Community Health Navigator - Baltimore, MD

ADP, Inc.; Maryland; On-site; USD 26,000 - 37,000; Full time

Job summary

MedZed is seeking a Community Health Navigator in Baltimore, MD. This field-based role focuses on engaging members, coordinating care, and connecting them with primary care and community resources.

You will work directly with members for about a three-month engagement, using phone outreach and in-person visits to close identified care gaps and reduce barriers to care. Travel within Maryland counties is required with a strong emphasis on confidentiality, documentation, and culturally responsive

Qualifications

• Must be able to conduct telephone and field-based outreach.
• Able to document activities accurately and maintain confidentiality.

Responsibilities

• Conduct telephone and field-based outreach to assigned members to introduce the program, establish trust, and obtain consent for services.
• Utilize outreach strategies to locate and engage members.
• Verify member identity and eligibility during outreach and document locations.
• Build trusting relationships with members while maintaining confidentiality.
• Maintain consistent contact to support engagement and completion of identified goals.
• Identify barriers that may prevent members from accessing healthcare.
• Provide culturally responsive, member-centered support.

Skills

Communication skills

Telephone outreach

Field-based engagement

Cultural competence

Documentation accuracy

Confidentiality

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Community Health Navigator - Baltimore, MD

Full Time Clerical Baltimore, Maryland, Baltimore, MD, US

3 days ago Requisition ID: 1118

Salary Range: $18.75 To $27.00 Hourly

Community Health Navigator (CHN) – (Maryland)

Department: Operations

Reports To: Territory Manager

Location: Field-Based (Community and Member Home Settings)

Employment Type: Full-Time

Travel Requirement: This is a field-based position requiring daily travel within assigned Maryland counties to members’ homes, provider offices, community organizations, and other community-based settings.

About MedZed

MedZed delivers value-based, technology-enabled social support to high-cost Medicaid members who have been unreachable through traditional outreach methods, disconnected from primary care, and utilizing emergency and hospital services as their primary source of care. We combine innovative technology with field-based outreach to engage members, reconnect them to healthcare services, address Health-Related Social Needs (HRSNs), and empower individuals to better manage their health and wellbeing.

Primary Focus

The program will focus on Medicaid members who are disengaged from primary care, have multiple chronic conditions, and have identified gaps in care. The program will provide ongoing community-based engagement to help members establish or reconnect with primary care, address identified care gaps and overcome barriers to accessing appropriate healthcare services.

The program will also support members with complex medical and social needs by addressing social determinants of health (SDOH), connecting members to appropriate community resources, and helping reduce barriers that may contribute to poor health outcomes and avoidable healthcare utilization .

Position Overview

The Community Health Navigator (CHN) is responsible for engaging, supporting, and navigating members through a short-term care coordination program designed to improve access to primary care, addressing social determinants of health (SDOH), and close identified care gaps.

The CHN works directly with members who may be unengaged with their primary care provider (PCP), have unmet healthcare needs, or require assistance navigating the healthcare system. The Navigator helps members establish or reconnect with a PCP, locate a new provider when needed, address barriers to care, and complete recommended preventive and chronic care services.

This is a highly member-facing, field-based position requiring a combination of telephone outreach, community-based engagement, and in-person member visits. The CHN is expected to independently manage an assigned caseload and work toward defined program goals during the member's approximately three-month engagement period.

CHN does not work as part of a clinical team and will report directly to the Manager. The Navigator is expected to exercise sound judgment, maintain consistent communication with members, document all activities accurately, and ensure members receive the appropriate support to achieve their identified goals.

Key Responsibilities

Member Outreach & Engagement

• Conduct telephone and field-based outreach to assigned members to introduce the program, establish trust, and obtain consent for services.
• Utilize telephone calls, door-to-door outreach, and other approved engagement strategies to locate and engage members.
• Verify member identity and eligibility during outreach and document successful member location, engagement, and consent.
• Build trusting relationships with members while maintaining professional boundaries and confidentiality.
• Maintain consistent contact with members throughout the program to support engagement and completion of identified goals.
• Identify barriers that may prevent members from accessing healthcare or completing recommended services.
• Provide culturally responsive, member-centered support based on the individual's needs, preferences, and circumstances.

Primary Care Connection

• Assist members who are not currently engaged with their PCP in establishing or re-establishing primary care.
• Support members in locating a new PCP when their assigned provider is no longer appropriate, unavailable, or does not meet their needs.
• Assist members with scheduling and preparing for PCP appointments.
• Follow up with members to confirm appointments and identify barriers that could prevent attendance.
• Encourage ongoing engagement with primary care beyond the immediate program period.

Care Gap Closure

• Educate and encourage members to complete identified preventive and chronic care services.
• Support members in closing identified care gaps, which may include:
  • Breast cancer screening
  • Colorectal cancer screening
  • A1C monitoring/testing
  • Blood pressure monitoring
  • Other plan-identified preventive or chronic care needs
• Coordinate with members and healthcare providers, as appropriate, to facilitate completion and documentation of care gaps.
• Follow up with members after appointments or screenings to confirm completion and identify any remaining needs.