SDOH Health Population Navigator - QIP - FULL-TIME DAYS (25454)

Care Plus Bergen, Inc.; Paramus (NJ); On-site; USD 47,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, vision plans

Tuition reimbursement

Continuing education programs

Job summary

Bergen New Bridge Medical Center is hiring a Health Population Navigator to support patients through care coordination and social determinants of health. You will connect patients with community resources, coordinate appointments, and document encounters while maintaining strict confidentiality.

The role requires experience in community health or care coordination, a background in behavioral health, and strong communication skills.

Qualifications

• Experience serving complex or vulnerable populations.
• Knowledge of social determinants of health and non-clinical drivers.
• Experience with community-based referrals and closed-loop referrals.

Responsibilities

• Coordinate care with patients and care team members.
• Guide patients to appointments and accompany them when needed.
• Act as liaison with medical providers to ensure adherence to care plans.
• Track attendance, outreach, and follow-up on missed appointments.
• Maintain program database of partners and referrals.
• Maintain confidentiality per policies and comply with reporting requirements.

Skills

Community Health Worker

Care coordination

Patient navigation

Spanish (preferred)

Communication skills

Documentation skills

Education

Bachelor's degree in behavioral health

Master's degree preferred

Job description

Job Category: Business Office/Clerical

• Full-Time
• On-site

Locations

Showing 1 location

New Jersey CPB
Paramus, NJ 07652, USA

Description

Join Our Team at Bergen New Bridge Medical Center!**

We are dedicated to providing high-quality, compassionate care to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive work environment. If you’re passionate about making a difference and thrive in a collaborative setting, Bergen New Bridge Medical Center is looking for a The SDOH Health Population Navigator

Job Duties

Communicates with patient Care Team members (physicians, behavioral health team and/or other health care providers) to provide patient with integrative care.

Carries out tasks to execute the medical and support service plans including but not limited to guiding patients to appointments and accompanying them when necessary.

Acts as the primary liaison with medical providers to ensure patient adherence to care.

Tracks patient attendance for medical appointments, initiates outreach as well as adhering to missed appointment procedures.

Coordinates treatment plan adherence.

Monitors internal data dashboard to coordinate patient care.

Identifies community resources to address patients' social determinants of health.

Provides referrals to community resources as needed and follow up to ensure referral completion.

Maintains program database of community partners and referrals.
Maintains documentation of all patient encounters and completes reporting requirements according to organizational and contractual requirements.

Maintains strict confidentiality in accordance with state and agency policies.

Attends and represents the organization at professional conferences, in-service training, and meetings at the request of or with the approval of supervisor.

Flexibility with covering weekend/evening shifts.

Performs other duties as assigned to support the overall objectives of the department and organization.

Core Competencies & Experience Needed

• Experience working as a Community Health Worker, care coordinator, or patient navigatorserving complex or vulnerable populations
• Strong knowledge of SDOH, including housing instability, food insecurity, transportation barriers, benefits access, and other non-clinical drivers of health
• Demonstrated experience with community-based referrals and resource navigation, including follow-up to ensure successful connections (closed-loop referrals)
• Ability to work with high-utilizers and patients with complex medical, behavioral health, and social needs
• Familiarity with community-based organizations, county social services, and benefit systems
• Strong communication, engagement, and documentation skills, particularly in interdisciplinary care settings
• Experience working in healthcare, social services, or community-based settings, preferably within a safety-net or Medicaid-focused environment

Position Qualifications

• Excellent communication and interpersonal skills
• Experience working with behavioral health and/or substance use population.
• Experience working in a medical or social services environment preferred
• Strong attention to detail
• Proficient with computer databases
• Analytical problem-solving skills
• Ability to manage time, prioritize, and meet deadlines
• Ability to work independently and as a team member
• Proficiency in Spanish preferred

Education
Bachelor's Degree in behavioral health field required
Master's Degree in behavioral health field preferred

Salary commensurate with experience within posted range

$47,000-$60,000/Year

We provide a comprehensive benefits package, including a competitive medical, dental, and vision plans. We prioritize work-life balance with a generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays. Additionally, we are committed to the personal and professional growth of our employees, offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development.

Please note that selection of the candidate for any position will depend on several factors, including the individual’s educational background, skills, and professional experience

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.