Care Navigator (Mon-Fri: 10:30a-7p) - Eastern Time Zone

What You’ll Do 

The Care Navigator at Strive supports patients enrolled in care management programs by facilitating seamless coordination across the healthcare continuum. This role focuses on improving patient outcomes, reducing avoidable utilization, and addressing barriers to care through proactive outreach, education, and connection to medical and community-based services within their designated region. This position will report to Strive’s Lead, Care Coordinator. This is a hybrid position with virtual, telephonic, and occasional in-person patient interaction. May require travel within assigned service areas for home visits, provider collaboration, or community events. Standard business hours with flexibility to meet patient needs. 

The Day to Day 

Care Coordination 

• Serve as the primary point of contact for assigned patients to support continuity of care and adherence to care plans. 
• Collaborate with Registered Nurses, Social Workers, and Providers to develop and implement individualized care plans that address medical, psychosocial, and functional needs. 
• Coordinate referrals to network providers, specialists, and community resources. 
• Support care gap closure for preventive services and chronic disease management in alignment with HEDIS and NCQA standards. 
• Educate patients and caregivers on disease processes, preventive care, and health plan benefits within their professional scope. 

Patient Engagement & Navigation 

• Conduct virtual, telephonic, or in-person outreach to engage patients in care management programs. 
• Identify and address barriers such as transportation, food insecurity, medication affordability, and health literacy. 
• Connect patients to community-based organizations and social service agencies as appropriate. 
• Promote patient self-management and empowerment through motivational interviewing and health coaching techniques. 

Documentation & Compliance 

• Document all patient interactions, outreach, and interventions in the care management platform per policy and within required timeframes. 
• Maintain compliance with all HIPAA, CMS, NCQA, and state regulatory requirements. 
• Participate in audits, quality improvement initiatives, and interdisciplinary case conferences. 
• Daily activities may include standing, sitting, walking, pushing, pulling, and lifting. 

Qualifications 

Minimum 

• 2+ years combined of related education, experience, or certification. 
• Current CPR Certification required. 
• Efficient and reliable transportation, including an active driver’s license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes. 
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms. 
• Ability to travel and be onsite to meet business needs.  
• Ability to work Mon-Fri: 10:30a-7p.
• Please note: Strive’s new hire orientation schedule is 10:00am - 5:00pm MST for 14 days, with three sessions lasting an additional 30 minutes. Therefore, the hours will align to that schedule for this initial period

Preferred  

• Certified as a Licensed Practical Nurse (LPN), Medical Assistant (MA), Emergency Medical Technician (EMT), or Community Health Worker (CHW). 
• LPN: Active unrestricted state license in good standing. 
• MA: Graduate of accredited Medical Assistant program; certification preferred (CMA, RMA, or CCMA). 
• EMT: Active state or National Registry EMT certification. 
• CHW: State-certified Community Health Worker.  
• Experience with Medicaid, Medicare Advantage, or other value-based programs preferred. 
• Familiarity with social determinants of health and local community resource networks preferred. 
• Working knowledge of health plan benefits, care management workflows, and community resources. 
• Strong communication, customer service, and motivational interviewing skills. 
• Proficiency in EMR/care management software, Microsoft Office, and data entry. 
• Ability to prioritize, organize, and work both independently and collaboratively in a virtual or field-based environment. 
• Timely completion of outreach, documentation, and follow-up tasks. 
• Patient engagement and program enrollment rates. 
• Reduction in avoidable ER visits/readmissions. 
• Care gap closure and HEDIS/NCQA measure performance. 
• Quality audit compliance and team collaboration. 

 

Hourly Range: $23.22-$26.25 *This range is inclusive of a 5% pay differential due to the alternative shift hours