Care Navigator, Enrollment Partner – Care Transitions

Avail Health; Rockville (MD); On-site; USD 34,000 - 43,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with match

Paid time off

Job summary

Avail Health is seeking a compassionate Care Navigator to serve as the primary onsite representative within a Rockville-area hospital. You will identify eligible patients, enroll them in the Care Transitions Program, and ensure a clear discharge plan with a scheduled follow-up appointment.

You will build trust with patients and hospital teams, coordinate enrollment, and help shape workflows to improve engagement and outcomes for older adults with complex needs.

Qualifications

• Experience in healthcare patient engagement or care coordination.
• Experience enrolling patients into healthcare programs or value-based care initiatives.
• Strong interpersonal skills and compassionate patient-centered care.

Responsibilities

• Serve as Avail Health’s primary onsite representative within the hospital.
• Identify patients who may benefit from the Care Transitions Program.
• Explain the program, enroll patients, and obtain required consents.
• Schedule initial Care Transitions appointment before discharge.
• Coordinate handoffs between hospital staff and the care team.
• Maintain accurate documentation in hospital systems and EHR.
• Contribute to workflow improvements and program growth.

Skills

Healthcare engagement

Care coordination

Enrollment programs

Relationship building

Communication

Education

High school diploma

Associate's or Bachelor's preferred

Tools

EMR systems

Scheduling software

Microsoft Office

Job description

Location:Primarily onsite in the Rockville, Maryland region,Monday–Friday,8:00 AM–5:00 PM

Role Overview

Avail Health isseekinga compassionate, relationship-driven Care Navigator, Enrollment Partner to serve as our primary onsite representative within a hospital setting. In this role,you’llhelp patients make a smooth transition from hospital to home byidentifyingeligible patients, introducing Avail Health’s Care Transitions Program,facilitatingenrollment, and ensuring every patient leaves the hospital with a clear plan and a scheduled follow-up appointment.

As the first face many patients and caregiversencounterfrom Avail Health,you’llplay a critical role in building trust, creating a positive patient experience, and strengthening our partnership with hospital teams. This position is ideal for someone who enjoys connecting with people, thrives in a fast-paced healthcare environment, and is passionate about improving care for older adults and individuals with complex medical and behavioral health needs.

As part of a rapidly growing organization,you’llalsohave the opportunity toinfluence workflows, improve patient engagement strategies, and help shape the future of our Care Transitions Program.

Before You Apply

We’relooking for someone who enjoys working directly with patients and caregivers while serving as a trusted partner within a hospital environment. To be successful in this role, you should have at least two years of experience in healthcare patient engagement, care coordination, patient access, healthcare operations, community outreach, or a related field. You should be comfortable building relationships with patients experiencing complex medical, behavioral health, cognitive, and psychosocial needs while providing exceptional customer service in a fast-paced clinical setting.

The ideal candidate has experience enrolling patients into healthcare programs, is highly organized, comfortable using electronic medical records and multiple technology platforms, and enjoys collaborating with interdisciplinary teams while working independently. Experience with Medicare populations, hospital care coordination, healthcare outreach, or value-based care programs is highly desirable.

WhatYou’llOwn

• Building trusted relationships with patients, caregivers, and hospital care teams from the very first interaction.

• Identifyingeligible patients and successfully enrolling them into Avail Health’s Care Transitions Program before hospital discharge.

• Creating a seamless, patient-centered transition from hospital to home through thoughtful coordination and communication.

• Serving as Avail Health’s onsite ambassador while strengthening hospital partnerships and referral relationships.

• Ensuring every enrolled patient has completed documentation,requiredconsents, and a scheduled follow-up appointment before discharge.

• Identifyingworkflow improvements that enhance patient engagement, operational efficiency, and program growth.

WhatYou’llDo

• Serve as Avail Health’s primary onsite representative within the assigned hospital.

• Partner with hospital care navigation teams toidentifypatients who maybenefitfrom the Care Transitions Program.

• Meet with patients and caregivers to explain the program, answer questions, and build confidence in Avail Health’s services.

• Facilitate enrollment, obtain required consents, and complete enrollment documentation.

• Schedule each patient’sinitialCare Transitions appointment before discharge.

• Coordinate warm handoffs between hospital staff and Avail Health’s interdisciplinary care team.

• Communicate enrollment status and operational updates to virtual clinical team members.

• Escalate clinical questions or concerns to Care Transitions RN or Social Work Care Managers as appropriate.

• Maintainaccuratedocumentation within hospital systems, Avail Health’s EHR, and operational platforms.

• Participate in workflow improvements that strengthen hospital partnerships and improvethe patientexperience.

What Success Looks Like

• Eligible patients areidentifiedand enrolled before discharge.

• Patients leave the hospital with a scheduledinitialappointment and a clear understanding ofnextsteps.

• Hospital partners view Avail Health as a trusted, collaborative resource.

• Enrollment documentation isaccurate,timely, and complete.

• Enrollment conversion goals are consistently achieved whilemaintainingan exceptional patient experience.

• Operational insights contribute to ongoing workflow refinement and program growth.

What You Bring

Required Qualifications

• High school diplomarequired;Associate’s or Bachelor’sdegree preferred.

• Two or more years of experience in healthcare patient engagement, care coordination, patient access, practice operations, community outreach, or related healthcare operations.

• Experience enrolling patients into healthcare programs or value-based care initiatives.

• Strong interpersonal skills with the ability toestablishtrust and build rapport quickly.

• Demonstrated commitment to exceptional customer service and compassionate, patient-centered care.

• Excellent organizational and time management skills.

• Comfort working with patients experiencing complex medical, behavioral health, cognitive, and psychosocial needs.

• Proficiencyusing electronic medical records, scheduling systems, Microsoft Office, and multiple technology platforms.

• Ability to work independently while collaborating effectively with interdisciplinary teams.

Preferred Qualifications

• Community Health Worker (CHW) certification or comparable experience.

• Experience as a Care Navigator or Health Coach.

• Healthcare outreach, enrollment, or patient engagement experience.

• Hospital, physician practice, home health, hospice, post-acute, or population health experience.

• Experience scheduling healthcare appointments.

• Familiarity with Medicare Advantage or other value-based care programs.

• Experience working instartupor rapidly growing healthcare organizations.

• Bilingual language skills.

Schedule and Work Style

Employment Type: Full-Time, Hourly

Location: Primarily onsite in the Rockville, Maryland region

Schedule: Monday through Friday, 8:00 AM–5:00 PM

This role works onsite within an assigned hospital while collaborating closely with Avail Health’s virtual interdisciplinary care team through daily huddles, secure communication platforms, and coordinated workflows.

Compensation and Perks

Hourly Rate:$25.00–$31.25 per hour,commensuratewith experience.

Avail Health provides:

• Medical, dental, and vision insurance with 100% employee premium coverage

• Direct Primary Care (DPC) membership for employees and eligible dependents

• HSA contributions

• Life and disability insurance

• 401(k) with 2% employer match

• 15 daysof paid time off, increasing with tenure

• 8 company holidays plus 1 floating holiday

• Technology and equipment provided

About Avail Health

Avail Health is a Nurse Practitioner-founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient-provider relationship to deliver innovative, relationship-centered care. As a rapidly growing healthcare organization,we’rebuilding scalable clinical programs that improve outcomes for patients with complex medical and behavioral health needs while creating an exceptional experience for the clinicians and professionals who serve them.For more information visit www.availhealthcare.co