Care Navigator

This is a fully remote position, open to applicants in Florida.

📋 Description

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

• Engage patients in goal-oriented discussions, establish priorities, evaluate readiness, and foster rapport.

• Identify and document SDoH needs across the nine domains.

• Research and connect patients with community resources, local programs, public benefits, and referral partners.

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

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

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

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

• Ensure timely closure of open SDoH cases and escalate any stalled cases.

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

• Raise clinical, behavioral health, safety, or high-risk psychosocial concerns as necessary.

• Participate in interdisciplinary huddles and discussions regarding complex cases.

• Monitor ongoing SDoH needs until they are resolved.

• Support quality improvement initiatives and assist in SDoH data collection.

⛳️ Requirements

• High school diploma or GED is required.

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

• At least 2 years of experience in care coordination, patient navigation, community health, or social services support is necessary.

• Proven communication and relationship-building skills are essential.

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

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

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

• Familiarity with community resources and benefit programs is advantageous.

• Bilingual language skills are preferred.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Employee assistance program.

• Employer-paid and voluntary life insurance.

• Disability insurance.

• Health and flexible spending accounts.

• 401k with employer match.

• Financial wellness resources.

• 20 PTO days.

• 7 paid holidays.

• 1 floating day.

• Paid parental leave.

• Work-life assistance resources.

• Physical wellness perks.

• Mental health support.

• Employee referral program.

• BenefitHub employee discounts.