Care Navigator

Acentra Health, LLC•UNAVAILABLE, Oregon

22h

About The Position

Acentra Health is seeking a Care Navigator to help members access appropriate medical and behavioral health services at the right time. The role builds relationships with members, identifies barriers to care, helps them navigate the healthcare system and benefit plans, and partners with the Clinical Care Team to support positive health outcomes. Applicants must reside in Oregon. The position provides telephonic assistance, conducts member screenings, identifies needs, and coordinates resources and referrals to internal and external programs. It also supports members and families with condition education, treatment engagement, and appointment follow-up. The Care Navigator maintains professional documentation, meets performance and auditing benchmarks, adheres to corporate policies including HIPAA privacy and security requirements, and cross-trains to support organizational and client needs. The role requires a bachelor's degree in a related field or qualifying experience in lieu of the degree, along with relevant healthcare or community-facing experience and demonstrated cultural competency. The listed annual pay range is USD $67,680 to $75,000.

Requirements

Bachelor's degree in social work, counseling, psychology, or another related healthcare field, or qualifying directly relevant professional experience in lieu of the degree.
At least 1 year of experience in a healthcare call center, healthcare customer service, care coordination, medical or behavioral healthcare, mental health, social work, community outreach, patient advocacy, or work with individuals from diverse backgrounds and marginalized communities.
Experience addressing health disparities and promoting equitable health outcomes.
Experience integrating cultural competencies into care coordination and other work, and providing culturally appropriate care.
Experience communicating with people whose primary language is not English and people with limited English proficiency, including people who use sign language.
Experience actively engaging underserved communities and individuals in their own healthcare planning and goals.
Must reside in the State of Oregon.

Nice To Haves

Bilingual in English and Spanish.
Community Health Worker Certification.
Proficiency with Microsoft Word, Excel, and other Microsoft Office applications.
Excellent written and verbal communication skills.
Ability to work effectively in a team environment.
Ability to maintain a high level of confidentiality.
Good problem-solving skills.
Flexibility and strong organizational skills.

Responsibilities

Provide telephonic assistance to individuals who need help navigating care.
Ensure members have access to benefits and in-network providers.
Conduct complete member screening tools.
Identify needs that can be addressed and coordinate resources, connecting members with internal and external programs.
Follow up to help ensure members keep their appointments.
Work with the Employee Assistance Program (EAP) vendor to identify evidence-based treatment programs and support member transitions and engagement at the appropriate level of care.
Provide condition education, support, and assistance to individuals or families in treatment.
Maintain consistent, accurate, and professional documentation while meeting metric and auditing benchmarks.
Cross-train within the organization to support a flexible workforce and meet client and customer needs.
Read, understand, and comply with corporate policies, including HIPAA Privacy and Security Rules.
Perform other education- and experience-related duties that management may deem necessary.