Job Summary: The Community Navigator is a non-clinical role and functions as an extension of the Outpatient Continuing Care Team to support newly enrolled individuals and their families, via telephonic, e-mail, virtual and in-person interactions, to successfully access health care services within Kaiser Permanente. This position will also identify real or potential barriers to maximizing health care promotion and will assist members to access additional resources within the community. Essential Responsibilities: + Orientation: provides members with orientation to the KP integrated care system and PCP model for all new Special Populations members. Orientation includes but is not limited to: available KP and community resources such as the KP Nurse Advice Line, Case Managers, transportation and translator services. Verifies that members have received their ID card and orders cards as needed. Educates member to the role of the PCP and the appropriate use of available health care resources. Facilitates the coordination of care by scheduling initial appointments for this subset of members. Screening: through the use of electronic medical record referrals to the Community Navigator or an onsite or telephonic screening process, identifies members that have unmet social or healthcare needs or active concerns. These may include ethnic and language considerations to care requiring coordination with a language translator, social issues, or chronic diseases, to include mental health, disabilities or current pregnancy. Documents unmet needs in the medical record in Kaiser Permanentes Health Connect (electronic medical record system) and routes to the appropriate physician and/or health care team member. + Intervention: assists members with finding and accessing needed services and medical care, including but not limited to making PCP selection, scheduling appointments, assisting with prescription orders and refills, transportation arrangements, and assistance accessing community resources or benefits, such as mental health and dental providers. Acts as a single point of contact for members and their families needing care coordination. + Follow-up: refers cases to the integrated health care team for assistance and guidance when complex issues or concerns are identified. As directed by the integrated health care team, makes other arrangements and referrals and communicates findings and actions to the PCP or other providers. Through population review, conducts additional outreach to members to follow-up on overuse of ED and missed appointments, reinforcing appropriate use of resources. Assists with needed arrangements to support coordinated care. Ensures that members follow up on actions from physicians and health care team (e.g. lab work, radiology, picking up prescriptions). Communicates to member via telephonic outreach or via secure messages in the electronic medical record. Documents all outcomes in the electronic medical record. + Documentation and Communication: provides general administrative support to the Outpatient Continuing Care program through recordkeeping and scheduling meetings as requested. Participates in meetings with the integrated care team. + Can edit and view patient information (limited) in clinical, referral and case management systems. + Uses Electronic Medical Record (EMR) reporting tools. + Must be flexible in terms of location as each Community Navigator will have a home location and a cluster of medical office buildings in which they serve (usually between 1 and 4). + Will work in accordance with member schedules. Basic Qualifications: Experience + Minimum one (1) year experience working with individuals with non-acute or long-lasting health conditions. Education + Bachelors degree in Health Sciences related field required or Licensed Practical Nurse. + High School Diploma OR General Education Development (GED) required. License, Certification, Registration + Drivers License (in location where applicable) Additional Requirements: + If Licensed Practical Nurse, must have multi state compact license within ninety (90) days of hire date. + Demonstrated ability to use interpersonal relationships with a diverse population with potentially high risk healthcare needs. + Demonstrated success working with a health care team or in an integrated team environment. + Demonstrated excellent written, verbal, and electronic communication skills required. + Basic knowledge of medical terminology. + Ability to travel to various locations within the community; travel may be up to 50% of work week. + Experience working with Medicaid, Medicare or Special Needs populations. Preferred Qualifications: + Working knowledge of and engagement with community agency services offered. + Bilingual. + Knowledge of Microsoft Word, PowerPoint and Excel. + Virginia Medicaid COMPANY: KAISER TITLE: Navigator, Community LOCATION: Springfield, Virginia REQNUMBER: 1365809 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.