ACO Palliative Care Navigator

Baptist Health; Little Rock (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Baptist Health is seeking a Palliative Care Navigator within the Population Health Services Organization (PHSO). The role focuses on upstream palliative navigation, goals-of-care discussions, and coordinated transitions for readmitted patients across care settings.

Ideal candidates hold AR RN or LMSW licenses with 2+ years of clinical experience; BSN and LCSW preferred. The position requires Arkansas licensure, driver’s license, and strong documentation skills.

Qualifications

• Active, unencumbered license in Arkansas as RN or LMSW.
• RN licenses require BSN preferred; LMSW with LCSW preferred.
• Minimum 2 years of clinical or patient-facing healthcare experience.
• Experience in palliative care, hospice, oncology, transitions of care, or care management preferred.
• Experience with goals-of-care and advance care planning conversations preferred.
• Valid Arkansas driver’s license required.
• Familiarity with value-based care or population health initiatives preferred.
• Proficiency with Epic or comparable population health analytics platforms preferred.
• Advanced certification in hospice or case management preferred.

Responsibilities

• Identify ACO-attributed patients on readmission trajectories and deliver upstream palliative navigation.
• Conduct goals-of-care conversations, advance care planning, and coordinated transitions for readmitted patients.
• Serve as a single point of contact across inpatient, outpatient, and post-acute settings to address palliative needs promptly.

Skills

Interpersonal communication

Documentation

Prioritization

Education

Arkansas RN license

LMSW license in Arkansas

BSN preferred

LCSW preferred

CSWE-accredited program

Tools

Epic

Job description

Video Testimonial

Job Details

Department: PHSO

Shift: Day

Working Hours: Monday – Friday 8 am – 5 pm

Summary: The Palliative Care Navigator is a clinical navigator within the Population Health Services Organization, accountable to the ACO. The Navigator proactively identifies ACO-attributed patients on a readmission trajectory and delivers upstream palliative navigation — goals-of-care conversations, advance care planning, and coordinated transitions — for readmitted patients, rather than waiting for an inpatient palliative consult to be initiated. Operating under assigned clinical direction and PHSO operational supervision, the Navigator serves as a single, continuous point of contact across inpatient, outpatient, and post-acute settings to ensure palliative and hospice needs are recognized and addressed in a timely manner.

Other Information:

• Active, unencumbered license in the State of Arkansas as either a Registered Nurse (RN) or a Licensed Master Social Worker (LMSW) from a CSWE-accredited program is required.
• Registered Nurse candidates: Bachelor of Science in Nursing (BSN) preferred. Social work candidates: Licensed Clinical Social Worker (LCSW) is preferred.
• A minimum of 2 years of clinical or patient-facing healthcare experience is required. Experience in palliative care, hospice, oncology, transitions of care, or care management is preferred.
• Experience conducting goals-of-care and advance care planning conversations preferred.
• Valid Arkansas driver’s license required.
• Strong interpersonal, communication, and documentation skills; ability to manage workload and prioritize independently.
• Familiarity with accountable care organizations, value-based care, or population health initiatives is preferred.
• Proficiency with Epic or comparable population health analytics platforms is preferred.
• Advanced certification in hospice and palliative care or case management (e.g., CHPN, APHSW-C, CCM) preferred.

This job will be authorized 80.00 hours bi-weekly.

Department: PHSO

Shift: Day

Working Hours: Monday – Friday 8 am – 5 pm

Other Information:

• Active, unencumbered license in the State of Arkansas as either a Registered Nurse (RN) or a Licensed Master Social Worker (LMSW) from a CSWE-accredited program is required.
• Registered Nurse candidates: Bachelor of Science in Nursing (BSN) preferred. Social work candidates: Licensed Clinical Social Worker (LCSW) is preferred.
• A minimum of 2 years of clinical or patient-facing healthcare experience is required. Experience in palliative care, hospice, oncology, transitions of care, or care management is preferred.
• Experience conducting goals-of-care and advance care planning conversations preferred.
• Valid Arkansas driver’s license required.
• Strong interpersonal, communication, and documentation skills; ability to manage workload and prioritize independently.
• Familiarity with accountable care organizations, value-based care, or population health initiatives is preferred.
• Proficiency with Epic or comparable population health analytics platforms is preferred.
• Advanced certification in hospice and palliative care or case management (e.g., CHPN, APHSW-C, CCM) preferred.

This job will be authorized 80.00 hours bi-weekly.