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4 Jan 2022

Full-Time Community Navigator

The People Concern – Posted by tpcrecruit Los Angeles, California, United States

Job Description

Schedule: Monday- Friday, approximately, 11:00am-7:30pm with flexibility to accommodate hospital needs

Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan.


In collaboration with The People Concern and Kaiser Permanente (KP) West Los Angeles Hospital staff, the Community Navigator researches, sources and provides resources for people experiencing homelessness who come into the hospital for services. This position reports to the Program Manager, Health and Wellness.


  1. Services:
    1. Improve the follow-up care and services provided to homeless patients at discharge by assessing patients’ needs and connecting them with the appropriate resources.
    2. Design and implement strategies for engaging individuals who resist services, in collaboration with KP staff at KP West LA and other facilities.
    3. Create and maintain a list of high needs patients with Kaiser Homeless Task Force
    4. Work closely with hospital staff (inpatient and emergency department) to contribute to discharge plans to ensure continuity of services by connecting to case management and other recommended services after release from the hospital. 
    5.  Schedule follow-up medical appointments by making and documenting Primary Care Physician (PCP) appointments.
    6. Follow hospital accreditation standards of care by maintaining database and detail-oriented documentation of the services provided for each patient, including maintaining strict confidentiality and privacy practices and sharing information, as appropriate and legally allowed, to coordinate patient care.
    7. Maintain strict confidentiality and privacy practices and share information, as appropriate and legally allowed, to coordinate patient care
  2. Resources:
    1. In conjunction with Social Work staff, create a Community Resources list/binder on services available for the homeless population.
    2. Ensure resources are up to date and effectively utilized. 
    3. Be thoroughly familiar with and perform job responsibilities in alignment with the policies and procedures guiding the work of this program and the Hospital.
  3. Relationships and Teamwork:
    1. Work as part of a team to coordinate directly with social service agencies throughout Los Angeles County to connect homeless patients to appropriate housing and services, including referrals to various housing programs.
    2. Build effective working relationships with hospital staff to educate staff on the services available to this population and resources available within the Community to assist individuals experiencing homelessness. Participate in specified meetings to help disseminate this information among all staff involved in caring for individuals experiencing homelessness as determined by management.
    3. Responsible for making sure that KP West LA patients benefit from all available community programs by keeping staff informed and taking initiative to refer, track, which community resources are provided.
    4. Maintain a cooperative relationship among care teams with both inpatient and Emergency Department staff by communicating information, responding to requests, building rapport, participating in team problem-solving efforts.
    5. Participate in regular team meetings, and training sessions required by KP WEST LA and TPC.
    6. Participate in all safety programs and trainings required by KP WEST LA and TPC. 
    7. Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies, as appropriate.


  • Bachelor’s degree strongly preferred, or high school diploma and two years’ experience in medical case management or homeless services required.
  • Minimum of one (1) year of working as part of a health care team.
  • Minimum of one (1) year of experience working with homeless and/or underserved populations, with significant experience working with persons experiencing homelessness and having complex needs, conducting assessments of general patient information, developing short-term care plans and providing necessary interventions identified during assessment.
  • Demonstrated knowledge of healthcare systems and ability to interface with community agencies and health care providers.
  • Ability to work well with culturally diverse clientele, including LGBTQ individuals and those living with disabilities, serious mental illness and substance use disorders.
  • Familiarity with harm reduction and trauma informed care philosophies preferred.
  • Excellent charting/documentation skills and data collection needed. Strong computer skills including Word, Excel and Outlook required. Familiarity with Health Connect a plus.
  • Ability to work well as part of an interdisciplinary team, with excellent verbal and written communication skills.
  • Ability to self-motivate, multi-task and be flexible in a fast-paced environment
  • Valid CA Driver’s License, stated mandated insurance, and safe driving record and own car required; transportation of clients in own car as needed required.


  • Previous experience working with persons experiencing severe and persistent mental illness (SMPI) and polysubstance abuse. PREFERRED
  • Skilled in non-violent crisis intervention, CPI Training
  • Bilingual (Spanish/English) strongly preferred

The People Concern is an equal opportunity employer dedicated to non-discrimination in employment. We select the most qualified individual for the job based on job-related qualifications regardless of race, color, age, sex, religion, national origin, disability, ancestry, marital status, credit history, sexual orientation, arrest and court record, genetic information, veteran status or any other status protected by federal, state or other applicable laws.

How to Apply

If interested, please submit an application on our website: For any questions or inquiries, please contact  

Job Categories: Equal Opportunities. Job Types: Full-Time. Job Tags: client, Health, healthcare, homeless, Hospital, LA, los angeles, manager, non-profit, santa monica, social service, and social work. Salaries: Not Disclosed.

Job expires in 76 days.

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