Care Navigator

Job Summary:

The Care Navigator plans, organizes, develops, and conducts assessments of health and overall wellness needs for BeWell@Home members, their non-qualifying spouses, and prospective members. This role develops individual wellness and care coordination plans, provides wellness interventions, oversees implementation, builds strong provider relationships, and ensures high-quality service delivery. This position also assists with overall program operations, outreach, and education.

Key Responsibilities

- Wellness Assessments & Planning (30%)

Conduct initial and ongoing in-home wellness assessments for members and non-qualifying spouses.

- Develop individual wellness plans and care coordination plans tailored to each member’s goals and needs.

- Perform follow-ups after hospitalizations or major health events to coordinate services and ensure continuity of care.

- Care Coordination & Case Management (25%)

Direct, coordinate, and supervise member case management, referrals, service coordination, crisis intervention, and advocacy.

- Establish linkages with agencies and service providers; maintain directory of providers.

- Monitor the quality of services provided and ensure satisfaction with external agencies and internal resources.

- Community Relations & Education (15%)

Maintain strong professional relationships with healthcare providers, discharge planners, social workers, therapy teams, and community organizations.

- Organize and support wellness seminars, speakers, and educational programs for members.

- Serve as principal liaison between members and the healthcare team to ensure needs are met.

- Administrative Support & Program Operations (15%)

Assist with program operations, including administrative tasks, directory maintenance, and documentation.

- Participate in regular team meetings and contribute to program planning and improvement.

- Maintain accurate records of all assessments, wellness plans, and follow-ups.

- Compliance and Training (10%)

Follow all HIPAA privacy regulations, maintaining confidentiality for residents and staff.

- Attend all mandatory in-services, meetings, and training sessions.

- Provide exceptional customer service through compassionate and empathetic care to clients and families.

6. Other Duties as Assigned (5%)

Qualifications:

- Education: Bachelor’s degree in Social Work, Psychology, Gerontology, Human Services, Nursing, or Occupational Therapy required; Master’s degree preferred or equivalent experience with a continuing care at home program or senior living.

- Skills: Knowledge of professional care coordination principles and community service resources. Must demonstrate sound decision-making, organizational, and time management skills. Strong communication skills and ability to build relationships with providers, members, and families. Proficiency in technology use to meet the requirements of the role.

Physical Requirements:

- Must be able to sit for extended periods, lift and move boxes, and use office equipment.

- Valid driver’s license and reliable transportation required. Regular travel to members’ homes and community providers.

- Flexibility to take evening, weekend, and emergency calls as needed.