System Navigator

General Information:

Enhanced Care Management (ECM) is a program within a far-reaching, multiyear plan to transform California's Medi-Cal system, known as California Advancing and Innovating Medi-Cal (CalAIM). Led by California's Department of Health Care Services, the goal of CalAIM is to help integrate Medi-Cal more seamlessly with other social services and help improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. Customers enrolled in the ECM program receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. ECM makes it easier for customers to get the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor’s office or hospital. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated care in our state!

Compensation We Offer  

• The initial compensation for this position ranges from $28.48-$32.05 per hour; depending on experience, location, and internal equity considerations.
• 8% License Differential for LMFT, LCSW, LPCC, PsyD. and select Peer Certifications. 
• 7.5% Bilingual Differential for qualified positions

 

Benefits We Offer  

• Benefits Eligibility starts on day ONE 
• We provide a robust benefits package which includes medical, dental, vision,  
• 401K Employer Match up to 4% 
• Competitive Time Off Plans 

Must meet eligibility requirements based on employment status  

Overview:

Demonstrates and develops supportive/coaching relationship with patients and their caregivers to help them navigate the system to support their well-being, consistent with the service principals including providing assistance (e.g., attending appointments, providing community linkages) and supporting education related to physical health, behavioral health, and social determinants of health. Supports whole-person care principles.

Responsibilities:

• Works actively with the program's other team members to develop strategies for outreach to consumers who tend to isolate themselves.
• In coordination with a multidisciplinary team, assist consumers in selecting services and/or programs that will be useful in achieving their recovery and/or treatment goals.
• Demonstrates a commitment to consumer choice and empowerment.
• Demonstrates an ability to develop respectful interpersonal relationships with consumers while maintaining appropriate boundaries.
• Assists and supports consumers with identifying, linking to and appropriately utilizing healthcare resources including the member's primary care physician as well as specialty care providers, dental care and vision care, if applicable.
• Assists and supports members with establishing benefits such as Supplemental Security Income (SSI), Medi-Cal and other benefits for which they are eligible.
• Assists and supports members with identifying their housing needs and/or resources in the community to meet these needs.
• Assists and supports members with linking to and participating in substance abuse services both on-site, if available, as well as in the community.
• Assists and supports members with linking to and utilizing education and employment services.
• Assists consumers in learning social skills and independent living skills that facilitate community integration including budgeting, transportation and grooming and hygiene.
• Supports consumer's integration into the community through social and recreational activities.
• Develop and facilitate peer support and self-help groups as appropriate to recovery/treatment goals.
• Helps consumers and family members identify, understand and combat stigma and discrimination associated with mental illness and develop strategies to reduce self-stigma.
• Increases awareness and provide linkage to self-help programs and consumer advocacy organizations that promote recovery.
• Supports the vocational choices consumers make and assist them in overcoming barriers to employment.
• Encourages and supports members' skills and talents.
• Maintains billable services consistent with program needs and funding source expectations, through documentation and other required paperwork.
• Participates in off-site presentations introducing the program to community partners and potential new consumers.
• Attends and participates in staff meetings on a regular basis to provide input towards program development and staff training.
• Attends and participates in scheduled supervision to provide or receive input towards program development and staff training.
• Exhibits a non-judgmental approach to effective listening maintaining, respectful eye contact and an appropriate level of engagement.
• Reports to work on time and maintains reliable and regular attendance.
• Models the agency's mission and core values in all communication and correspondence.
• Communicates effectively in a culturally competent manner with a diverse member population and promotes favorable interaction with managers, co-workers and others.
• Provides caregivers or other support system with information about the agency, process and procedures, and the various roles to assist them.
• Use their voice to direct treatment.
• Participates in continuous learning process as it relates to engaging consumers.
• Required to meet applicable productivity and documentation requirements.
• Assists with the design and implementation of internal and external trainings about the caregiver/support system.
• Holds staff accountable to service delivery principles related to the consumer/family voice, choice, access, pace and process, through sharing personal experience, engaging in team meetings and consultations with staff internally and externally.
• Models and coaches effective coping techniques for consumers, caregivers/support system.

Qualifications:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• High School Diploma or GED and one (1) year of relevant experience required, or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:
• Completion of Mental Health Worker Training Course may be required by the program, and self-identified as a person with relevant (or family) experience with mental illness and the mental health system. Ability to identify recovery principles and explain their recovery process.
• National Provider Identifier (NPI) registered as a Mental Health Worker
• Must know or quickly acquire extensive knowledge of local community resources.