Job Description:
Job Summary
The Lead Care Navigator provides outreach and comprehensive, whole-person care management for pregnant and postpartum individuals enrolled in Medicaid programs who have complex health-related social needs. This role delivers both telehealth and in-person support, focusing on care coordination, resource navigation, and long-term case management. The position is dedicated to reducing health disparities and improving birth outcomes for historically underserved communities, with a strong emphasis on pregnancy and postpartum support.
Key Responsibilities
Outreach, Enrollment, and Community Engagement
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Conduct outreach and enroll eligible pregnant individuals and families into maternal health programs
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Increase participants awareness of health issues, available services, and community resources
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Build and maintain collaborative relationships with community partners and service providers
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Participate in community events and outreach activities to increase program visibility
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Share information, resources, and referrals to improve health outcomes within the community
Whole-Person Care Management
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Verify program eligibility through insurance validation and health documentation
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Conduct in-person, home, and telehealth visits to provide comprehensive client support
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Provide education, emotional support, and stress-reduction strategies related to pregnancy, childbirth, breastfeeding, and postpartum care
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Develop, implement, and regularly update individualized, person-centered care management plans
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Conduct health screenings, assess risks, and support clients in making healthy lifestyle choices
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Identify needs related to medical, behavioral health, social, and economic services
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Coordinate referrals and follow up to ensure access to appropriate perinatal and support services
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Maintain a professional, empathetic, and client-centered approach at all times
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Ensure care plans are reviewed by a supervisor
Data Collection and Documentation
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Collect and maintain accurate data on client strengths, needs, services, and outcomes
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Enter case management data in a timely manner into designated systems
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Perform regular data quality checks and corrections in collaboration with program leadership
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Ensure confidentiality and compliance with privacy regulations
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Monitor participant progress and outcomes in alignment with program objectives
Additional Responsibilities
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Support community events, group activities, and health education sessions
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Participate in organizational, project, and partner meetings and activities
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Engage in continuing education and professional development, including training and certifications
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Perform other related duties as assigned
Special Responsibilities
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Availability to work occasional evenings and one Saturday per month
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Ability to work additional hours during peak program periods
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Regular travel within the service area to support clients and community activities
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Commitment to fostering a culture of inclusion, learning, collaboration, and excellence
Qualifications
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Undergraduate degree with at least two (2) years of professional experience in health, psychology, child development, social work, or a related field
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Knowledge of womens health, including prenatal and postpartum care, mental health, and trauma-informed approaches
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Experience in case management, care navigation, community health work, or related roles
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Familiarity with public benefits and assistance programs
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Experience providing childbirth education, doula support, lactation support, and/or care coordination preferred
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Strong understanding of and respect for the cultural values and lived experiences of the communities served
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Experience with community-based outreach and support services
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Strong communication, interpersonal, and data management skills
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Ability to work independently and collaboratively within a team
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Comfort using video conferencing and digital documentation tools
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Proficiency in basic computer applications, including word processing and spreadsheets
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Access to a private and secure workspace for remote work
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Fluency in English required; additional languages are a plus
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Reliable transportation and ability to travel as required
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Willingness to travel occasionally within the state and nationally
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Demonstrated commitment to health equity, inclusion, and community-centered care