Community Health Navigator II- Stanislaus Co (Bilingual Spanish)

Horizontal 2; Modesto (CA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

MedZed is seeking a Community Health Navigator II to support field-based care management for high-need members. The role requires bilingual Spanish, a high school diploma, and 2+ years in ECM or related fields.

You will assist in care planning, conduct assessments, and enroll members while ensuring CalAIM and DHCS compliance. This full-time, hybrid/remote position involves travel to member homes and community settings, collaborating with health plans and community resources to improve engagement

Qualifications

• Bilingual Spanish required.
• 2+ years in ECM, case management, or community health.
• Excellent documentation and compliance skills.

Responsibilities

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

Skills

Bilingual Spanish

ECM experience

Case management

Documentation

Compliance

Psychosocial needs

Education

High School Diploma or equivalent

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-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 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:

• Bilingual Spanish required
• 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.

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.