Care Navigator: Care Coordination & Advocacy

Fallon Health; Lawrence (MA); On-site; USD 39,000 - 41,000; Full time

Job summary

Fallon Health is seeking a Navigator–Care Management to coordinate care, improve access, and support outcomes for NaviCare members. You will build relationships with members and caregivers, conduct assessments, and update care plans in partnership with a Nurse Case Manager.

This role requires 2+ years in managed care, strong educational background, and proficiency with TruCare and Microsoft Office. A valid driver's license and reliable transportation are required.

Qualifications

• Bachelor's degree in Health Services or Social Work preferred.
• 2+ years in managed care and/or community health services preferred.
• Motivational interviewing experience required.
• Proficiency with Microsoft Office (Excel/Outlook/Word) required.
• Must possess and maintain a valid driver's license and reliable transportation.

Responsibilities

• Educate and advocate for members, coordinate care needs, and update care plans.
• Lead or participate in care plan meetings with providers and the care team.
• Facilitate access to medical, behavioral health, and social services; arrange transportation when needed.
• Communicate updates to members, caregivers, providers, and internal teams on care plans and status.
• Complete required documentation to meet CMS/State/NCQA/HEDIS standards.

Skills

Motivational interviewing

Communication skills

Cultural competency

Education

BA/BS in Health Services or Social Work

Tools

Microsoft Office

TruCare

Job description

Fallon Health is seeking a Navigator–Care Management to coordinate care, improve access, and support outcomes for NaviCare members. You will build relationships with members and caregivers, conduct assessments, and update care plans in partnership with a Nurse Case Manager.

This role requires 2+ years in managed care, strong educational background, and proficiency with TruCare and Microsoft Office. A valid driver's license and reliable transportation are required.