Population Health Navigator – Care Coordination

McLaren Health Care; Lansing (MI); On-site; USD 30,000 - 41,000; Part time

Job summary

McLaren Health Care is seeking a Population Health Navigator to coordinate care and promote patient-centered delivery within the MPP care coordination team and with health plan managers. The role serves as the initial contact for PCP referrals for care coordination and management services.

You will screen at‑risk patients, refer to the appropriate coordinator, and help patients overcome barriers to timely follow-up after discharge, enabling better outcomes for chronically ill patients.

Qualifications

• High School Diploma or CMA certification is required.
• Five years' experience in a healthcare setting serving chronically ill patients.

Responsibilities

• Under RN or MSW supervision, performs care coordination for MPP including use of ADT systems, outreach, and communication across the care continuum with physicians, home care, hospitals, SNFs, and health plans.
• Conducts initial patient screening for at-risk patients using standardized assessment tools.
• Refers patients to the appropriate care coordinator based on needs assessment.
• Establishes trusting relationships with patients and caregivers while providing general support and encouragement.
• Identifies and addresses potential barriers to care plan adherence.
• Facilitates timely PCP appointments following discharge and helps patients overcome barriers to accessing care.

Skills

Care coordination

Patient outreach

Assessment

Team collaboration

Education

High School Diploma

CMA certification

Associate degree in health care or related field (preferred)

Job description

McLaren Health Care is seeking a Population Health Navigator to coordinate care and promote patient-centered delivery within the MPP care coordination team and with health plan managers. The role serves as the initial contact for PCP referrals for care coordination and management services.

You will screen at‑risk patients, refer to the appropriate coordinator, and help patients overcome barriers to timely follow-up after discharge, enabling better outcomes for chronically ill patients.