Clinical Care Coordination and Navigation Supervisor

EDGEWATER HEALTH•Gary, IN

About The Position

The Clinical Care Coordination & Navigation Supervisor provides day‑to-day operational and clinical guidance for a team of care coordinators/patient navigators who support patients with navigation, outreach, social drivers of health, and basic care management across primary care and behavioral health. The Supervisor works closely with clinical and operational leaders to ensure care coordination and navigation services are patient‑centered, culturally responsive, and aligned with HRSA, FSSA/DMHA expectations for enabling services and whole‑person care.

Requirements

Bachelor’s degree in social work, nursing, psychology, public health, or related human services field required; master’s degree preferred.
Strong preference for a current clinical license (e.g., LCSW, LCPC, RN, or similar) to support clinical decision‑making and collaboration with licensed providers.
Three (3) or more years of experience in care coordination, case management, patient navigation, or related work in a health center, behavioral health, hospital, or community‑based setting.
At least one (1) year of supervisory or lead experience, preferably overseeing non‑licensed care coordination, case management, or navigation staff.
Demonstrated knowledge of primary care and behavioral health integration, social drivers of health, and community resources relevant to the patient population.
Strong skills in communication, coaching, conflict resolution, and team building, with the ability to lead through change and support staff in a fast‑paced environment.
Proficiency with electronic health records and basic data/report review (worklists, registries, dashboards) to monitor outreach, follow‑up, and quality measures.
Commitment to trauma‑informed, culturally responsive, and patient-centered care, including serving individuals with diverse backgrounds and complex needs.

Nice To Haves

Experience in a Federally Qualified Health Center (FQHC), community health center, or similar safety‑net setting strongly preferred, including familiarity with enabling services, care coordination, and patient navigation models.
A current clinical license (such as LCSW, LCPC, RN, or similar) is strongly preferred to support sound clinical judgment and effective collaboration with licensed providers, but the role’s primary focus is on supervising non‑licensed staff and does not provide formal licensure supervision.

Responsibilities

Provides day‑to-day supervision, coaching, and support to a team of care coordinators/patient navigators (formerly case managers), ensuring consistent, high‑quality navigation, outreach, and care coordination services.
Oversees care coordination activities such as outreach, appointment reminders, follow‑up after hospital/ED visits, and coordination between primary care, behavioral health, and specialty providers.
Ensures staff assist patients in addressing social drivers of health (e.g., housing, food, transportation, utilities, benefits) by linking them to internal programs and community‑based resources and documenting these activities appropriately.
Guides staff in developing and implementing patient-centered care coordination plans, focused on engagement, self-management support, and reducing barriers to care, with clear documentation in the EHR or care management tools.
Develops, maintains, and refines workflows for patient navigation (referrals, warm handoffs, tracking of pending services, and follow‑up on missed appointments) in collaboration with primary care, behavioral health, and enabling‑services leaders.
Monitors worklists, registries, and other population‑health tools to ensure timely outreach, follow‑up on care gaps, and appropriate distribution of work among care coordinators.
Reviews key metrics (e.g., outreach attempts/completions, navigation encounters, follow‑up after ED/hospitalization, SDOH screenings and referrals) and uses data to identify trends, inform workflow changes, and support quality‑improvement efforts.
Provides training and ongoing coaching to staff on communication skills, boundaries and role clarity, trauma‑informed and culturally responsive approaches, documentation standards, and use of EHR/care‑management tools.
Collaborates with clinical leaders (medical, nursing, behavioral health) to clarify the appropriate division of responsibilities between licensed clinical staff and non‑licensed care coordinators/navigators.
Ensures that care coordination and navigation activities are consistent with organizational policies and applicable privacy/confidentiality requirements, including special protections for behavioral health and substance use information.
Participates in interviewing, hiring, onboarding, and performance evaluation of care coordination staff, and addresses performance concerns in partnership with HR and leadership.