Clinical Navigator (School of Medicine - Adolescent Medicine)
About The Position
The Johns Hopkins Pediatric, Adolescent, and Young Adult HIV/AIDS Program (PAHAP) provides comprehensive HIV medical care and supportive services for infants, children, adolescents, young adults, and families living with or affected by HIV. With Ryan White Part A support, PAHAP provides Health Education and Risk Reduction services through a multidisciplinary model of care. The Clinical Navigator is a frontline member of the HIV care team, supporting patient education, navigation, engagement, and connection to care. The blended role combines patient education, navigation, and engagement, and may include hands-on medical assistant support. The position helps patients understand their care, address barriers, strengthen adherence, and remain connected to Ryan White-funded services. The Clinical Navigator works under established program protocols and in collaboration with licensed clinical, Medical Case Management, and program staff. The role does not independently diagnose, certify care plans, provide licensed counseling, or perform duties requiring licensed clinical judgment.
Requirements
- Bachelor's degree in a related discipline.
- Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma or graduation equivalent, to the extent permitted by the JHU equivalency formula.
Nice To Haves
- Completion of an accredited Medical Assistant, Health Education, Community Health Worker, Patient Navigation, Public Health, or related training program.
- Current CPR/BLS certification, or willingness to obtain it within six months of employment.
- Experience in primary care, adolescent medicine, infectious disease, public health, health education, patient navigation, or HIV care.
- Experience working with people living with HIV, youth and young adults, families affected by HIV, medically complex individuals, or underserved populations.
- Experience providing health education, risk-reduction support, adherence support, outreach, linkage, retention-in-care, or patient navigation services.
- Familiarity with Ryan White HIV/AIDS Program services, HIV quality measures, Baltimore EMA service expectations, and community-based HIV resources.
- Experience using EPIC, CAREWare, or other healthcare documentation and reporting systems.
Responsibilities
- Provide individualized health education about HIV care, treatment literacy, prevention, risk reduction, adherence, and related health topics.
- Help patients understand HIV treatment and prevention concepts, including U=U, treatment as prevention, STI prevention, PrEP, PEP/nPEP, and medication adherence strategies.
- Provide education in a culturally responsive, trauma-informed, youth-centered, and family-centered manner consistent with program goals and role scope.
- Support care plan goals through health education, appointment coordination, referral follow-up, linkage support, adherence education, and patient navigation.
- Conduct outreach and missed-visit follow-up for patients who are newly diagnosed, transferring care, or at risk of disengagement; identify needs and connect patients with appropriate resources.
- Assist with re-engagement efforts for patients who are out of care or inconsistently engaged in services.
- Identify and document barriers to care, facilitate referrals, and elevate unresolved concerns to licensed clinical staff as appropriate.
- Support clinical workflows, when applicable and consistent with program protocols, including rooming, vital signs, vaccine support, point-of-care testing, specimen coordination, and clinic flow.
- Participate in multidisciplinary team meetings, care coordination huddles, case discussions, and quality improvement activities to support continuity of care.
- Share patient-reported concerns, barriers, adherence challenges, and risk-reduction needs with licensed clinical or Medical Case Management staff for assessment and follow-up.
- Document outreach, patient education, referral tracking, encounter follow-up, and care coordination activities in designated systems such as EPIC and CAREWare, as appropriate.
- Maintain accurate and timely records consistent with program requirements, confidentiality standards, and applicable regulations.
- Support Ryan White program expectations for linkage documentation, outcome follow-up, and escalation of unresolved barriers.
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What This Job Offers
Job Type
Full-time
