On-Call Patient Navigator

Job Category : Healthcare - Client Services Requisition Number : ONCAL008495 Posted : October 16, 2026 Part-Time On-site Locations Showing 1 location Portland, OR 97220, USA Description The Recuperative Care Program(RCP)is an innovative service that provides immediate access toemergency housing, primary care, and intensive case management support for individuals who have medical support needs while experiencing homelessness. The service partners with Portland area hospitals and clinics, in concert with CCC’s patient-centeredmedical home, to help clients/patients receive the right level of care and support for their medical and social needs. Central City Concern is hiring for On-Call Patient Navigators ! TheOC Patient Navigatorfills in as acriticalmember of a multi-disciplinary team providing intensive case management for patientsenrolled in the program, working to support patients through the experience of their RCP stay.This support includes welcoming and orienting new participants, engaging with them on a daily basis, and coordinating resource support needs as well as linkage to medical services to manage their acute needs and ongoing care. TheOC Patient Navigatoris skilled incrisis managementand provides timelyreferral to appropriate substance abuse, physical health, and mental health treatment,support inaccessingbenefits and entitlements,and support in identifyingappropriate and affordable housingas part of a comprehensive approach to ending homelessness and achievingself-sufficiency. TheOC Patient Navigatorworks to provide coverage forthe primary point person for managing a caseload of program participants, working to meet the case specific medical, behavioral health, and housing needs of the individuals they serve. The population served includes many people who have been chronically experiencing homelessness, often with co-occurring substance use and mental health support needsin addition to the acute and/or chronic medical conditions for which they are receiving support. Schedule : On-Call/Variable; Monday - Sunday witha strong preference for night shift availability. Graveyard Shift: 12:00am - 8:30am Location : Evergreen Crossing/Recuperative Care Building (8225 NE Wasco St. Portland, OR 97220) Compensation: $24.52/hr - $31.88/hr Graveyard Shift Differential: Employees earn an additional $1.75 per hour for hours worked between 11:00 PM and 7:00 AM. To qualify, the majority of the scheduled shift must fall within these overnight hours. The differential applies only to time worked during the eligible graveyard shift period. Not paid time off. Education and experience sufficient to succeed, carry out responsibilities, and demonstrate the skills and abilities described above with at least one year of experience working in a pre-hospital or post-hospital setting. Possible experience includes: Medical case management/care coordination, social work, counseling, behavioral health work, other social service work, emergency medical technician work, medical support staff, and nursing. Must have currentCPRcertificationprior to start date. Those with relevant lived experience are encouraged to apply. Bachelor's degree in a healthcare-related field preferred. Must have an understanding of the causes of homelessness, the medical and psychosocial sequelae of homelessness, and the systems and processes used to help clients secure and maintain stable housing. Must have a high tolerance for ambiguity and change. Must have ability to relate to patients who are substance-affected with acute mental health issues and poor hygiene. Must have a working knowledge of medical terminology. Must be able to be trained in the use ofElectronic Health Records system. Must have non-violent de-escalation training,or complete within90 days of hire. If driving, must possess a current driver’s license, pass a DMV background check and be designated an “acceptable” driver as outlined in Central City Concern’s Fleet Safety Policy. Must pass aninitial driverstraining within60 daysof being an approved driver and continued recertification training. Will be required to carry an agency cell phone for work use. Cell phone will be provided by Central City Concern. Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Act of 1988.An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol. Must have excellent reading and comprehension skills. Must be available to work weekends and/or holidays and on-call hours when necessary for the program. Must be able to work efficiently in a very fast paced environment. Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift up to 50 pounds, and climb stairs with reasonable or no accommodation. Mustpass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unitand the ability obtain ID-Badge at Partner Hospitals. Must adhere to agency’s non-discrimination policies. Ability to effectively interact with co-workers and patients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations and treat individuals with respect and dignity. Essential duties and responsibilities : Fill in for regular Recuperative Care staff as needed based on program capacity, staffing, and task needs. Work under the medical direction of theRecuperative Care Programto coordinate acute and ongoing medical care for currentRecuperative Carepatients in conjunction withRecuperative Carestaff. Serve as primary point of contact forinternal and external care coordination and resource linkage forpatients on caseload. Assist patients with obtaining prescribed medicationsand supporting patient in plans toself-administer medications as prescribed. Perform welfare checks and charting on patients enrolled in theRecuperative CareProgram. Review hospital chartsandinternalmedical recordsand obtain releases from patients to gathercollateral information.Create patient chartsand updateelectronic medical recordsin a timely manner with patient interactions, appointments and encounters. Actively participate in inter-disciplinary case collaboration, including regular caseload reviews with RN Complex Care Manager. Within interdisciplinary collaboration, develop, implement and maintain a case plan to as needed for patients upon admission to the program. Support patients in coordinating with their primary care providers, specialty medical providers, and other health service providers when health concerns are raised or observed. Identify, create, and implement behavioral interventions when appropriate, in conjunction with interdisciplinary team andIntegrative Care Manager Coordinatemedical, behavioral health,services available to patientsascare plan developsand as directed through medical support structure. Effectively de-escalate heightened situations with patients experiencing trauma, exacerbated mental health symptoms, and behavioral complexity. Work to identify housing and/or placement options relevant for patients and work to support patients in overcoming barriers to accessing housing or placement.Collaborate with housing specialists and/or other resources as available to support patients in achieving housing goals. Follow Policies and Procedures ofRecuperative Care Exercise Trauma Informed Care and Harm Reduction principles in providing care for RCP participants. Respond to emergency medical situations as needed, complete pre-hospital care reports and incident reports when necessary. Provideand/or arrange fortransportation for patients to and from program related appointments, interviews, and hospitals/clinics. Screen patient referralsvia phone and/oratpartner hospitalsupon identification ofpatients referredforRecuperative Care. Work with otherRecuperative Careand Central City Concern staff tosupportpatientsin coordinatingtheir health care with their primary care providerand/or specialty healthcare services. Attend clinical meetings as structuredand provide current information to team regardingcaseload. Participate in case reviews withRecuperative Careteam (includingRN Complex Care Manager, Case Managers, Logistics Specialist, Housing Specialist, Program Assistant and clinical, logistics and operations volunteers) to ensure quality care for patients inRecuperative Care, including helping to identifyand addresspsychological, social and medical needs. Participate in compliance,quality assurance and quality improvementactivities as directed. Transport clients when needed ( Only if approved CCC driver ). Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access. This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee. Attend all mandatory CCC trainings in a timely manner. Perform other duties as assigned. Skills & Abilities: Ability to consider the impacts and outcomes for underserved communities during decision-making processes. Ability to consider impacts of systems of oppression, structural racism, and individual bias on client outcomes. Ability to function as a team member and be flexible in attitude and have the desire to relate effectively withRecuperative CarePatients. Ability to proceed through workplace conflict in a constructive manner. Ability toutilizecritical thinking and problem-solving skills, even in emotionally challenging situations. Ability to show good judgement in decision-making. Ability to communicate clearly and concisely both orally and in writing.Ability to manage time and meet deadlines.Ability to work courteously and effectively communicate with the general public, tenants/patients, medical personnel, corrections personnel, police, merchants and co-workers. Ability to develop and maintain positive working relationships withother programsstaff,hospital partners and health service providers.Ability to develop and maintain positive working relationships with other community resources critical to program success. Ability to maintain accurate records and necessary paperwork.Ability to learn and apply training instruction.Ability to perform simple arithmetic computations.Ability to maintain strict standards of confidentiality with regard to patient information.Ability to maintain a calm professional demeanor and make independent judgments.Ability to transport patients in company vehicle. Ability to handle emergency/violent situations with skill, confidence and tact. Ability to work weekends and/or holidays and on-call hours when necessary for the program. Ability to superviseRecuperative Carevolunteers when appropriate.Must have a high tolerance for ambiguity and change. Central City Concern is a second‑chance employer and complies with applicable laws regarding the consideration of criminal background for employment purposes. Government regulations, contractual requirements, or the duties of this particular job may require CCC to conduct a background check and take appropriate action to address prior criminal convictions. As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol‑free workplace includes post-offer, pre‑employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Central City Concern