Community Health Navigator II- Bilingual in Spanish

Horizontal 2; Calexico (CA); Hybrid; USD 52,000 - 75,000; Full time

Job summary

MedZed is seeking a Community Health Navigator II to serve as an ECM care manager focused on high-acuity members. The role involves field-based outreach, enrolling members in the community, and maintaining compliant documentation and care plans.

The CHN II mentors staff, handles outreach by phone and in-person visits, and ensures alignment with CalAIM and contracted health plan requirements. This non-clinical position requires travel and strong coordination capabilities.

Qualifications

• 2+ years’ experience in ECM, case management, or community health.
• Bilingual Spanish required.
• High School Diploma or equivalent.
• Ability to manage complex psychosocial and medical needs.

Responsibilities

• Manage ECM caseload up to 55+ members.
• Complete initial and follow-up ECM assessments.
• Develop and update individualized Care Plans.
• Field visits and door-knock to enroll new members.
• Coordinate referrals to health plans, providers, and community resources.
• Document timely, accurate case notes in Salesforce Health Cloud.

Skills

Bilingual Spanish

Documentation accuracy

Communication

Field-based outreach

Empathy

Team collaboration

Education

High School Diploma or equivalent

Tools

Salesforce Health Cloud

Health plan portals

Job description

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-based case 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. 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 55+ 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.
• Bilingual Spanish required
• 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.

Internal Promotion Criteria (CHN II CHN III):

• 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.