Community Health Navigator II- Alameda County- Field position

Mymedzed

Alameda (CA)

Hybrid

USD 52,000 - 62,400

Full time

14 days+

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Job summary

MedZed Physician Services, LLC is seeking a Community Health Navigator II in Oakland, CA. This field-based role manages complex member cases as an ECM care manager, with remote support and in-person visits, minimum 4 days a week in the field.

You will conduct assessments, develop care plans, coordinate referrals, and document progress in Salesforce Health Cloud and health plan portals, maintaining compliance with CalAIM and DHCS requirements. Travel to member locations is required.

Qualifications

  • High School Diploma or equivalent required.
  • 2+ years’ experience in ECM, case management, or community health.
  • Excellent documentation and compliance skills.
  • Ability to manage complex psychosocial and medical needs.
  • Commitment to outreach via phone and in-person enrollment.
  • Eligible to serve as CHN II for at least 12 months.
  • Maintain engagement, outreach, and quality metrics for six months.

Responsibilities

  • Manage an ECM caseload up to 50+ members.
  • Perform initial and follow-up ECM assessments.
  • Develop and update individualized Care Plans.
  • Make calls, conduct field visits, and door knocks to enroll members.
  • Build and maintain a member panel via outreach.
  • Coordinate referrals to health plans, providers, and resources.
  • Document case notes in Salesforce Health Cloud and portals.
  • Participate in multidisciplinary team meetings.
  • Escalate high-risk needs appropriately.
  • Ensure compliance with CalAIM, DHCS, and health plan rules.
  • Meet outreach, engagement, and documentation standards.
  • Attend trainings and support audit readiness.
  • Comply with company policies.

Skills

ECM
Case management
Documentation
Community health
Outreach

Education

High School Diploma or equivalent

Tools

Salesforce Health Cloud
Health plan portals

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 II- Alameda County- Field position

Full Time Clerical Oakland, CA, US

16 days ago Requisition ID: 1095

Salary Range: $25.00 To $30.00 Hourly

Position Title: Community Health Navigator II

Department : Operations

Reports To : ECM Territory Manager

Location : Hybrid/ Remote

Employment Type : Full-time

Travel requirement: This is a field-based position and requires substantial travel to meet with members where they live.

About MedZed

MedZed is a leader in delivering value-based, technology-enabled social support to a diverse population of high-cost Medicaid members who have been unreachable with telephonic outreach, disconnected from primary care, and using hospital-based services as their primary point of care. We combine innovative technologies with field-based outreach to find and engage these members. We then apply a model of care designed to re-connect them to primary care, address the Health-Related Social Needs (HRSNs) that contribute to their disengagement and present barriers to care, and provide them with the means and knowledge to take more control over their healthcare. Our interventions yield reduced Emergency Department and Inpatient utilization costs for our health plan partners and improved quality of life for their members.

Primary Focus:

Independent field-basedcase management for moderate-to-high acuity members. To be effective, associates in this position will spend a substantial part of the work week visiting and enrolling members in the community.

Position Overview:
The Community Health Navigator II (CHN II) is an ECM care manager responsible for managing complex and high-acuity member cases, serving as a mentor to newly hired care team staff, and modeling excellence in engagement, documentation, and compliance performance. The CHN II role is focused on developing foundational care coordination skills. CHN IIs are responsible for outreach (via door knocks and telephone), assessments, quality and billable care delivery and member graduations in compliance with CalAIM, DHCS, and contracted health plan requirements. This role is non-clinical in nature and is an in-field position minimum 4 days a week.
Key Responsibilities:
  • Manage an ECM caseload up to 50+ 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
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.
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