Health Navigator

Fairfield Community Health Center; Lancaster (OH); On-site; USD 26,000 - 32,000; Full time

Job summary

Fairfield Community Health Center in Lancaster, Ohio is hiring a Health Navigator to support the Patient-Centered Medical Home (PCMH) framework and HRSA Health Center Program requirements. The role focuses on coordinating care, removing barriers, and improving access to primary and preventive services.

Responsibilities include referral coordination, patient outreach, data management in the EMR, and collaboration with care teams to enhance population health outcomes.

Qualifications

• High school diploma or GED required.
• Graduate of a Medical Assistant program, Licensed Practical Nurse (LPN), or equivalent clinical training preferred.
• Certified Community Health Worker (CCHW) credential preferred, or willingness to obtain certification within an established timeframe.
• Minimum of one year of experience in an ambulatory primary care, community health, or related healthcare office setting preferred; FQHC experience preferred.

Responsibilities

• Facilitate timely access to primary and preventive care services.
• Coordinate referrals, transportation, hospital/ED discharges, and follow-up appointments.
• Provide enabling services to reduce barriers to care (e.g., navigation, scheduling support).
• Serve as a liaison between patients, families, providers, care teams, and community partners.
• Participate in daily huddles, interdisciplinary care team meetings, and panel reviews.
• Promote shared decision-making, health literacy, and self-management using motivational interviewing.
• Provide ongoing follow-up, coaching, accountability, and advocacy.
• Manage patient panels, registries, and risk stratification using Azara DRVS.
• Conduct patient outreach directly or coordinate outreach based on registry and panel data.
• Monitor population-level trends and recommend interventions to improve outcomes and equity.

Skills

Communication

Teamwork

Customer service

Computer proficiency

Time management

Education

High school diploma or GED

Medical Assistant program / LPN training

Certified Community Health Worker (CCHW) credential preferred

Tools

EMR

Microsoft Office

Incident tracking software

Job description

Career Opportunities with Fairfield Community Health Center

A great place to work.

Careers At Fairfield Community Health Center

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We are seeking a Health Navigator!
Fairfield Community Health Center, Lancaster, Ohio

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Fairfield Community Health Center's (FCHC) goal is high-quality, better care for our patients. We have been recognized as a level 3 Patient-Centered Medical Home (PCMH) by the National Committee for Quality Assurance for all our family practice offices. PCMH means we offer a team approach, with the patient as the most important member of the team. FCHC offers improved access to care with extended hours, as well as same-day and next-day appointments. We work with specialists and hospitals to coordinate care to be sure that the entire healthcare team is working together to assure the best possible health for our patients.

The pay range for this position is $19.00-$23.00/hr based on experience, education and/or licensure.

Position Summary:

The Health Navigator role supports the organization's Patient-Centered Medical Home (PCMH) and HRSA Health Center Program requirements by ensuring coordinated, comprehensive, culturally responsive, and patient-centered care. This role advances access to care, continuity, population health management, community integration, quality improvement, and compliance with HRSA, NCQA, and other regulatory standards.

Primary duties and responsibilities:

• Facilitatetimelyaccess to primary and preventive care services
• Coordinate referrals, transportation, hospital/ED discharges, and follow-up appointments
• Provide enabling services to reduce barriers to care (e.g., navigation, scheduling support). Support patients before, during, and after visits to improve engagement and continuity. Assist in special outreach projects
• Serve as a liaison between patients, families, providers, care teams, and community partners
• Participate in daily huddles, interdisciplinary care team meetings, and panel reviews
• Communicateidentifiedcare gaps, risks, and social barriers to providers and leadership. Serve as a resource to providers and staff related to care coordination, population health workflows, and HRSA expectations
• Promote shared decision-making, health literacy, and self-management using motivational interviewing
• Provide ongoing follow-up, coaching, accountability, and advocacy
• Manage patient panels, registries, and risk stratification using Azara DRVS Review preventive services, labs, immunizations,utilization, and chronic disease measures
• Conduct patient outreach directly or coordinate outreach based on registry and panel data Monitor population-level trends and recommend interventions to improve outcomes and equity
• Maintain current knowledge of community-based organizations and external resources Link patients to social support including food access, housing resources, insuranceassistance, and transportation
• Participatein Quality Improvement (QI) activities aligned with PCMH and HRSA expectations
• Assistwith development, tracking, and implementation of QI goals and action plans
• Track progress on preventive care, chronic disease outcomes, population health initiatives, and patient engagement
• Provide education and support to staff and patients related to QI initiatives
• Document all patient care and interactions (including phone calls and outreach) in the EMR per policy
• Reporttowork as scheduled and perform duties as assigned
• Serve as lead or support for special projects related to PCMH, HRSA, or population health
• Participate in internal committees and QI workgroups as requested
• Ability to work in a team environment
• Recognizes andparticipatesin continuous quality improvement efforts for operational and workflow changes.
• Demonstrates strong interpersonal, organizational, and customer service skills. Demonstrates computerproficiencyand ability to work with all Microsoft Office applications, incident trackingsoftware, and other pertinent organizational software applications.
• Demonstrates effective time management skills and ability to prioritizeto meetoperational demands.
• Applies professionalismto all interactions with health center patients, employees, providers, contractors, and vendors.
• Continually willing to learn, embracechange, and have a positive attitude.
• Demonstrates understanding of the importanceof patient confidentiality.
• Ability to work independently and in a team environment.
• Demonstrates dependability through good attendance and punctuality.
• Demonstrates knowledge of Population Health Management, Patient-Centered Medical Home Concepts (PCMH), CPC, [JDS. And HEDIS.

Experience, education/training and licensure:

High school diploma or GEDrequired.

Graduate of a Medical Assistant program, Licensed Practical Nurse (LPN), or equivalent clinical training preferred.

Certified Community Health Worker (CCHW) credential preferred, or willingness to obtain certification within an establishedtimeframe.

Minimum of one (1) year of experience in an ambulatory primary care, community health, or related healthcare office settingrequired; Federally Qualified Health Center (FQHC) experience preferred.

PHYSICAL REQUIREMENTS & ENVIRONMENTAL CONDITIONS:

Must be able to push,pull, andassistinlifting upto25lbs. May be exposed to loud noises. Must be able to stand and sit for extendedperiods, stoop, bend, reach, show manual dexterity, and clearly communicate with office personnel and external customers. May be exposed to blood and bodily fluids.

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.

To Strengthen our Community by Caring for You.

OUR VALUES

• Together weRISE:
• Respect
• Integrity
• Stewardship
• Excellence

This job description is intended to indicate the basic nature of the position(s) allocated to this class and examples of typical duties that may be assigned. It does not imply that all positions within this class will perform all of the duties listed, nor does it attempt to list all possible duties that may be assigned.

We’re an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.