Lead Rural Navigator

A.T. Still University's Arizona School of Health Sciences

. Conduct standardized intake screenings of rural residents to identify clinical, behavioral, and social care needs .

Posted 9/15/2026full-timeKirksville • Missouri • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in community health navigation, care coordination, and social service systems, with a strong focus on engaging high-need populations and managing referrals effectively. Proficient in utilizing digital systems for documentation and tracking, while maintaining strong interpersonal and communication skills.

Highest-signal resume keywords

Community Health NavigationCare CoordinationDigital Systems ProficiencyPatient Intake ScreeningBilingual Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationPatient NavigationIntake ScreeningData EntryProgram Performance MetricsSocial Determinants of HealthHealthcare Utilization AnalysisReferral ManagementDocumentation TrackingKnowledge of Local Community Resources

Soft Skills

Interpersonal SkillsActive ListeningRelationship BuildingProblem-SolvingTime Management

Tools & Technologies

Community Information Exchange (CIE)Electronic Health Record (EHR)Case Management SoftwareMicrosoft OfficeGoogle Workspace

Certifications & Qualifications

Certified Community Health WorkerMotivational InterviewingTrauma-Informed CareMental Health First Aid

Industry Keywords

Community OutreachPublic HealthSocial ServicesHealthcare NavigationRural Health

About the role

Key responsibilities & impact

Conduct standardized intake screenings of rural residents to identify clinical, behavioral, and social care needs
Initiate and manage closed-loop referrals across Hub partners using the Community Information Exchange and other digital systems
Escalate emergencies immediately according to Hub policies and protocols
Engage Medicaid beneficiaries, dually eligible residents, and high-need individuals through phone calls, field visits, and partner-site follow-ups
Assist with appointment scheduling, care plan adherence, and service navigation
Identify and resolve non-clinical barriers to care, including transportation, benefit or insurance enrollment, medication access, and digital access
Lead warm handoffs and facilitate bidirectional coordination between residents and local partners
Maintain an active caseload and track outreach attempts, referral statuses, and outcomes until services are complete or transitioned
Organize and participate in joint outreach initiatives and represent community health programs at local events
Track, aggregate, and report clinical, behavioral, and social care outcomes
Assist the Program Director with dashboard metrics, KPIs, and outcome reports for the Rural Health Transformation Office and state partners
Prepare Hub Board meeting materials, including agendas, metric dashboards, and meeting summaries
Attend Leadership Board meetings to record actions and votes and support follow-up communications, documentation, and proposal preparation
Support implementation, workflow execution, and reporting for the State-funded ToRCH Care program in Region 16
Deliver community navigation, social care referral management, barrier mitigation, and resident engagement services across Adair, Macon, Knox, and Shelby counties

Requirements

What you’ll need

Four-year college degree in a relevant field is preferred, or equivalent clinical/community care management experience
Consideration given to candidates with nursing credentials such as RN or an associate degree with extensive healthcare navigation experience
Two to three years of experience prior to placement
Experience in community outreach, patient navigation, social services, care coordination, public health, or customer service in a healthcare or CBO setting
Experience conducting resident, client, or patient intake and needs screening and following through on referrals to completion
Experience working directly with rural or high-need populations facing social or economic barriers
Experience using digital systems such as CIE, EHR, or case management software for documentation and tracking
Knowledge of local community resources, social service systems, and healthcare providers in the assigned multi-county region
Basic understanding of social determinants of health, public benefits such as Medicaid, and care coordination concepts
Familiarity with data entry, HIPAA privacy standards, and digital communication tools
Ability to collect, organize, and analyze program performance metrics, social determinant data, and healthcare utilization outcomes
Strong attention to detail and ability to track multiple deadlines and organize projects, clients, and partners
Excellent interpersonal, active listening, and relationship-building skills
Ability to manage multiple active cases and maintain organized follow-up
Strong verbal and written communication skills
Practical problem-solving and time management skills
Basic computer literacy, including Microsoft Office, Google Workspace, and web-based databases
Valid driver’s license and ability to travel within a four-county Hub service area
Successful completion of background checks required prior to employment
Preferred: Certified Community Health Worker, or experience in Motivational Interviewing, Trauma-Informed Care, or Mental Health First Aid
Bilingual skills or demonstrated effectiveness serving culturally and geographically diverse rural communities is a plus

Benefits

Comp & perks

Comprehensive benefits package including medical, dental, and vision coverages
Employee-elected benefits, if eligible, begin the first of the month following hire date