Navigator

Community Counseling Center (CCC)•Perryville, MO

1d•$45,000 - $50,000•Remote

About The Position

Community Counseling Center (CCC) is seeking an RHTP Navigator to serve as a frontline, community-based member of Local Hub 25 in Perry County. Through Missouri's Transformation of Rural Community Health Care (ToRCH Care) model, the Navigator helps residents connect to and successfully complete needed healthcare, behavioral health, and community services. This is a non-clinical, field-based position that works throughout the community, including homes, clinics, hospitals, schools, pharmacies, EMS/community paramedicine sites, local public health agencies, and other partner organizations. You'll build relationships with residents, identify barriers to care, connect people with resources, and follow up to make sure needed services are actually received.

Requirements

High School Diploma / GED / HSE Required
Relevant experience in community health work, care coordination, case management, patient navigation, Medical care management, behavioral health support, public health outreach, social services, or a related field.
Experience working directly with rural communities and/or individuals facing barriers to care
Experience completing client, patient, or resident intake/needs screenings and following referrals through to completion
Ability to manage multiple active cases while maintaining organized and consistent follow-up
Must hold or obtain by start date, MO Class E Driver's License (Class D for IL Residents), and proof of continuous auto insurance.
Must also meet CCC's Motor Vehicle Record standards policy and have reliable transportation.

Responsibilities

Conduct screenings and intake to identify healthcare, behavioral health, and social needs
Connect residents with appropriate healthcare and community services
Manage referrals and warm handoffs between residents and Hub partners
Follow up with residents and providers to confirm services were received and needs were addressed
Maintain an assigned caseload and provide consistent follow-up until services are completed, needs are resolved, or care is appropriately transitioned
Help residents overcome barriers such as transportation, medication access, insurance or benefits issues, food insecurity, and limited digital access and assist residents in accessing services such as primary care, behavioral health, women's and prenatal care, children's preventive services, chronic disease management, pharmacy services, telehealth, home visiting, and non-emergency medical transportation.
Engage Medicaid members and other residents with complex needs through phone calls, community outreach, field visits, and partner-site follow-up
Provide health education, care navigation, and reinforcement of established care plans
Document screenings, outreach, referrals, follow-up, and outcomes using the Community Information Exchange (CIE) and other approved systems
Re-engage residents who are difficult to reach or who have not completed recommended services
Participate in Hub huddles, case reviews, and partner meetings
Build strong working relationships with hospitals, healthcare providers, behavioral health providers, pharmacies, schools, public health agencies, EMS/community paramedicine programs, and community organizations
Maintain a visible presence throughout the community through outreach, partner engagement, and local events
Identify recurring barriers or service gaps and share insights that can improve local programs and referral processes
Escalate urgent medical, behavioral health, or safety concerns to licensed staff or supervisors according to established protocols
Other duties as assigned