Rural Health Navigator — Community Care Connector

PFH Preferred Family Healthcare; Hannibal (MO); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Paid time off

Health benefits

Training and development

Career mobility

Welcoming culture

Job summary

Centerstone is seeking a Rural Health Transformation Program (RHTP) Navigator in Hannibal, MO to help residents access care and resources. You will work with local hubs to connect families to providers, track referrals, and support care plan adherence in a non-clinical role.

The role emphasizes building relationships, coordinating services across systems, and documenting outcomes using CIE and other tools. Travel within a multi-county area is required.

Qualifications

• High school diploma or equivalent with relevant community health experience
• Experience with rural communities and high-need populations
• Experience intake and needs assessments and coordinating referrals
• Ability to manage multiple cases with organized follow-up
• Experience documenting activities in digital systems (CIE/EHR)
• Valid driver's license and ability to travel across multiple counties
• Strong communication and relationship-building skills
• Bilingual skills a plus

Responsibilities

• Conduct screenings to identify clinical, behavioral health, and social service needs
• Connect residents with healthcare providers and community resources
• Initiate, manage, and track referrals through to completion
• Assist residents in overcoming barriers like transportation and housing instability
• Coordinate care across healthcare and community organizations
• Document activities and monitor referral outcomes in CIE/EHR
• Follow up with residents to encourage engagement and service completion
• Identify barriers and share insights to improve Hub operations
• Escalate urgent concerns per protocols

Skills

High school diploma

Care coordination

Resident navigation

Documentation in digital systems

Driver's license

Strong communication

Bilingual (preferred)

Tools

CIE

EHR

Job description

Centerstone is seeking a Rural Health Transformation Program (RHTP) Navigator in Hannibal, MO to help residents access care and resources. You will work with local hubs to connect families to providers, track referrals, and support care plan adherence in a non-clinical role.

The role emphasizes building relationships, coordinating services across systems, and documenting outcomes using CIE and other tools. Travel within a multi-county area is required.