VDC Care Navigator

Full job description

Reports To: Chief Strategy Officer

Summary of Job:

The role will provide care navigation for the Veteran-Directed Care (VDC) program and may provide similar care coordination for other Marin CIL programs and services. At Marin CIL, the Care Navigator is responsible for offering care coordination services that address a broad spectrum of social determinants of health. The role may aid clients in benefits navigation, healthcare assessment and navigation, application completion, and other service navigation. The Care Navigator will maintain close collaboration with local service providers which could include Veterans Affairs Medical Center, managed care plans, healthcare providers, and other stakeholders. The Care Navigator’s role encompasses outreach, intake, assessment, follow-through, and follow-up with the ultimate goal of helping clients achieve their best outcome.

The VDC program empowers veterans to manage their own home-based care by hiring caregivers and controlling their care budgets. It promotes independence by allowing veterans to tailor services to their individual needs. The role involves supporting veterans in care planning, budgeting, and coordination of services. The role will also support the design and implementation of new processes, procedures and training for VDC as Marin CIL scales this vital program.

Job Duties and Responsibilities:

• Provide consultation and case coordination for VDC clients in the home and over the phone which includes the following:
• conducting an assessment and assisting the veteran in developing a participant-directed spending plan
• providing consultation to determine what mix of goods and services best meet the veteran's needs
• assisting the veteran in managing an individual budget
• supporting the veteran in purchasing items, goods, and services to enable independent living
• coordinating with financial management services by helping the veteran review, approve and submit employer and employee paperwork
• maintaining accurate client files and timely documentation
• monitoring the spending plan to ensure expenditures are within budget
• working closely with the Veterans Affairs Medical Center in the identification of clients in need of services and the authorization, provision and reporting of services
• Design and implementation of processes & procedures, including documentation and systems for Veterans Directed Care (VDC)
• Train staff on Veterans Directed Care (VDC) processes and provide subject matter expertise support to staff
• Manage paperwork, data, and systems accurately and efficiently, ensuring information is accurate and complete, well organized and secure
• Maintain complete, organized, and confidential client records, ensuring timely data input and well-documented case notes in compliance with the program and the organization’s reporting requirements
• Serve individuals with health barriers utilizing a person-centered approach and providing wrap-around services
• Using a person-centered approach, conduct assessments, build care plans with clients, and meet routinely to achieve goals in established timeframe
• Assist individuals in advocating for services to meet their goals
• Train and support clients in self-advocacy skills
• Coordinate and facilitate connections and care for clients across multiple agencies
• Provide necessary assistance to clients, such as tracking benefit changes and referring clients to external resources to ensure service needs and goals are met
• Attend multi-discipline coordination meetings to discuss case progress, barriers, and receive guidance from health professionals and social workers
• Collaborate with healthcare providers, behavioral health and public health agencies, and other community-based organizations to build a support network for clients
• Stay updated on available resources and services for veterans, older adults and individuals with disabilities, continuously enhancing service coordination abilities through ongoing education
• Actively participate in assigned meetings and contribute to the collaborative efforts of the team
• Respond promptly to clients, service providers, and community partners to address inquiries, requests and provision of services
• Initiate and conduct outreach activities to educate clients, service providers, and the community on the organization’s services
• Administer surveys and record results in survey platforms
• Identify and document success stories to promote organizational learning, create promotional materials, and fulfill reporting obligations
• Perform other duties as assigned

Education and Experience:

• Bachelor's degree in social services or related field, or combination of college education and relevant work experience
• Minimum two years of professional experience in a related field
• Preferred: Bilingual Spanish/English

Skills:

• Proficiency in Microsoft Office and Google applications in a PC environment, in particular Excel/Sheets
• Basic budgeting skills
• Results-driven with a strong sense of urgency
• Highly motivated, committed, persistent and patient
• Meticulous attention to detail ensuring accuracy and thoroughness in all tasks, with a focus on identifying and correcting errors
• Highly organized and demonstrates exceptional ability to manage paperwork, data, and systems efficiently, ensuring information is well-maintained and easily accessible.
• Systematic and methodical - implements and follows processes that streamline workflows and maintains accurate data across systems
• Excellent interpersonal skills, and effective verbal and written communication
• Self-motivated and proactive, takes initiative and completes tasks without delay
• Strong self-management skills, including time management, and the ability to work independently
• Collaborative and team-oriented
• Maintains confidentiality and process confidential information appropriately
• Understands person-centered approach to services
• Ability to advocate for people with disabilities and train others in self-advocacy

Other:

• This position includes regular travel throughout the Bay Area and surrounding counties for client home visits, working in person at Marin CIL’s office in San Rafael as required, and working remotely
• Our standard business hours are from 9:00 AM to 5:00 PM, Monday through Friday, with a designated 1-hour lunch period. We expect all team members to be available and actively engaged in their work during these operational hours unless an alternate schedule has been approved by your supervisor. Additionally, the standard schedule will not exceed 35 hours per week

About Marin CIL:

Since 1979, the mission of Marin Center for Independent Living is to assist persons with all types of disabilities with achieving their maximum level of sustainable independence as contributing, responsible and equal participants in society.

Marin CIL believes that outstanding people who are committed to, and carry out, our mission are the key to our success. Our mission includes commitment and attention to implementing the Independent Living Philosophy and enthusiasm for the vision and tasks of changing the position of people living with disabilities in Marin County (and the state and country).

Marin CIL is also part of the One Door service delivery model, which includes its partnership with the County of Marin Aging and Adult Services. Marin CIL is committed to growing its healthcare partnerships.

EEO Statement:

Marin Center for Independent Living is committed to providing equal employment opportunities to all employees and applicants for employment. We strictly prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

We strive to create an inclusive and diverse work environment where everyone is treated with dignity, fairness, and respect.

We are dedicated to fostering a workplace culture that celebrates individual differences and promotes equal opportunities for all. Our commitment to equal employment extends beyond compliance with legal requirements and guides our everyday practices. We value the contributions and perspectives of each team member and believe that a diverse workforce enhances our ability to achieve our mission effectively.

Marin Center for Independent Living is an equal opportunity employer and is committed to providing a work environment free from discrimination and harassment. We encourage qualified individuals from all backgrounds to apply for employment with our organization and join us in our pursuit of creating a society that respects and embraces diversity.

Ability to Commute:

• San Rafael, CA 94901 (Preferred)

Ability to Relocate:

• San Rafael, CA 94901: Relocate before starting work (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: Hybrid remote in San Rafael, CA 94901