[Hiring] Community Care Navigator @Benjamin Rose

Role Description

Deliver telephonic and electronic support services to individuals managing chronic health conditions and caregivers of older adults, providing guidance, coordination, and resource navigation.

• Manage a caseload of assigned individuals; support outreach and engagement efforts to promote service awareness and participation.

Essential Duties and Responsibilities

• Service Delivery & Client Support:
  • Provide high-touch, person-centered care planning and consultation services via telephone and computer in alignment with evidence-based protocols and applicable federal regulations (e.g., GUIDE).
  • Develop personalized care strategies, including respite plans, for clients without caregivers or those who live alone.
  • Support clients and caregivers by identifying challenges related to chronic conditions and dementia and connecting them with appropriate community-based resources.
• Communication & Collaboration:
  • Maintain ongoing communication and collaboration with referral partners to coordinate care and ensure timely sharing of information between platforms (e.g., Action Plans uploaded to EMRs; health system notes integrated into client records).
  • Establish and maintain effective working relationships with colleagues, leadership, and community stakeholders to support integrated service delivery.
• Documentation & Compliance:
  • Complete accurate, high-quality documentation in designated client record and billing systems (e.g., CCIS, BenRose360) in a timely manner.
  • Ensure compliance with all applicable laws, regulations, and ethical standards related to confidentiality, protected health information, and adult mistreatment.
  • Maintain current knowledge of community services, referral protocols, and eligibility guidelines within the geographic regions served.
• Training & Professional Development:
  • Complete all required onboarding and ongoing training to ensure service proficiency and compliance with federal program requirements (including GUIDE).
  • Maintain applicable licensure and certifications; participate in continuing education to support ongoing professional development and service excellence.
• Other Functions and Responsibilities:
  • Work independently on most clinical and administrative matters while seeking supervision or consultation as needed.
  • Participate in internal committees, projects, or other initiatives as assigned.
  • Contribute to outreach and awareness efforts to promote the organization’s services and mission to potential partners and stakeholders.
  • May perform limited case management functions, including outreach calls and assistance with required forms or documentation.

Qualifications

• Bachelor’s degree in social work, nursing, or a related field in aging services.
• Current and unrestricted Ohio licensure (e.g., LSW) preferred.
• Strong verbal, written, and electronic communication skills.
• Demonstrated ability to work independently, prioritize tasks, and manage time effectively.
• Proficiency in Microsoft Office and ability to learn and navigate client documentation systems.
• Understanding of the needs and challenges faced by individuals with chronic conditions and dementia, and their caregivers.
• Knowledge of relevant laws, ethical standards, and confidentiality requirements.
• Sensitivity to cultural and age-related diversity.
• Comfortable delivering services and documentation entirely via telephone and computer.

Requirements

• Minimum three (3) years of experience working with individuals with chronic health conditions (preferably older adults) and their family/friend caregivers.
• Prior experience working in the healthcare setting.

Benefits

• This job operates in a professional office or home office environment.
• This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.
• While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, keyboard, and telephone.
• Specific vision abilities required by this job include close vision requirements due to computer work.
• Able to work remotely if necessary.
• Able to perform general office activities.
• Light lifting is required, up to 15 pounds occasionally.
• Some flexibility with work hours.
• Moderate noise (i.e., business office with computers, phone, and printers, light traffic).
• Ability to sit at a computer terminal for an extended period of time.
• Work environment is stressful at times.