Bilingual Field Health Navigator II - Remote Case Management

Mymedzed; Modesto (CA); Hybrid; USD 34,000 - 41,000; Full time

Job summary

MedZed is seeking a Community Health Navigator II to provide field-based case management for moderate-to-high acuity members in Stanislaus County. The role involves outreach, assessments, care planning, and enrollment for members in their communities, with a focus on CalAIM and DHCS requirements.

This full-time, in-person and hybrid position requires at least 2 years of ECM experience, strong documentation skills, and a commitment to enroll new members through door knocks and calls.

Qualifications

• High School Diploma or equivalent required.
• 2+ years’ experience in ECM, case management, or community health.
• Demonstrated excellence in documentation and compliance.
• Ability to manage complex psychosocial and medical needs.
• Curious and relentless nature.
• Commitment to do outreach via phone and in-person to enroll new members.
• Serve as a CHN II 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

• Manage an ECM caseload up to 55+ members.
• 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.
• Participate in interdisciplinary case conferences and team huddles
• Escalate complex or high-risk member needs appropriately.
• Maintain compliance with CalAIM, DHCS, and health plan requirements.
• Meet outreach, engagement, and documentation standards.
• Attend required training and professional development.
• Support audit readiness and data tracking activities.
• Comply with all company policies and administrative requirements

Skills

ECM experience

Case management

Documentation

Outreach

Education

High School Diploma

Job description

MedZed is seeking a Community Health Navigator II to provide field-based case management for moderate-to-high acuity members in Stanislaus County. The role involves outreach, assessments, care planning, and enrollment for members in their communities, with a focus on CalAIM and DHCS requirements.

This full-time, in-person and hybrid position requires at least 2 years of ECM experience, strong documentation skills, and a commitment to enroll new members through door knocks and calls.