Patient Navigator (Non-RN)

Community Health Systems•Gadsden, AL

About The Position

The Patient Navigator – Non-RN coordinates care transitions, improves patient outcomes, and supports appropriate in-network resource utilization across the post-acute continuum. The role collaborates with clinical and administrative teams, post-acute providers, and community resources to reduce avoidable readmissions and promote continuity of care. The Patient Navigator uses tracking tools and performance data to influence utilization trends, strengthen provider networks, and support quality and cost goals.

Requirements

Three to five years of experience in care coordination, case management support, or healthcare navigation.
Understanding of post-acute care services and transitions-of-care best practices.
Familiarity with healthcare utilization metrics, readmission risk factors, and network management strategies.
Strong interpersonal and communication skills, including the ability to engage with patients, families, providers, and interdisciplinary teams.
Proficiency with electronic health records, care tracking systems, and reporting tools.
Ability to analyze data and prepare performance summaries for operational decision-making.
Knowledge of community resources and social support services.
Strong organizational skills and the ability to manage multiple tasks and priorities.
Commitment to quality improvement, patient-centered care, and cost-effective service delivery.

Nice To Haves

Associate degree in healthcare, social services, or a related field.
One to two years of experience working with post-acute care providers or accountable care organizations (ACO).

Responsibilities

Supports the development and maintenance of a preferred post-acute care (PAC) provider network in accordance with facility and ACO guidelines.
Reviews post-acute referral processes and identifies opportunities to improve coordination, efficiency, and patient experience.
Uses care coordination software and reporting tools to track patient transitions, monitor utilization patterns, and identify potential readmission risks.
Educates referring physicians and hospital staff about post-acute care options, network alignment, and preferred provider protocols.
Monitors and analyzes PAC utilization metrics, including average length of stay (ALOS), RUG levels, emergency department visits, and transfers.
Reviews readmission rates and retention metrics, partnering with PAC providers to support quality improvement initiatives.
Documents patient and provider interactions, referrals, and coordination efforts according to facility documentation standards.
Prepares and distributes utilization and readmission performance reports for PAC partners and ACO leadership.
Collaborates with facility and system leadership to improve in-network utilization and patient navigation across the accountable care continuum.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.