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2019-SE-001: Veteran's Navigator (Part-Time)
Req Code:2019-SE-001
FT/PT Status:Part Time
Job Summary:
The Veteran Navigator will be responsible for identifying resources and linking Veteran and Military Families to services in the area, making appropriate referrals, coordinating care, providing follow up, and either directly providing or assuring wrap around type of services are available. The duties will be conducted through a variety of means, and will include performing basic assessment of needs and planning to address the needs of the Veteran/Military Family (V/MFs) in collaboration with behavioral health clinics and providers. The person in this position will spend a significant amount of time connecting V/MFs to appropriate and specific programs and services in the local community that best meet their needs. This coordination will occur in conjunction with the V/MF, and may include such services as referrals for behavioral health assessment and treatment, employment, peer support, or other community based resources. The staff member will also engage and coordinate with volunteer peer supports such as Buddy To Buddy, Vet to Vet, Give an Hour and other peer programs that may exist in the community. The PIHP VN will work with these volunteers in an attempt to coordinate care and planning across the peer support spectrum. The VN will be responsible for continually assessing the quality of services provided, vet organizations for quality delivery to V/MFs and making referrals for V/MFs.

Job Responsibilities:
1. Program assessment and evaluation services
The process of completing a comprehensive assessment that determines service delivery eligibility, medical necessity, and therapeutic appropriateness and need for consumers seeking services at WMCMH. Assessments include diagnosis and functional impairments, service urgency and intensity, health and safety risks, specialized needs, desired service outcomes, the consumer’s strengths and assets, the support services most likely to be effective, and the availability of natural supports. This includes caseload-specific emergency screening, triage and crisis containment services during normal business hours.

2. Planning and/or facilitating planning using person-centered principles
The person centered plan of service is produced by a coordinated effort by the staff member and the consumer in response to the assessment, and describes the plan for delivering services to the consumer. The plan of service should include behaviorally defined and measurable objectives; person-centered service goals; interventions and supports that require consumer actions and identify scope, frequency, and duration; the use of available natural supports and specific discharge criteria. This also includes a crisis plan for the consumer. The plan will be periodically reviewed and amended with a re-assessment of the consumer’s progress, or lack thereof, in response to the plan of service goals, objectives, intervention/supports, discharge criteria, and the medical necessity for seeking the continuation of care. This may result in a change of level of care and/or episode of care discharge.

3. Linking to, coordinating with, follow-up of, advocacy with, and /or monitoring Specialty Services and Supports and other community services/supports
Connecting the consumer with all the appropriate resources, both internal and external, and coordinating care, services or benefits provided to the consumer. Coordinating services with the consumers’ personal care physician and the qualified health care providers. This also includes assisting the consumer in the development and maintenance of natural supports.

4. Monitoring Services
Tracking of the consumer’s response to their individual person centered plan of service and monitoring compliance and progress with all supports and services agreed to in the person centered service plan. It is preferred that monitoring occurs when the consumer is present and engaged in the service process being monitored. Monitoring consumer medication in consultation with the Prescriber and/or staff nurse, ensuring the consumer is compliant with their medication intervention and monitoring potential side effects of the medications.

5. Support Services
Acting as a consistent link into the system for the consumer and/or his family including educational support around the specific disability or mental health condition. Educating and/or counseling for families who are caring for, or who regularly interact with, a family member who has serious mental illness, severe emotional disturbance or disability. Education includes information about the disability, treatment options and regimens, use of medication, management and crisis situations, etc.

6. Maintenance of the key elements of the individual consumer record
The clinical record is the responsibility of the care manager. The care manager is responsible to assure the record is up to date with releases, consents and obtaining clinical information. They are to assure that the consumers’ confidentiality of information is maintained and the care manager is to have knowledge of what is in the clinical record.

Job Qualifications:
Preferred Qualification:
•  A minimum of a Bachelor’s degree in a human services field with applicable experience.
•  Must be a Veteran.

Will Consider Following Qualification with strong applicable experience:
•  A minimum of a high school diploma.
•  Must be a Veteran.

•  Must possess a valid driver’s license and provide own transportation to and from meetings and activities at varying work locations including all agency locations in Lake, Mason, and Oceana Counties.

•  Must be certified in First Aid and CPR or obtain designation.

•  Lived experiences with mental illness/developmental disabilities/substance use disorders are valued.