Patient Care Navigator

IU HealthIndianapolis, IN
Hybrid

About The Position

This position supports the Kidney Care Management program by managing a patient caseload and providing outreach, education, and care coordination for individuals with chronic kidney disease (CKD). The role blends telephonic, electronic, and in-person support to improve patient engagement, outcomes, and access to care.

Requirements

  • High school diploma or equivalent required
  • Experience working with patients with chronic or behavioral health needs
  • Experience in a multidisciplinary care setting
  • Self-starter who is comfortable working independently
  • Confident in cold-calling and patient outreach
  • Strong communication and relationship-building skills
  • Comfortable working with the CKD population
  • Organized, adaptable, and mission-driven

Nice To Haves

  • Bachelor’s degree preferred
  • LPN
  • Registered Dietitian (RD)
  • Medical Assistant (MA)
  • Bachelor’s in Social Work (BSW)
  • Experience in kidney care is preferred

Responsibilities

  • Conduct outreach and cold-call patients to introduce and enroll them in the program
  • Complete monthly check-in calls to monitor patient progress and support care plans
  • Perform ED follow-up calls to ensure continuity of care post-discharge
  • Provide patient education and coaching to support self-management and clinical goals
  • Assist with scheduling appointments (nephrology, imaging, transplant coordination)
  • Identify patient needs and coordinate referrals (e.g., Social Work for SDOH barriers)
  • Support patients with: Transportation coordination, Visit preparation (questions, expectations), Access to community and government resources
  • Document all patient interactions and maintain accurate records
  • Collaborate closely with a multidisciplinary care team
  • Participate in program evaluation and process improvement efforts
  • If filled by a Registered Dietitian (RD), the role will also include providing dietary education to patients.
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