anti-retroviral therapy medications or who have had changes in medications regimen.
• Monitor on-going visits to track patient progress and efficacy of their developed care plan.
• Collaborate with multi-disciplinary team to ensure the best quality care is provided to each patient
• Maintain and update patient records as needed including timely documentation in the electronic health system (E-shares and ECW) and or other databases in accordance with HRSA, NYC DOHMH, and JPA’s clinical guidelines, policies, and procedures.
• Stay current with latest advancements in HIV/AIDS treatment research and regimens through ongoing training and technical assistance.
• Possess driver’s license and/ or able to navigate travel on MTA/public transportation system to conduct field visits.
• Serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural responsiveness of services delivered.
• Support continuous quality improvement activities through case conferencing, clinical supervision, and or other clinical quality management efforts.
• Other Duties as assigned

MINIMUM QUALIFICATIONS:

• Bachelor’s Degree in public health, nursing, or social work, and or five plus years in related work experience
• Minimum 2 years’ experience working with People Living with HIV (PLWH)
• Experience working with electronic health records and ability to maintain hard copy case records
• Experience working with priority populations including but not limited to (PLWH, Communities of Color, LGBTQ+, etc.)
• Must demonstrate broad understanding of HIV epidemic (history, priority populations, transmission, prevention, treatment, sociopolitical issues, and quality improvement).
• PLWA encouraged to apply