Care Navigator

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

📋 Description

• Conduct proactive outreach to recognize unmet social needs utilizing the nine-domain CMS-aligned SDoH assessment.

• Engage patients in goal-oriented discussions, identify their priorities, assess their readiness, and establish rapport.

• Identify and document SDoH needs across nine domains.

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

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

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

• Manage SDoH cases from initial identification through confirmed closure.

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

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

• Collaborate with RNs, APPs, and BHCs to coordinate patient care.

• Escalate 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.

• Support quality improvement initiatives and SDoH data collection.

⛳️ Requirements

• High school diploma or GED.

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

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

• Proven communication and relationship-building skills.

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

• Ability to manage 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 preferred.

• 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.