Health Navigator (60099)

Circle the City; Phoenix (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

Circle the City is seeking a Health Navigator to work with indigent, unhoused, and uninsured patients in Phoenix, with formal partnerships to reduce unnecessary ER visits. The role focuses on coordinating care, securing housing, and connecting clients to community resources and primary care.

You will screen needs, build action plans, advocate for patients, and collaborate with social workers, shelter services, and medical providers to ensure safe transitions and ongoing support.

Qualifications

• A bachelor's degree in a health-related field is preferred but not required.
• High school diploma or GED with 2 years of relevant experience.
• Must have direct patient care experience.
• Strong interpersonal and communication skills; proficient in Microsoft Office.

Responsibilities

• Engage chronically unhoused individuals who are frequent users of hospital and emergency services.
• Screen patients to assess social, mental health, and medical needs and create action plans.
• Coordinate referrals and transitions to Circle the City's Medical Respite Centers.
• Collaborate with shelter services, substance use programs, mental health programs, and other partners.
• Assist patients with applications for housing, benefits, and transportation.
• Help establish a primary care provider and arrange post-discharge appointments.
• Document assessments and track outcomes; report data to leadership.
• Possess and maintain a valid Arizona driver's license.

Skills

Interpersonal communication

Team collaboration

Bilingual Spanish

Education

Bachelor's degree in a health-related field

High school diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Job Details

Job Location: Admin Office - Phoenix, AZ 85013

Summary

The Health Navigator is designed to work directly with and on behalf of indigent, unhoused, and uninsured patients who present frequently and often for inappropriate healthcare needs at local Emergency Departments with which Circle the City has formal partnerships. The goal is to end the inappropriate overuse of emergency rooms and inpatient hospitalization by chronically unhoused individuals who are medically vulnerable, to assist them with their benefits, identify a medical home at Circle the City, and to work collaboratively with community partners for shelter, benefits, and housing assessment and placement.

Essential Duties

Outreach and Consumer Identification

• Engage chronically unhoused/unsheltered, medically needy adults who are frequent users of hospital and emergency services annually.

Assessment and Planning

• Conduct patient screenings to evaluate social, mental health, and medical needs to create individualized action plans and move these patients from an emergency care model to a preventative primary care model.

Direct Services and Coordination

• Build rapport and trusting relationships with patients.
• Collaborate with healthcare providers, social workers, and case managers to connect patients to appropriate resource services in their area and serve as a patient advocate.
• Coordinate referrals and transition of care into Circle the City's Medical Respite Centers when appropriate.
• Work directly with shelter services, substance use treatment programs, mental health programs, and other community partners to secure placement and enhance coordinated discharges.
• Assist the patient to complete applications for appropriate programs and services that address needs including but not limited to housing instability, food insecurity, substance use, and transportation services.
• Assist patients to establish a primary care provider and schedule post‑discharge appointments to ensure that any barriers to care are addressed prior to discharge.
• Maintain a working knowledge of economic, educational, and social problems of individuals facing homelessness and referral sources available preferred.

Monitoring, Evaluation and Follow‑up, Advocacy and Collaboration

• Participate in multi‑disciplinary team meetings as needed to coordinate patient services and review accomplishments.
• Document and track assessments and outcomes including encounters, contact attempts, and action plans.
• Collect and report data to Circle the City leadership and hospital partners.

All other duties as assigned.

Possess and maintain a valid Arizona driver’s license.

Qualifications

• A bachelor's degree in a health‑related field is preferred but not required.
• The position requires a high school diploma or GED and 2 years of experience as a medical assistant, case manager, behavioral health technician, etc., or an equivalent combination of experience and education.
• Must have direct patient care experience.
• Requires strong interpersonal skills with the ability to professionally communicate with health professionals at all levels, managers, supervisors, vendors, and patients.
• Must be proficient in computer skills including Microsoft Outlook, Word, and Excel.
• Demonstrate excellent written and oral communication skills.
• Demonstrated interest in working with an underserved population.
• Excellent customer service skills.
• Experience working with culturally diverse, chronically unhoused, and medically needy individuals preferred.
• Must demonstrate critical thinking, problem‑solving, and organizational and time‑management skills.
• Must be able to work well with others in a team approach.
• Must be at least 21 years of age.
• Possess and maintain a valid Arizona driver’s license.
• Must have a working knowledge of care management, community resources, and resource/utilization management.
• Bilingual (Spanish) desired.

Physical and Mental Requirements

• Be able to obtain a Community Health Worker (CHW) certificate (we can assist).
• Position requires extended periods of sitting and standing.
• Position requires regular bending and reaching, including transfer of patients.

Equal Opportunity Statement

We are an equal‑opportunity employer. All resumes will be reviewed for education and experience. Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.