Emergency Care Navigator for Real-Time ED Coordination

Partners in Care Foundation In; San Bernardino (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Partners in Care Foundation seeks a Care Navigator to support Kaiser Permanente Medi-Cal members and dual-eligible Medicare/Medi-Cal members in the Emergency Department. The role emphasizes real-time engagement, navigation, and linkage to medical and community resources to reduce avoidable ED utilization and ensure post-discharge supports.

The navigator will work with KP Sacramento ED, care coordination teams, social work, TCS, CCM, Medicare teams, and community partners to guide members through

Qualifications

• Experience with Medi-Cal, Medicare, Dual Eligible populations or CalAIM programs.
• Familiarity with hospital or Emergency Department operations.
• Strong communication and patient engagement skills.
• Ability to navigate complex systems and coordinate across multidisciplinary teams.

Responsibilities

• Review real time ED census lists and identify eligible members for outreach.
• Conduct in person member engagement within the Emergency Department.
• Prioritize outreach based on utilization patterns, clinical complexity, and operational workflow needs.
• Participate in ED huddles, operational meetings, and staff workflows as an integrated member of the KP Sacramento ED team.
• Support enrollment into Enhanced Care Management (ECM), including coordination with authorization teams when needed.
• Provide navigation support for members already enrolled in ECM or other care coordination programs (Community Supports, Community Health Workers, etc.).
• Connect members to appropriate Kaiser Permanente services including: Transitional Care Services (TCS), Complex Case Management (CCM), Social Work, Medical Financial Assistance (MFA).
• Conduct basic assessments to identify and/or support social and community resource needs.
• Connect members to community-based organizations and external support programs when appropriate.
• Connect dually eligible members to the appropriate Kaiser Permanente Medicare or Health Care Options (Medi-Cal) resources for conversion, alignment, or benefits related support.
• Coordinate warm handoffs to internal Medicare / Medi-Cal support teams when appropriate.
• Assist non-KP Medi-Cal members with connection back to their assigned Managed Care Plan for available services and supports.
• Conduct post visit telephonic follow up with members after ED discharge.
• Participate in ongoing workflow refinement and pilot operational development.
• Collaborate with ED leadership and KP operational teams to improve member identification and engagement processes.
• Document outreach and interventions according to pilot workflows and operational guidance.

Skills

Medi-Cal experience

Medicare knowledge

Patient engagement

Care coordination

Hospital/ED operations

Job description

Partners in Care Foundation seeks a Care Navigator to support Kaiser Permanente Medi-Cal members and dual-eligible Medicare/Medi-Cal members in the Emergency Department. The role emphasizes real-time engagement, navigation, and linkage to medical and community resources to reduce avoidable ED utilization and ensure post-discharge supports.

The navigator will work with KP Sacramento ED, care coordination teams, social work, TCS, CCM, Medicare teams, and community partners to guide members through