Care Navigator

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Perform proactive outreach to patients in order to uncover unmet social needs utilizing the nine-domain CMS-aligned SDoH assessment.

• Engage patients in goal-focused discussions to identify priorities, evaluate readiness, and establish rapport.

• Recognize and document SDoH requirements across all nine domains.

• Research and link patients to community resources, local programs, public benefits, and referral partners.

• Assist patients through the processes of application, referral, and enrollment.

• Follow up to validate resource utilization, confirm access, and ensure complete resolution of social barriers.

• Manage each SDoH case from initial identification through confirmed closure.

• Record interventions, follow-up contacts, and resolution outcomes in Pt. 360.

• Facilitate timely closure of open SDoH cases and escalate stalled cases according to established workflows.

• Collaborate with pod clinicians, including RNs, APPs, and BHCs, to ensure alignment on patient SDoH needs.

• Raise clinical, behavioral health, safety, or high-risk psychosocial issues through the designated communication channels.

• Participate in interdisciplinary huddles and discussions on complex cases.

• Monitor ongoing SDoH needs until they are fully resolved.

• Contribute to internal quality improvement initiatives and data collection related to SDoH outcomes.

⛳️ Requirements

• High school diploma or GED is required.

• A bachelor’s degree in public health, human services, social sciences, or related fields is preferred.

• A minimum of two (2) years of experience in care coordination, patient navigation, community health, or social services support is required.

• Proven communication and relationship-building skills are essential.

• Comfort in engaging with diverse populations and addressing complex social needs.

• Ability to handle multiple priorities in a fast-paced setting.

• Experience with Medicaid, Medicare, or value-based care populations is preferred.

• Familiarity with community resources and benefit programs is preferred.

• Bilingual language skills are preferred.

🏝️ Benefits

• Medical, dental, and vision insurance is provided.

• Employee assistance program available.

• Employer-paid and voluntary life insurance options.

• Disability insurance included.

• Health and flexible spending accounts offered.

• 401k plan with employer matching contributions.

• Financial wellness resources accessible.

• 20 PTO days offered.

• 7 paid holidays included.

• 1 floating day available.

• Paid parental leave provided.

• Work-life assistance resources available.

• Physical wellness perks offered.

• Mental health support included.

• Employee referral program available.

• BenefitHub for employee discounts provided.