Community Care Navigator - Social Services - Full time - Marina Hospital

The Community Care Navigator works closely with the Social Work Department, physicians, nurses and emergency department staff at Cedars-Sinai Marina del Rey Hospital (CSMDRH) to identify and assist homeless patients needing linkages with medical homes, shelter, counseling and other community resources.

• Utilizes a harm reduction model, serves to improve the follow-up care and services provided to unhoused patients at discharge, by assessing the patients’ needs and ensuring that they are connected with the appropriate resources.
• Builds effective working relationships with the emergency department and other hospital staff to educate them on the resources and services available to this population and ways to effectively interface with the patients to address their needs.
• Works as part of a team to coordinate directly with social service agencies throughout LA County to connect unhoused patients to appropriate housing and services, including referrals to The People Concern when appropriate.
• Coordinates with primary care providers’ medical teams to ensure that clients’ ongoing medical needs are met.
• Assists in resolving patient care issues and needs by utilizing multidisciplinary team strategies.
• Maintains database and documentation of the services provided for patients.
• Follows up with patients, agencies, etc., post discharge with the intent of tracking outcomes from interventions.
• Maintains strict confidentiality and privacy practices and shares information, as appropriate and legally allowed, to coordinate patient care.
• Maintains a safe and clean working environment.
• Other duties as assigned.