Care Navigator

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

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

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

• Identify and log SDoH needs across nine distinct domains.

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

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

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

• Take ownership of each SDoH case from initial identification to confirmed closure.

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

• Facilitate the prompt closure of open SDoH cases and escalate any cases that are stalled.

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

• Elevate clinical, behavioral health, safety, or high-risk psychosocial concerns.

• Participate in interdisciplinary huddles and discussions on complex cases.

• Monitor ongoing SDoH needs until they are resolved.

• Contribute to internal quality improvement initiatives and 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 essential.

• Proven communication and relationship-building skills are necessary.

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

• Ability to manage multiple priorities in a fast-paced environment is required.

• 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.