Community Health Navigator-I

Medzed LLC • San Leandro, CA

11d • Hybrid

About The Position

MedZed is
a leader
in delivering value-based, technology-enabled social support to
a diverse population of high-cost Medicaid members who have been unreachable with telephonic outreach,
disconnected
from
primary
care,
and
using
hospital-based
services
as
their
primary point of care. We combine innovative technologies with field-based outreach to find and
engage these
members.
We
then
apply
a
model
of care
designed
to
re-connect
them
to
primary care,
address
the
Health-Related
Social
Needs
(HRSNs) that
contribute
to
their
disengagement and present barriers to care, and provide them with the means and knowledge to take more control over their healthcare.
Our interventions yield reduced Emergency Department and Inpatient utilization costs for our health plan partners and improved quality of life for their members.

Entry-level field-based ECM case manager focused on skill development, foundational assessments, and
primarily field-based
care
coordination under supervision. To
be effective, associates
in
this
position
will
spend
a
substantial
part
of
the
work
week
visiting
and
enrolling members in the community.

Community Health Navigator I (CHN I) is an entry level ECM care manager responsible for managing complex and high-acuity member cases and modeling excellence in engagement, documentation, and compliance performance. The CHN I role is focused on developing foundational
care
coordination
skills.
CHN
Is
are
responsible
for
outreach
(via
door
knocks
and telephone), assessments, quality and billable care delivery and member graduations in compliance with Cal AIM, DHCS, and contracted health plan requirements. They will carry a smaller panel and receive support from their Territory Manager and the Learning and Development team.

Requirements

• High School Diploma or equivalent required
• 0–1 years’ experience in care coordination, outreach, or community health preferred
• Basic knowledge of community resources and social determinants of health
• Ability to work in field-based settings and travel locally.
• Empathetic, curious, and relentless nature
• Commitment to do outreach via phone and in-person to enroll new members.
• Basic computer proficiency
• Effective communication and time-management skills

Nice To Haves

• Bilingual preferred based on community need

Responsibilities

• Manage an ECM caseload up to 35+ with substantial support.
• Complete initial and follow-up ECM assessments including Primary, Secondary, PHQ-9, and required reassessments.
• Support development and updates of individualized Care Plans
• Calls, field visits, and door knock to provide care and enroll new members.
• Build and maintain a member panel through consistent outreach.
• Coordinate referrals to health plans, providers, and community-based resources.
• Staff tables and other community partnership opportunities as requested.
• Document timely, accurate, and compliant case notes in Salesforce Health Cloud and health plan portals, as necessary.
• Participating in interdisciplinary case conferences and team huddles
• Escalate member needs appropriately.
• Maintain compliance with Cal AIM, DHCS, and health plan requirements.
• Meet outreach, engagement, and documentation timeliness standards.
• Attend required training and professional development.
• Support audit readiness and data tracking activities.
• Comply with all company policies and administrative requirements

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED