Care Navigator

Mom's Meals; Ankeny (IA); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Referral bonuses

Weekly paychecks

PTO & 401k

Job summary

Mom's Meals is seeking a Care Navigator to conduct social care screenings, eligibility assessments, referral coordination, and telephonic care navigation for Medicaid members and related programs. The role involves documenting activities, ensuring confidentiality, and coordinating with healthcare partners; location is remote/hybrid with potential travel to Iowa or New York.

The position requires 2+ years in healthcare or social services, strong communication, empathy, and excellent

Qualifications

• Minimum of two years' experience in a healthcare, social service, or behavioral health setting.
• Engage individuals with empathy and professionalism despite barriers.
• Maintain accurate documentation in compliance with regulatory and organizational requirements.
• Experience with in-person or telephonic client interactions.
• Excellent written and verbal communication; strong interpersonal skills.
• Strong organizational skills; manage multiple priorities.
• Proficiency with Excel and standard office technology.
• Attention to detail and ability to prioritize tasks.
• Ability to work independently with minimal supervision.

Responsibilities

• Conduct standardized health-related social needs screenings.
• Complete eligibility assessments and documentation for social care services.
• Initiate, monitor, and close referrals in designated referral platforms.
• Accurately document and record service activities and time spent.
• Perform follow-up to confirm service connection and address barriers.
• Educate clients regarding resources, benefits, and services.
• Coordinate with providers and community organizations to support care.
• Escalate complex cases to supervisory staff as appropriate.
• Maintain HIPAA and confidentiality compliance.
• Meet productivity, timeliness, documentation, and quality standards.
• Participate in ongoing training and quality improvement.
• Support reassessment and renewal activities as required.

Skills

Healthcare experience

Empathy

Documentation

Client interaction

Communication

Organization

Independence

Computers

Tools

Microsoft Excel

Job description

The Care Navigator is responsible for conducting social care screenings, eligibility assessments, referral coordination, and ongoing care navigation activities for Medicaid members and other eligible populations participating in Social Care Network (SCN), 1115 Waiver, ILOS, Value-Added Benefit (VAB), and related programs. This work is completed telephonically.

The Care Navigator provides person-centered, culturally responsive, trauma-informed telephonic and technology-enabled navigation services designed to identify unmet health-related social needs and connect individuals to appropriate community-based resources and services. Responsibilities include screening completion, eligibility verification, referral placement, closed-loop referral follow-up, documentation, consent management, and coordination with community-based organizations, managed care organizations, and healthcare partners.

Documentation and tracking activities will occur within both internal and external technology platforms. The Care Navigator is expected to maintain compliance with organizational policies, state program requirements, productivity standards, quality metrics, and confidentiality regulations.

The Care Navigator reports to the Care Navigation Program Manager. This is a remote/hybrid position that may be located in Iowa or New York, with potential expansion into additional states. Occasional travel to offices in Iowa and New York may be required.

Position Responsibilities may include, but not limited to

• Conduct standardized, health-related social needs screenings in accordance with state and program requirements
• Complete eligibility assessments and supporting documentation for social care services and enhanced navigation programs

• Initiate, monitor, and close referrals within designated referral management platforms

• Accurately document and record service activities, encounters, and time spent in accordance with program billing and reporting requirements
• Perform closed-loop referral follow-up activities to confirm service connection and identify unresolved barriers
• Conduct outreach attempts and follow-up activities in accordance with program timelines and documentation standards
• Educate clients regarding available community resources, benefits, and social care services
• Coordinate with healthcare providers, managed care organizations, and community-based organizations to support continuity of care
• Escalate complex cases, urgent social needs, or safety concerns to supervisory or clinical staff as appropriate
• Maintain compliance with HIPAA, confidentiality requirements, and all applicable state and federal regulations
• Meet productivity, timeliness, documentation, and quality assurance standards established by the organization and program requirements
• Participate in ongoing training, workflow updates, and quality improvement initiatives
• Support reassessment and renewal activities as required by program guidelines

Required Skills and Experience

• Minimum of two (2) years' experience in a healthcare, social service, or behavioral health setting; this may include any role with direct client contact
• Ability to engage individuals experiencing complex social and health-related barriers with empathy and professionalism
• Ability to maintain accurate and detailed documentation in compliance with regulatory and organizational requirements
• Prior work that included in-person or telephonic interactions with clients or patients
• Excellent written, verbal, and interpersonal communication skills
• Strong organizational skills with the ability to manage multiple priorities simultaneously
• Proficiency with Microsoft Excel and other standard office technology platforms
• Exceptional attention to detail and ability to prioritize competing tasks and projects effectively
• Ability to work independently with minimal supervision while exercising sound professional judgment
• Ability to routinely use standard office equipment and technology, including laptop computers and smartphones

Preferred Skills and Experience

• Bilingual (Spanish)
• Training or certification in Trauma-Informed Care, Motivational Interviewing, and/or Crisis De-escalation techniques
• Experience working with individuals experiencing food insecurity, substance use disorders, behavioral health needs, homelessness, and/or transition from incarceration or institutional settings
• Previous experience providing telephonic screenings, care navigation, care management, vocational rehab, or health coaching services

Physical Requirements

• Repetitive motions that include the wrists, hands and/or fingers
• Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
• Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus

Our team members enjoy:

• Eligible for Referral Bonuses starting Day 1
• Weekly paychecks
• PTO, 401k, & a Full benefits package