Care Navigator & Medical Assistant - Bozeman

Greater Good Health•Bozeman, MT

10d•$25 - $26•Remote

About The Position

Greater Good Health is hiring a Care Navigator & Medical Assistant to support older adults in access-starved communities through a value-based, outcomes-focused care model. The role coordinates patient engagement and follow-through with assigned Nurse Practitioners, helping patients access preventative care and maintain continuity across care settings. Applicants must be comfortable working 7 a.m.–4 p.m. MST. The position is primarily home-office based, with a future clinic opening expected to include standard Medical Assistant duties such as rooming patients and taking vitals; the clinic opening timing is undetermined. The Care Navigator conducts patient outreach and scheduling for home, telehealth, and in-clinic Annual Wellness Visits (AWVs), responds to inbound patient calls, encourages preventative screenings, and helps address barriers to care. The position coordinates care with Nurse Practitioners, manages schedules and home-visit routes, obtains and reconciles outside medical records, supports post-discharge follow-up, and tracks completion of provider orders and referrals. It also supports quality-gap closure, accurate documentation, privacy compliance, interdisciplinary collaboration, and program development. Success is measured by outreach volume and quality, AWV and preventative-care scheduling, post-discharge follow-up, retrieval of outside records, completion of provider orders, strong working relationships, and complete, timely documentation. The role involves approximately eight hours per day seated at a home-office desk using a computer and keyboard, with two 10-minute breaks and a one-hour meal break.

Requirements

1–2 years of post-high-school education or an associate’s degree; a bachelor’s degree in health sciences, social work, public health, or a related field is a plus.
Medical Assistant certificate and at least 2 years of experience working as a Medical Assistant.
1–3 years of experience working with standard operating systems and software, including Windows, MS Word, and MS Excel.
1–3 years of experience in a patient-facing healthcare role.
Excellent verbal and written communication skills, including the ability to explain complex health information accessibly and empathetically.
Strong phone skills and sensitivity to protected health information and HIPAA compliance.
Familiarity with medical terminology and a basic understanding of chronic disease management in older adults.
Organization, attention to detail, and ability to multitask in a fast-paced care coordination environment.
Adaptability, teamwork, and ability to work independently and collaboratively.
Professional appearance, communication, and demeanor.
Critical-thinking and problem-solving skills, including the ability to manage complex, multi-step patient situations.
Comfort working 7 a.m.–4 p.m. MST.

Nice To Haves

Healthcare experience in a patient-facing or care coordination role is strongly preferred.
Experience or training in motivational interviewing, health coaching, or behavioral change techniques.
Experience retrieving medical records from hospitals, EHR systems, or external providers.
Familiarity with post-discharge care workflows, transitions of care, or case management principles.
Experience with value-based care models, population health management, or Medicare Advantage programs.
At least 1 year of experience working with Medicare or senior/geriatric populations.
Experience with HEDIS gap closure or quality improvement initiatives.
At least 1 year of call center experience and managing phone queues.
Basic Excel skills, including navigation, data entry, filtering, and sorting.
Knowledge of or experience with EHR/EMR platforms.
Certification in care coordination, patient navigation, or a related area, such as CCM, ACM, or CPHQ.
Bilingual English/Spanish skills are strongly preferred.

Responsibilities

Conduct proactive outreach to schedule home, telehealth, and in-clinic Annual Wellness Visits and accept inbound calls to schedule visits and address care-related questions or concerns.
Build trusting relationships with geriatric patients and help address barriers to engagement, including transportation, language, health literacy, financial hardship, and social or environmental factors.
Contact patients about preventative screenings, document outreach, and establish follow-through plans.
Partner with assigned Nurse Practitioners to coordinate patient panels, scheduling, care follow-through, and patient communications.
Build and optimize driving routes for Nurse Practitioners completing home visits; coordinate cancellations, reschedules, and add-on visits.
Retrieve and reconcile medical records from outside providers, hospitals, health systems, and community organizations.
Coordinate timely follow-up after hospital or skilled nursing facility discharge and help transition care plans to reduce readmission risk.
Follow up on outstanding provider orders, including lab work, imaging, specialist referrals, and durable medical equipment, and route results to the care team.
Coordinate referrals and high-risk program activities and support transitions between care settings and service providers.
Support identification and closure of HEDIS quality gaps and chronic disease management needs.
Handle protected health information in accordance with HIPAA and company privacy policies.
Maintain timely, accurate, and thorough records of patient interactions, outreach, coordination activities, and follow-up plans.
Collaborate with Nurse Practitioners, the Patient Outreach Team, client partners, clinicians, and leadership; participate in interdisciplinary care team meetings and support development of new programs.
In the future clinic setting, perform standard primary care Medical Assistant duties, including rooming patients and taking vitals.
Perform other duties as assigned.

Benefits

Competitive compensation package.
Comprehensive medical, dental, and vision benefits.
Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Paid holidays and vacation time.
Paid parental leave.
401(k) program with company match.
BetterHelp sessions and a monthly wellness benefit.
Basic Life and Accidental Death & Dismemberment coverage with premiums paid by the company for full-time team members; discounted voluntary supplemental life insurance is also offered.
Employee discount savings program.
Voluntary short-term disability, critical illness, and accident insurance plans.