Patient Navigator - Petaluma

    • Job Tracking ID: 2019-657
    • Job Location: Petaluma, CA
      Rohnert Park
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: Any
    • Job Type: Full-Time/Regular
    • Date Updated: January 16, 2020
    • Years of Experience: Up to 2 Years
    • Starting Date: ASAP
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Job Description:

Coordinates care for high risk, complex clients to access needed health services and complementary social services, coordinates services and community support to achieve improved health outcomes for clients, and coordinates homeless care in conjunction with Nurse Case Management of homeless population.

Experience and Skills:

Areas of Responsibility:

  • Works with Case Management teams at COTS and PHC to effectively fulfill guidelines set forth by the HCH grant for homeless individuals in Petaluma during their Care Transitions phase of their patient state.
  • Reviews daily referrals, meets with clients admitted to hospital care in order to obtain program consent and review client’s discharge plan, medical follow up, and psychosocial needs.
  • Assists client in establishing individualized health goals, identifying potential problems/barriers: provides health education resources. Provides advocacy for client and monitor client’s progress. Coordinates logistics for health goal adherence.
  • Assists in timely scheduling of primary care and other medical appointments to support client health. May attend appointments with client.
  • Links individuals to application assistance for health coverage programs. Performs client benefit enrollment in areas where certified/approved.
  • Maintains good working relationship with community health partners by working as a liaison with other agencies and the community: participates in the Task Force for the Homeless case manager coordination group.
  • Documents all clinical support tasks to meet grant requirements which may include data entry.
  • Participates in quality activities to monitor and improve client service quality such as Case Reviews.
  • Assists in locating clients in support of outreach function.
  • Participates in ongoing training and review.
  • Other duties as assigned.


  • High school diploma or GED required.
  • Driver’s license w clean driving record and auto insurance.
  • Minimum one year community health experience with various program involvement, CHW, MA or CNA certificate or 5 years community health/outreach experience.
  • Experience working with homeless, alcohol, or drug addicted and special needs populations.
  • Familiarity with social service resources in Sonoma County.
  • Bilingual Spanish and English (speak, read, write) required
  • Experience working in a healthcare setting preferred.
  • Project coordination experience preferred.
  • Prior case management experience preferred.

Licenses and Certifications:

CHW, MA or CNA certificate preferred

Language Skills:

Bilingual in English and Spanish, both written and verbal preferred.

Mathematical Skills:

Ability to add, subtract, multiply, and divide all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability:

Ability to recognize problems, collect data, and establish facts.

Computer Skills:

Microsoft Office, Outlook, Word, and Excel.

Use of a web browser.

Electronic Medical Records.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit ergonomically correctly; use hands to finger, handle or feel, ability to talk and/or hear. The employee is required to stand; walk: reach with hands and arms: climb or balance and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 15 pounds and occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus. Repetitive motion with word processing and data entry. Heavy phone use.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. General outpatient clinic environment; however the work environments vary among the various clinics. The noise level in the work environment is usually moderate.