The Care Navigator is responsible for conducting social care screenings, eligibility assessments, referral coordination, and ongoing care navigation activities for Medicaid members and other eligible populations participating in Social Care Network (SCN), 1115 Waiver, ILOS, Value-Added Benefit (VAB), and related programs. This work is completed telephonically.
The Care Navigator provides person-centered, culturally responsive, trauma-informed telephonic and technology-enabled navigation services designed to identify unmet health-related social needs and connect individuals to appropriate community-based resources and services. Responsibilities include screening completion, eligibility verification, referral placement, closed-loop referral follow-up, documentation, consent management, and coordination with community-based organizations, managed care organizations, and healthcare partners.
Documentation and tracking activities will occur within both internal and external technology platforms. The Care Navigator is expected to maintain compliance with organizational policies, state program requirements, productivity standards, quality metrics, and confidentiality regulations.
The Care Navigator reports to the Care Navigation Program Manager. This is a remote/hybrid position that may be located in Iowa or New York, with potential expansion into additional states. Occasional travel to offices in Iowa and New York may be required.
