Care Navigator

This is a fully remote position, open to applicants in Kentucky, +4 more locations.

📋 Description

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

• Engage patients in goal-oriented discussions, prioritize their needs, evaluate readiness, and establish rapport.

• Identify and record SDoH requirements across nine distinct domains.

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

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

• Conduct follow-ups to verify utilization of resources, confirm access, and ensure resolution of social barriers.

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

• Document interventions, follow-up communications, and resolution outcomes in Pt. 360.

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

• Collaborate with pod clinicians, including RNs, APPs, and BHCs.

• Address clinical, behavioral health, safety, or high-risk psychosocial concerns as needed.

• Participate in interdisciplinary huddles and discussions regarding complex cases.

• Monitor ongoing SDoH needs until they are resolved.

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

⛳️ Requirements

• High school diploma or GED required.

• A Bachelor’s degree in public health, human services, social sciences, or related disciplines 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 abilities.

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

• Capacity to manage multiple priorities in a dynamic 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 plan 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.