Community Navigator - St. Rita's Medical Center

Mercy Home Health; Lima (OH); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Competitive pay

403(b) with employer contributions

Tuition assistance

Professional development

Job summary

Mercy Health in Ohio is seeking a Community Wellness Navigator to support high‑risk populations through care coordination, patient advocacy, and access to community resources. You will work with providers, community organizations, and government partners to address health needs and social determinants impacting outcomes.

The role promotes continuity of care across settings, strengthens connections to supportive services, and contributes to program evaluation and population health improvement

Qualifications

• Bachelor's degree in Social Work, Psychology, Sociology or related field.
• 5 years of community-based experience.
• Bilingual proficiency in English/Spanish.
• Current driver’s license and BLS/CPR certification.

Responsibilities

• Coordinate care transitions for high-risk patients across settings.
• Connect patients to healthcare, social services, and community resources.
• Advocate for patients to improve engagement and access to services.
• Collaborate with care teams to support individualized health goals.
• Document data, report outcomes, and participate in quality improvement.

Skills

Patient Assessment

Bicultural competency

Work Independently

Self-directed

Communication skills

Professional judgment

Growth and development knowledge

Education

Bachelor's degree in Social Work, Psychology, Sociology or related field

Job description

Job Summary

The Community Wellness Navigator serves as a key member of the interdisciplinary care team, supporting high-risk populations through care coordination, patient advocacy, and access to community-based resources. This role partners with providers, community organizations, and government agencies to address health needs, chronic conditions, and social determinants of health that impact patient outcomes. The Community Wellness Navigator promotes continuity of care across healthcare settings, facilitates patient engagement in wellness initiatives, and strengthens connections between patients and supportive services. The role also contributes to program evaluation, community partnership development, and population health improvement efforts.

Job Summary

The Community Wellness Navigator serves as a key member of the interdisciplinary care team, supporting high-risk populations through care coordination, patient advocacy, and access to community-based resources. This role partners with providers, community organizations, and government agencies to address health needs, chronic conditions, and social determinants of health that impact patient outcomes. The Community Wellness Navigator promotes continuity of care across healthcare settings, facilitates patient engagement in wellness initiatives, and strengthens connections between patients and supportive services. The role also contributes to program evaluation, community partnership development, and population health improvement efforts.

Essential Functions

• Coordinates care transitions and ongoing support for high-risk patients across acute, primary, specialty, and community-based care settings.
• Connects patients to appropriate healthcare, social service, community, and government resources to address medical and social determinants of health needs.
• Serves as a patient advocate and trusted resource to improve engagement, access to services, and adherence to care plans.
• Collaborates with interdisciplinary care teams and community partners to support individualized health and wellness goals for identified populations.
• Facilitates communication among patients, providers, caregivers, and community organizations to promote coordinated and effective care delivery.
• Maintains current knowledge of community resources and develops strong working relationships with external agencies and safety net providers.
• Supports health and wellness initiatives through participation in outreach activities, care coordination programs, and patient education efforts.
• Contributes to program effectiveness through accurate documentation, data collection, reporting, and participation in quality improvement activities.
• Ensures services are delivered in a manner that supports patient rights, confidentiality, cultural sensitivity, and organizational standards.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

• Current local state driver’s license
• BLS/CPR certification.
• Demonstrate bilingual proficiency (English/Spanish) both oral and written (provided by Bon Secours St. Francis Health System).

Education

• Bachelors, Social Work, Psychology, Sociology or related field (required)

Work Experience

• 5 years community based experience (required)

Training

• None

Language

• Bilingual proficiency (English/Spanish) both oral and written.

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

All Ages

Working Conditions

Periods of high stress and fluctuating workloads may occur.

General office environment.

May be exposed to high noise levels and bright lights.

May be exposed to physical altercations and verbal abuse.

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

May have periods of constant interruptions.

Required to car travel to off‑site locations, occasionally in adverse weather conditions.

Physical Requirements

Frequency 0% 1-33% 34-66% 67-100%

• Lifting/ Carrying (0-50 lbs.) x
• Lifting/ Carrying (50-100 lbs.) x
• Push/ Pull (0-50 lbs.)x
• Push/ Pull (50-100 lbs.)x
• Stoop, Kneelx
• Crawlingx
• Climbingx
• Balancex
• Bendingx

Work Position

Frequency 0% 1-33% 34-66% 67-100%

• Sitting x
• Walking x
• Standingx

Additional Physical Requirements/Hazards

Manual dexterity (eye/hand coordination)

Hear alarms/telephone/audio recordings

Reach above shoulder

Repetitive arm/hand movements

Finger Dexterity

Color Vision

Acuity – far

Acuity – near

Hazards

Depth perception

Use of Latex products

Skills

• Principles of growth and development of the life span
• Patient Assessment
• Bicultural competency
• Work Independently
• Self-directed
• Quality observational and communication skills
• Professional judgment

As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What We Offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are affirmative action and equal opportunity employers, please email [e-mail]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail]