CCR- Patient Navigator

Job Description

POSITION 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

Full-time