Care Navigator Jobs

About The Position

Requirements

• Bachelor’s degree in a relevant field.
• At least 2 years of relevant experience.
• Valid State of Florida RN license.
• Ability to learn new procedures, technologies, and protocols and adapt to changing priorities and work demands.
• Ability to work collaboratively and contribute to a team environment.
• Proficiency with office software, technology, and relevant computer applications.
• Strong written and verbal communication skills.

Responsibilities

• Triage new patient appointments to appropriate providers and ensure timely scheduling of initial appointments.
• Review outside medical records to support appropriate scheduling.
• Assess barriers to care and refer patients to support services and local or national organizations when needed.
• Educate patients on treatment plans based on diagnosis and provide guidance on medications, follow-up expectations, warning signs, and when to contact the Primary Care team.
• Support patients throughout the care continuum and counsel individuals and patients on positive health practices.
• Coordinate enhanced navigation for patients with complex conditions, multiple specialists, recurrent utilization, complicated care transitions, or difficulty completing clinical plans.
• Coordinate complex specialty referrals, diagnostic testing, procedures, and clinical follow-up beyond routine pod workflows.
• Facilitate transitions back to Primary Care after hospitalization, emergency department visits, rehabilitation, or other significant care episodes.
• Review discharge plans, medication changes, pending tests, specialist recommendations, and follow-up requirements, and communicate relevant information to the Primary Care team.
• Provide targeted clinical follow-up for patients with recurrent emergency department visits or hospitalizations in collaboration with Primary Care providers and pod RNs.
• Coordinate care across Primary Care, specialty services, diagnostic services, pharmacy, hospital-based teams, and other clinical services.
• Participate in complex case reviews and interdisciplinary TBC discussions.
• Escalate unresolved clinical concerns to the Primary Care provider and coordinate with the Social Worker when psychosocial or social needs are identified.
• Collaborate with the pod RN on handoffs and to avoid duplication of clinical management activities.
• Track patients receiving enhanced navigation until complex coordination needs are resolved and they can return to routine TBC pod management.
• Identify recurring clinical coordination barriers and opportunities to improve transitions, communication, and continuity across Primary Care.
• Collaborate with a multidisciplinary team to outline appropriate treatment and perform holistic evaluations of the specialty population using proven techniques and procedures.
• Contribute to improvements in patient care, healthcare policies, and resources.
• Mentor healthcare professionals as a preceptor or coordinate preceptors for visiting professionals, students, new graduates, and orientees.
• Maintain professional knowledge through professional and technical affiliations and participation in continuing education, conferences, seminars, and workshops.
• Adhere to University and unit-level policies and procedures and safeguard University assets.
• Perform other duties or responsibilities as necessary.

Benefits

• Medical benefits
• Dental benefits
• Tuition remission