Care Navigator

Mom's Meals•Ankeny, IA

158d•Remote

About The Position

The Care Navigator conducts social care screenings, eligibility assessments, referral coordination, and ongoing care navigation for Medicaid members and other eligible populations participating in Social Care Network (SCN), 1115 Waiver, ILOS, Value-Added Benefit (VAB), and related programs. The work is completed telephonically. The Care Navigator provides person-centered, culturally responsive, trauma-informed telephonic and technology-enabled navigation services to identify unmet health-related social needs and connect individuals with appropriate community-based resources and services. Activities include screening, eligibility verification, referral placement and follow-up, documentation, consent management, and coordination with community-based organizations, managed care organizations, and healthcare partners. Documentation and tracking take place in internal and external technology platforms. The Care Navigator is expected to comply with organizational policies, state program requirements, productivity standards, quality metrics, and confidentiality regulations. The position reports to the Care Navigation Program Manager. It is remote and may be located anywhere in the United States, with CST or EST hours worked. Occasional travel to offices in Iowa and New York may be required. The hourly wage is $23.

Requirements

At least two years of experience in a healthcare, social service, or behavioral health setting; experience may be in any role involving direct client contact.
Ability to engage individuals experiencing complex social and health-related barriers with empathy and professionalism.
Ability to maintain accurate, detailed documentation in compliance with regulatory and organizational requirements.
Prior work involving in-person or telephonic interactions with clients or patients.
Excellent written, verbal, and interpersonal communication skills.
Strong organizational skills and ability to manage multiple priorities simultaneously.
Proficiency with Microsoft Excel and standard office technology platforms.
Exceptional attention to detail and ability to prioritize competing tasks and projects effectively.
Ability to work independently with minimal supervision while exercising sound professional judgment.
Ability to routinely use standard office equipment and technology, including laptop computers and smartphones.

Nice To Haves

Training or certification in Trauma-Informed Care, Motivational Interviewing, and/or Crisis De-escalation techniques.
Experience working with individuals experiencing food insecurity, substance use disorders, behavioral health needs, homelessness, and/or transition from incarceration or institutional settings.
Previous experience providing telephonic screenings, care navigation, care management, vocational rehabilitation, or health coaching services.

Responsibilities

Conduct standardized health-related social needs screenings in accordance with state and program requirements.
Complete eligibility assessments and supporting documentation for social care services and enhanced navigation programs.
Initiate, monitor, and close referrals within designated referral management platforms.
Accurately document and record service activities, encounters, and time spent in accordance with program billing and reporting requirements.
Perform closed-loop referral follow-up to confirm service connection and identify unresolved barriers.
Conduct outreach attempts and follow-up activities in accordance with program timelines and documentation standards.
Educate clients about available community resources, benefits, and social care services.
Coordinate with healthcare providers, managed care organizations, and community-based organizations to support continuity of care.
Escalate complex cases, urgent social needs, or safety concerns to supervisory or clinical staff as appropriate.
Maintain compliance with HIPAA, confidentiality requirements, and applicable state and federal regulations.
Meet organizational and program productivity, timeliness, documentation, and quality assurance standards.
Participate in ongoing training, workflow updates, and quality improvement initiatives.
Support reassessment and renewal activities as required by program guidelines.