Community Health Navigator-I at MEDZED GROUP

San Leandro, California, United States -

Full Time

Start Date

Immediate

Expiry Date

16 May, 26

Salary

24.0

Posted On

15 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Outreach, Field-Based Work, Member Engagement, Documentation, Compliance, Case Management, Assessment, Referral Coordination, Community Resources Knowledge, Empathy, Time Management, Communication, Bilingualism

Industry

Hospitals and Health Care

Description

Position Title: Community Health Navigator I Department: Operations Reports To: ECM Territory Manager Location: Hybrid/Remote Employment Type: Full-time Travel requirement: This is a field-based position and requires substantial travel to meet with members where they live. ABOUT MEDZED MedZed is a leader in delivering value-based, technology-enabled social support to a diverse population of high-cost Medicaid members who have been unreachable with telephonic outreach, disconnected from primary care, and using hospital-based services as their primary point of care. We combine innovative technologies with field-based outreach to find and engage these members. We then apply a model of care designed to re-connect them to primary care, address the Health-Related Social Needs (HRSNs) that contribute to their disengagement and present barriers to care, and provide them with the means and knowledge to take more control over their healthcare. Our interventions yield reduced Emergency Department and Inpatient utilization costs for our health plan partners and improved quality of life for their members. PRIMARY FOCUS: Entry-level field-based ECM case manager focused on skill development, foundational assessments, and primarily field-based care coordination under supervision. To be effective, associates in this position will spend a substantial part of the work week visiting and enrolling members in the community. POSITION OVERVIEW Community Health Navigator I (CHN I) is an entry level ECM care manager responsible for managing complex and high-acuity member cases and modeling excellence in engagement, documentation, and compliance performance. The CHN I role is focused on developing foundational care coordination skills. CHN Is are responsible for outreach (via door knocks and telephone), assessments, quality and billable care delivery and member graduations in compliance with Cal AIM, DHCS, and contracted health plan requirements. They will carry a smaller panel and receive support from their Territory Manager and the Learning and Development team. KEY RESPONSIBILITIES * Manage an ECM caseload up to 35+ with substantial support. * Complete initial and follow-up ECM assessments including Primary, Secondary, PHQ-9, and required reassessments. * Support development and updates of individualized Care Plans * Calls, field visits, and door knock to provide care and enroll new members. * Build and maintain a member panel through consistent outreach. * Coordinate referrals to health plans, providers, and community-based resources. * Staff tables and other community partnership opportunities as requested. * Document timely, accurate, and compliant case notes in Salesforce Health Cloud and health plan portals, as necessary. * Participating in interdisciplinary case conferences and team huddles * Escalate member needs appropriately. * Maintain compliance with Cal AIM, DHCS, and health plan requirements. * Meet outreach, engagement, and documentation timeliness standards. * Attend required training and professional development. * Support audit readiness and data tracking activities. * Comply with all company policies and administrative requirements QUALIFICATIONS * High School Diploma or equivalent required * 0–1 years’ experience in care coordination, outreach, or community health preferred * Basic knowledge of community resources and social determinants of health * Ability to work in field-based settings and travel locally. * Empathetic, curious, and relentless nature * Commitment to do outreach via phone and in-person to enroll new members. * Basic computer proficiency * Effective communication and time-management skills * Bilingual preferred based on community need Internal Promotion Criteria (CHN I → CHN II): * Serve as a CHN I for a minimum of 12 months. * Maintain engagement, outreach, panel size, and quality metrics for at least six consecutive months. * Be in good standing with no active corrective action.

Responsibilities

This entry-level role focuses on developing foundational care coordination skills by managing a smaller caseload (up to 35+ members) with substantial support, primarily through field visits, outreach, and enrollment activities. Responsibilities include conducting required assessments, developing care plans, coordinating referrals to community resources, and ensuring timely, compliant documentation in required systems.