Perinatal Care Navigator

Holy-Cross-Medical-Center; Taos (NM); On-site; USD 42,000 - 64,000; Full time

Job summary

Holy-Cross-Medical-Center is seeking a dedicated Care Coordinator to support perinatal clients in clinics, homes, and community settings. You will implement HRA, CNA, CCP and SMART goals, assess needs, and arrange referrals to ensure access to services and improved outcomes.

You will engage with providers, assist with telehealth setup, and maintain a 32-40 client caseload while upholding confidentiality and HIPAA standards.

Qualifications

• Knowledge of maternal/child health issues.
• Knowledge of and shared lived experience with the community served.
• Client-centered, empathic, strengths-based, health-literate, trauma-informed care.
• Evidence-based behavior change fundamentals to support client goals.
• Understanding of social determinants of health and health equity.
• Knowledge of home telehealth technology setup and usage.
• Knowledge of online data collection and reporting.
• Outreach, partnerships, and referral management.
• Ability to follow Care Coordination model to full fidelity.
• Two+ years in social services or health care preferred.

Responsibilities

• Meets perinatal clients in clinics, hospitals, homes, or community settings.
• Enrolls and engages clients in Care Coordination with HRA, CNA, CCP and SMART goals.
• Assesses social, material, and healthcare needs to develop a comprehensive care plan.
• Explains benefits of referrals and eligibility criteria.
• Conducts outreach to providers to build partnerships.
• Encourages participation in home visiting, classes, breastfeeding support, and advance directives.
• Follows up on referrals to confirm receipt and insurance coverage, and aids with logistics.
• Builds trusted partnerships with clients, providers, and supports.
• Assists with telehealth setup and helps enroll in programs.
• Maintains a caseload of 32-40 active clients and documents progress.
• Implements Care Coordination with fidelity and reports data accurately.
• Participates in team meetings, trainings, and quality improvement activities.
• Seeks NM DOH CHW certification within one year if asked.
• Collaborates with supervisors, auditors, payors, and billing to ensure contracting.

Skills

Maternal/child health

Community knowledge

Client-centered care

Behavior change

Social determinants of health

Home telehealth

Data collection

Outreach & referrals

Care Coordination

Job description

Holy-Cross-Medical-Center is seeking a dedicated Care Coordinator to support perinatal clients in clinics, homes, and community settings. You will implement HRA, CNA, CCP and SMART goals, assess needs, and arrange referrals to ensure access to services and improved outcomes.

You will engage with providers, assist with telehealth setup, and maintain a 32-40 client caseload while upholding confidentiality and HIPAA standards.