Community Resource Navigator

Sea Mar Community Health CentersTacoma, WA
Hybrid

About The Position

The Community Resource Navigator role is to provide information and assistance to individuals seeking health coverage, health care, and other local resources that aid them in maintaining a healthy lifestyle. They help educate eligible individuals on how to navigate health insurance options, public programs, and Sea Mar services, and assist with the application processes. They aid newly assigned and high-risk patients in scheduling their initial appointment for medical, dental, and care management services. They provide case management and/or participate in intervention strategies that remove barriers that may result in appointment no-shows. This service is provided at both Sea Mar service locations or through home visits as necessary. They are responsible for meeting and maintaining all Washington State and Sea Mar testing and certification requirements related to their duties.

Requirements

  • Excellent customer service skills.
  • Good organizational and time-management skills.
  • Demonstrate good judgment.
  • Excellent problem-solving abilities.
  • Maintain a professional demeanor at all times.
  • Proficient at public speaking, spelling, grammar, written communication.
  • Ability to read, interpret, complex documents, reports and data.
  • Proficient in Microsoft Office programs.
  • Bi-lingual, fluent in English and a second language (Spanish preferred), with the ability to read and write proficiently in both.
  • Legible handwriting.
  • Good character and maintain confidentiality.
  • Self-motivated and have an excellent work ethic, including the ability to work both as part of a team and independently.
  • Able to work evenings and weekends as needed.
  • Responsible for their specific county assigned but may be required to travel to assist other managed care personnel in other counties.
  • Bilingual skills are required.
  • Must be able to communicate effectively with patients and staff in English, Spanish, or Russian, both orally and written.
  • Ability to add, subtract, multiply and divide.
  • Ability to solve practical problems and a variety of situations where only limited standardization exists.
  • Must be able to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
  • Either an AA or BA in Social Services or Business Administration with at least 2 years of customer service experience is required, preferably in a health care environment.
  • Additional work experience may be substituted for some education.
  • Initial TB test at hire and an annual retest.
  • Must obtain Basic Life Support (BLS) CPR within 90 days of hire date and maintain current BLS CPR throughout employment.
  • Must receive a satisfactory background check from the Washington State Patrol.
  • Must maintain a valid Washington Driver’s license, and automobile with liability insurance coverage if hired.
  • Must pass all state required tests and obtain and retain certification by the state related to their position.
  • Pre-hire and annual employee health screening required.
  • Annual influenza vaccine required. Only exception is for employees with a medical or religious exemption approved by Administration. Employees with an approved medical or religious exemption must wear a mask at all times during the flu season.

Nice To Haves

  • Marketing and selling experience considered a plus.

Responsibilities

  • Pro-actively aid in increasing public awareness regarding health coverage enrollment opportunities by planning and conducting outreach activities within the community, participating at both Sea Mar sponsored and non-Sea Mar sponsored events.
  • Assist in the development and distribution of informational/promotional materials, and establishes and maintains referral relationships with local organizations, agencies, institutions and businesses as directed by the Managed Care Department.
  • Routinely work uninsured lists from Sea Mar dental, behavioral health, and ancillary service sites to advance enrollment of eligible individuals onto health coverage and inform non-eligible individuals about health care options.
  • Assist consumers with online public health coverage and program applications, provide the necessary information for consumers to navigate health plan options and make well-informed decisions.
  • Serve as a service navigator for consumers wishing to establish Sea Mar as their medical home, by providing information regarding services available, and consumer rights and responsibilities.
  • Assist high-risk patients in scheduling a care manager appointment and facilitate processes to ensure they’ve established care. In using a case management model incorporating home visits if necessary to assist patients who fail to keep their initial medical visit by removing impediments by identifying and linking them to necessary resources.
  • Maintain daily activity records, submitting progress reports in a timely manner, and assist in identifying areas for quality improvement and efficiency to the Managed Care Department.
  • Identify, monitor, and track uninsured individuals and advocate on their behalf regarding barriers to coverage and/or access of health care services.
  • Perform all duties in a professional manner, participate at all mandatory state and corporate trainings and meet all competency testing requirements, on health coverage policy changes impacting consumers and/or processes.
  • Perform any and all other duties as may be assigned while adhering to all corporate and departmental policies and procedures.

Benefits

  • Medical
  • Dental
  • Vision
  • Prescription coverage
  • Life Insurance
  • Long Term Disability
  • EAP (Employee Assistance Program)
  • Paid-time-off starting at 24 days per year
  • 10 paid Holidays
  • 401(k)/Retirement options
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