Care Management Navigator

Summary

Join Homeward as a Care Management Navigator and be a critical member of our care team, supporting Medicare-eligible members across the care continuum. This telephonic and virtual role focuses on transitional and chronic care management, proactive outreach, education, and addressing social determinants of health. You will work closely with RN Care Managers, providers, and community organizations to coordinate care, build patient engagement, and ensure members achieve their best possible health. This is a fast-paced, mission-driven opportunity for a high-touch care professional committed to improving rural health equity. Homeward offers a comprehensive benefits package including medical, dental, and vision insurance, competitive salary, performance bonuses, relocation and travel reimbursement, loan repayment support, 401k plan, and generous paid time off.

Requirements

• Education : Completion of a Medical Assistant program OR equivalent healthcare training/certification. CHW certification is a plus
• Experience
• At least two years in a high-touch, patient-facing or telephonic role
• Familiarity with Medicare and managing chronic conditions preferred
• Strong verbal communication skills and ability to engage patients remotely with empathy, clarity, and motivation techniques
• Tech-savvy with comfort using EHR systems and connected health devices
• Highly organized, self-directed, and able to work independently in a remote setting
• Passion for rural health equity and commitment to whole-person care

Responsibilities

• Support patients through transitions of care, particularly post-hospitalization or post-SNF, by coordinating follow-up appointments, confirming discharge plans, and addressing barriers
• Conduct telephonic outreach to high-risk members to
• Assess needs, including medical, behavioral, and social challenges
• Reinforce care plans and promote follow-up with primary and specialty care
• Encourage engagement in chronic condition self-management and preventive services
• Identify and help resolve gaps in care such as overdue labs, screenings, or refills
• Partner with RN Care Managers and other clinical staff to escalate concerns that require nursing-level assessment or intervention
• Help patients access transportation, food, housing, or community-based services as needed
• Document all interactions and navigation outcomes in the EHR
• Assist in tracking and supporting quality measures including HEDIS, Stars, and other performance goals
• Participate in regular interdisciplinary meetings, trainings, and performance improvement initiatives

Preferred Qualifications

• Prior work in value-based care or care coordination programs
• Experience in transitional care, SDoH navigation, or quality performance support
• Fluency in motivational interviewing or health coaching strategies

Benefits

• Medical, dental, and vision insurance with 100% of monthly premium covered for employees
• Competitive salary and possible equity grant
• Supplemental performance bonus opportunities
• Relocation and travel reimbursement
• Loan repayment support
• Company-sponsored 401k plan + match
• Generous paid time off
• Comprehensive training provided