Virginia Garcia Memorial Health Center
At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve.
Job Summary : The Social Care Navigator fun c t i ons a s a n in te g r a l p a rt of the BHMH Services Department's Primary Care integration to ass e ss a nd a ddr e ss p a t i e n t 's needs as related to their resilience/self-determination, ability to access outpatient services and so c i a l det e rmin a nts of h e a l t h. This individual provides skills training and case management s e rvi ce s and links patients to needed community resources through their work on medical and BHMH teams t o c oordi n a te s e rvi ce s a nd c a re that a d dr e ss their medi c a l, ment a l he a l t h a nd/or oth e r p s y c hoso c ial n e e d s . They also wo r k with t he Pr i m a r y C a re T ea ms t o outr eac h and wo r k with complex h ea l t h a nd/or p s y c hoso c i a l ne e ds of patients a nd those who a re h i g h ut i l iz e rs of hospital a nd Em e r g e n c y D e p a rtm e nt s e rvi ce s. This position m a y su p e rvise students in d i s c ip l ines a ppro p ri a te to the Navigator's e du ca t i on a l b a c k g r ound a nd qu a l i fi ca t i ons.
Essential Duties and Responsibilities:
F un c t i on a s a n in te g r a l p a rt of the BHMH Team attending huddles, team meetings and coordinating services with team members for complex patients.
May work with prim a r y ca r e m e dic a l t ea ms, att e ndi n g huddles a nd te a m me e t i n g s a nd c onn e c t i ng with t ea m m e mbe r s a s n e e d e d to ass e ss patient ' s n ee ds a nd c on n ec t them to r e sour ce s in t he medi ca l and so c i a l s e rvi c e s c om m uni t y .
Ass e ss p a t i e nts' s o c ial d e ter m i n a nts of h ea l t h a nd h ea l t h l i te r a c y , ut i l i z ing s c r e e ni n g too l s a nd qu e st i onn a ir e s to ass e ss t he p a t i e nt's l i ving si t u a t i on, h ea l t h l i te r ac y , s a f e t y , c o g n i tive a bi l i t ies or status, h i sto ry of or c ur r e nt substan c e m i suse, p h y sic a l , ment a l or s e x u a l a bus e , in t i m a te p a rtn e r v i l e n ce , a nd m e ntal h ea l t h n ee d s .
Gather a nd maintain info r m a t i on, r e sour ce s a nd a c ce ss i ble s e rv i ce s o f c om m uni t y a g e n c ies, l o c a l a nd st a te o r g a ni z a t i o n s , ac t i ng a s a l i a ison with ou t side a g e n c ie s .
B ui l d a supportive re l a t i onship with patients to i mprove p a t i e nts' ut i l iz a t i on of n ece s s a r y a nd a ppro p r i a te p r i m a r y ca r e , m e ntal h ea l t h, a nd s o c ial s e rvi c e s, in ord e r to i m prove the p a t i e nts' h ea l t h st a tus a n d h ea l t h outcom e s.
Us e mo t ivational in t e rvi ew ing to a ssess a nd posi t ive l y affect t he p a t i e nt's lev e l of e ng a g e ment in their ca re a nd c o n fid e n c e in their a bi l i t y to ca r r y o ut a s e l f -man a g e ment plan.
P a rti c ipat e with t he te a m in dev e lop i ng a c omp r e h e nsive c a re p l a n.
Com m unic a te w i t h the p r i m a r y c a re t e a m, doc u menting a ll c ont a c ts wi t h p a t i e nts i n the
E H R ( E P I C) in a t i me l y mann e r a nd communic a t i ng in p e r son or b y phone a s n ee d e d.
P rovid e c ul t ur a l l y a nd c l i nic a l l y a ppro priate me d ic a l and ment a l h e a l t h e d u ca t i on a nd info r mation to patients a nd c o ac h e s p a t i e nts i n m a king h ea l t h y l i f e s t y l e c h a ng e s.
A c t as the p a t i e n t's a d v o ca te a nd h ea l t h n a v i g a t o r, a ss i s t ing them in unde r standing the most a ppro p ri a te u s e of he a l t h ca re r e s o u r ce s.
Wo r k with t he P rim a r y C a re T e a ms and BHMH t o outr eac h p a t i e nts with c omp l e x h ea l t h a nd/or p s y c h os o cial n e e ds a nd those who a r e h i g h ut i l iz e rs of hospital a nd Em e r g e n c y D e p a rtm e nt s e rvi ce s in o rd e r to r e mo v e b a r ri e rs to ca r e.
Provide work in the community with patients including home or h o spi t a l / ED vis i ts and/or p a t i e nt a cc ompaniments to medi ca l or so c ial s e r v ice a ppoin t ments.
M a y f a c i l i t a te, c o ordin a t e a nd o r g a ni z e g roup e d u ca t ion or g roup provid e r vis i ts, i f a ppro ve d b y the supervisor and in c onsultation wi t h the si t e man a g e m e nt t ea m.
M a y su p e rvise students i n disciplines a ppro p ri a te to the Navigator's e du c a t i on a l b ac k g r ound a nd qu a l i fi ca t i ons.
Atte n d re g ular t r a in i n g s as r e qu i r e d.
P e r f orm other dut i e s a s a ss i g n e d.
H a ndle p r ot e c ted h ea l t h info r mation i n a mann e r c onsistent with the Hea l t h I ns u r a n c e P ort a bi l i t y a nd A cc ountabil i ty A c t of 1 9 96 ( H I P A A ).
The Social Care Navigator w i l l have a c c e ss t o P H I in the c ours e of their duties. The Navigator will use P H I to sch e du le p a t i e nts, t r a nsport p a t i e nts and c oordin a t e ca re for p a t i e nts. App l y i ng the min i mum n ece s s ar y stan d a rd of H I P AA, t h e d e si g n a ted r ec ord s e ts to whi c h th i s e mp l o y e e will h a ve ac c e ss i n c l u d e t he full m e dic a l r e co rd, the s c h edul i n g a nd d e mo g r a phic f u n c t i ons of the pra c t i c e man a g e m e nt s y stem.
K
n
o
w
ledge, S
k
i
l
l
s
a
n
d
Ab
i
l
i
t
e
s R
e
qu
i
r
e
d
:
Bi lingual / bicultural proficiency preferred.
Desire to work with underserved communities.
Desire to work with complex patients including those who may be struggling with mental health and/or substance use.
High level of skill in interpersonal relationships and problem solving.
High energy and self-directed individual with excellent interpersonal, problem solving, organization and computer skills.
Ability to travel to clinics, home visits, and agency visits, etc. in a reliable, confident and timely manner.
Ability to take in itative to proactively organize and manage the responsibilities of the job.
High degree of integrity and professionalism.
Good working knowledge of available social services or skills to acquire knowledge and information expeditiously.
Ability to work in challenging environments i n the community at large and in patients' homes.
Ability to work as a integral part of a high functioning team.
Highly proficient with Microsoft Office applications (Word, Excel, PowerPoint, Outlook).
Excellent Customer Service skil l s.
Commitment and alignment to Virginia Garcia's mission, vision and values .
Valid driver 's license, reliable transport a tion, safe driving record and insurance coverage required.
E
du
c
a
t
ion a
n
d
Ex
p
er
ience R
e
qu
i
r
e
d:
B ach e lor ' s d e g ree in a relevant field or minimum four y ea rs of college u di ca t i o n , pr e fer a b l y in psychology, social work, h u man s e rvi ces or h e a l t h - r e lat e d fi e ld r e q u i r e d, or equivalent c omb i nation of e du c a t i on a nd e x p e r i e n ce.
Meet criteria for QMHA in the state of Oregon (requires a bachelor's degree in behavioral health or alternatively a combination of three years of relevant education and occupational experience).
Train i n motivational interviewing, skills training and case management p r e fer re d.
Experience with group facilitation.
Accountability:
Role model VG's mission, vision, and shared values
Customer-Focus:
Listen to the voice of the customer and strive to delight them by exceeding their expectations
Teamwork:
If someone needs help, help them
Initiative:
Be innovative, apply fresh ideas, and continuously improve how you do your work
Confidentiality:
Maintain strict confidentiality and respect the privacy of others
Ethical:
Demonstrate integrity, honesty, and stewardship in all encounters at work
Respect:
Demonstrate consideration and appreciation for co-workers and patients
Communication:
Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others
Ph
y
ssi
cle >
Re
quir
e
m
e
n
t
s:
Per cent age of time spent
Standing : up to 20%
Sitting : up to 50%
Reaching : 5%
Must be a ble to l i ft/ ca r r y up to 20 l bs.: i nf re qu e nt 2 0 -4 0 lbs.
Local t ra v e l: up to 75%
Working Environment/Physical Hazards:
Work environment includes working in patient's hom e s.
Equipment Used:
May use Clin ic Ve hicles
Computer ・ data entry and word processing
Telephone, Fax, Copier, Printer, Scanner
Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission.
VGMHC is an Equal Opportunity Employer.No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status or physical challenges.The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination.
Job Info
Job Identification 515
Job Category Mental and Behavioral Health
Posting Date 10/28/2025, 05:47 PM
Job Schedule Full time
Locations 2725 SW Cedar Hills Blvd, Beaverton, OR, 97005, US (On-site)
#J-18808-Ljbffr
Job Summary : The Social Care Navigator fun c t i ons a s a n in te g r a l p a rt of the BHMH Services Department's Primary Care integration to ass e ss a nd a ddr e ss p a t i e n t 's needs as related to their resilience/self-determination, ability to access outpatient services and so c i a l det e rmin a nts of h e a l t h. This individual provides skills training and case management s e rvi ce s and links patients to needed community resources through their work on medical and BHMH teams t o c oordi n a te s e rvi ce s a nd c a re that a d dr e ss their medi c a l, ment a l he a l t h a nd/or oth e r p s y c hoso c ial n e e d s . They also wo r k with t he Pr i m a r y C a re T ea ms t o outr eac h and wo r k with complex h ea l t h a nd/or p s y c hoso c i a l ne e ds of patients a nd those who a re h i g h ut i l iz e rs of hospital a nd Em e r g e n c y D e p a rtm e nt s e rvi ce s. This position m a y su p e rvise students in d i s c ip l ines a ppro p ri a te to the Navigator's e du ca t i on a l b a c k g r ound a nd qu a l i fi ca t i ons.
Essential Duties and Responsibilities:
F un c t i on a s a n in te g r a l p a rt of the BHMH Team attending huddles, team meetings and coordinating services with team members for complex patients.
May work with prim a r y ca r e m e dic a l t ea ms, att e ndi n g huddles a nd te a m me e t i n g s a nd c onn e c t i ng with t ea m m e mbe r s a s n e e d e d to ass e ss patient ' s n ee ds a nd c on n ec t them to r e sour ce s in t he medi ca l and so c i a l s e rvi c e s c om m uni t y .
Ass e ss p a t i e nts' s o c ial d e ter m i n a nts of h ea l t h a nd h ea l t h l i te r a c y , ut i l i z ing s c r e e ni n g too l s a nd qu e st i onn a ir e s to ass e ss t he p a t i e nt's l i ving si t u a t i on, h ea l t h l i te r ac y , s a f e t y , c o g n i tive a bi l i t ies or status, h i sto ry of or c ur r e nt substan c e m i suse, p h y sic a l , ment a l or s e x u a l a bus e , in t i m a te p a rtn e r v i l e n ce , a nd m e ntal h ea l t h n ee d s .
Gather a nd maintain info r m a t i on, r e sour ce s a nd a c ce ss i ble s e rv i ce s o f c om m uni t y a g e n c ies, l o c a l a nd st a te o r g a ni z a t i o n s , ac t i ng a s a l i a ison with ou t side a g e n c ie s .
B ui l d a supportive re l a t i onship with patients to i mprove p a t i e nts' ut i l iz a t i on of n ece s s a r y a nd a ppro p r i a te p r i m a r y ca r e , m e ntal h ea l t h, a nd s o c ial s e rvi c e s, in ord e r to i m prove the p a t i e nts' h ea l t h st a tus a n d h ea l t h outcom e s.
Us e mo t ivational in t e rvi ew ing to a ssess a nd posi t ive l y affect t he p a t i e nt's lev e l of e ng a g e ment in their ca re a nd c o n fid e n c e in their a bi l i t y to ca r r y o ut a s e l f -man a g e ment plan.
P a rti c ipat e with t he te a m in dev e lop i ng a c omp r e h e nsive c a re p l a n.
Com m unic a te w i t h the p r i m a r y c a re t e a m, doc u menting a ll c ont a c ts wi t h p a t i e nts i n the
E H R ( E P I C) in a t i me l y mann e r a nd communic a t i ng in p e r son or b y phone a s n ee d e d.
P rovid e c ul t ur a l l y a nd c l i nic a l l y a ppro priate me d ic a l and ment a l h e a l t h e d u ca t i on a nd info r mation to patients a nd c o ac h e s p a t i e nts i n m a king h ea l t h y l i f e s t y l e c h a ng e s.
A c t as the p a t i e n t's a d v o ca te a nd h ea l t h n a v i g a t o r, a ss i s t ing them in unde r standing the most a ppro p ri a te u s e of he a l t h ca re r e s o u r ce s.
Wo r k with t he P rim a r y C a re T e a ms and BHMH t o outr eac h p a t i e nts with c omp l e x h ea l t h a nd/or p s y c h os o cial n e e ds a nd those who a r e h i g h ut i l iz e rs of hospital a nd Em e r g e n c y D e p a rtm e nt s e rvi ce s in o rd e r to r e mo v e b a r ri e rs to ca r e.
Provide work in the community with patients including home or h o spi t a l / ED vis i ts and/or p a t i e nt a cc ompaniments to medi ca l or so c ial s e r v ice a ppoin t ments.
M a y f a c i l i t a te, c o ordin a t e a nd o r g a ni z e g roup e d u ca t ion or g roup provid e r vis i ts, i f a ppro ve d b y the supervisor and in c onsultation wi t h the si t e man a g e m e nt t ea m.
M a y su p e rvise students i n disciplines a ppro p ri a te to the Navigator's e du c a t i on a l b ac k g r ound a nd qu a l i fi ca t i ons.
Atte n d re g ular t r a in i n g s as r e qu i r e d.
P e r f orm other dut i e s a s a ss i g n e d.
H a ndle p r ot e c ted h ea l t h info r mation i n a mann e r c onsistent with the Hea l t h I ns u r a n c e P ort a bi l i t y a nd A cc ountabil i ty A c t of 1 9 96 ( H I P A A ).
The Social Care Navigator w i l l have a c c e ss t o P H I in the c ours e of their duties. The Navigator will use P H I to sch e du le p a t i e nts, t r a nsport p a t i e nts and c oordin a t e ca re for p a t i e nts. App l y i ng the min i mum n ece s s ar y stan d a rd of H I P AA, t h e d e si g n a ted r ec ord s e ts to whi c h th i s e mp l o y e e will h a ve ac c e ss i n c l u d e t he full m e dic a l r e co rd, the s c h edul i n g a nd d e mo g r a phic f u n c t i ons of the pra c t i c e man a g e m e nt s y stem.
K
n
o
w
ledge, S
k
i
l
l
s
a
n
d
Ab
i
l
i
t
e
s R
e
qu
i
r
e
d
:
Bi lingual / bicultural proficiency preferred.
Desire to work with underserved communities.
Desire to work with complex patients including those who may be struggling with mental health and/or substance use.
High level of skill in interpersonal relationships and problem solving.
High energy and self-directed individual with excellent interpersonal, problem solving, organization and computer skills.
Ability to travel to clinics, home visits, and agency visits, etc. in a reliable, confident and timely manner.
Ability to take in itative to proactively organize and manage the responsibilities of the job.
High degree of integrity and professionalism.
Good working knowledge of available social services or skills to acquire knowledge and information expeditiously.
Ability to work in challenging environments i n the community at large and in patients' homes.
Ability to work as a integral part of a high functioning team.
Highly proficient with Microsoft Office applications (Word, Excel, PowerPoint, Outlook).
Excellent Customer Service skil l s.
Commitment and alignment to Virginia Garcia's mission, vision and values .
Valid driver 's license, reliable transport a tion, safe driving record and insurance coverage required.
E
du
c
a
t
ion a
n
d
Ex
p
er
ience R
e
qu
i
r
e
d:
B ach e lor ' s d e g ree in a relevant field or minimum four y ea rs of college u di ca t i o n , pr e fer a b l y in psychology, social work, h u man s e rvi ces or h e a l t h - r e lat e d fi e ld r e q u i r e d, or equivalent c omb i nation of e du c a t i on a nd e x p e r i e n ce.
Meet criteria for QMHA in the state of Oregon (requires a bachelor's degree in behavioral health or alternatively a combination of three years of relevant education and occupational experience).
Train i n motivational interviewing, skills training and case management p r e fer re d.
Experience with group facilitation.
Accountability:
Role model VG's mission, vision, and shared values
Customer-Focus:
Listen to the voice of the customer and strive to delight them by exceeding their expectations
Teamwork:
If someone needs help, help them
Initiative:
Be innovative, apply fresh ideas, and continuously improve how you do your work
Confidentiality:
Maintain strict confidentiality and respect the privacy of others
Ethical:
Demonstrate integrity, honesty, and stewardship in all encounters at work
Respect:
Demonstrate consideration and appreciation for co-workers and patients
Communication:
Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others
Ph
y
ssi
cle >
Re
quir
e
m
e
n
t
s:
Per cent age of time spent
Standing : up to 20%
Sitting : up to 50%
Reaching : 5%
Must be a ble to l i ft/ ca r r y up to 20 l bs.: i nf re qu e nt 2 0 -4 0 lbs.
Local t ra v e l: up to 75%
Working Environment/Physical Hazards:
Work environment includes working in patient's hom e s.
Equipment Used:
May use Clin ic Ve hicles
Computer ・ data entry and word processing
Telephone, Fax, Copier, Printer, Scanner
Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission.
VGMHC is an Equal Opportunity Employer.No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status or physical challenges.The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination.
Job Info
Job Identification 515
Job Category Mental and Behavioral Health
Posting Date 10/28/2025, 05:47 PM
Job Schedule Full time
Locations 2725 SW Cedar Hills Blvd, Beaverton, OR, 97005, US (On-site)
#J-18808-Ljbffr