Rural Navigator, RHTP

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

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

Posted 10/27/2026full-timeKirksville • Missouri • United StatesJuniorMid-Level💰 $24 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in community navigation, care coordination, and social service systems, with a strong focus on engaging high-need populations and managing referrals effectively. Proficient in data entry, performance metrics analysis, and maintaining compliance with HIPAA standards.

Highest-signal resume keywords

Community NavigationCare CoordinationIntake ScreeningSocial Determinants Of HealthHealthcare Navigation Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryReferral ManagementCase Management SoftwarePerformance Metrics AnalysisAppointment SchedulingSocial Care Referral ManagementHealthcare Utilization OutcomesBasic Computer LiteracyDigital Communication ToolsKnowledge Of Local Community Resources

Soft Skills

Strong Verbal CommunicationStrong Written CommunicationOrganizational SkillsAbility To Manage Multiple CasesEngagement Skills

Tools & Technologies

CIEEHRMicrosoft OfficeGoogle WorkspaceWeb-Based Databases

Certifications & Qualifications

Certified Community Health Worker (CHW)

Industry Keywords

MedicaidPublic HealthBehavioral HealthSocial ServicesRural HealthFQHCRHCCritical Access HospitalTrauma-Informed CareMotivational Interviewing

About the role

Key responsibilities & impact

Conduct standardized intake screenings to identify clinical, behavioral, and social care needs
Initiate and manage closed-loop referrals across Hub partners through the Community Information Exchange and other digital systems
Escalate emergencies and urgent or complex medical, behavioral health, or safety concerns according to Hub 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 including transportation, benefit/insurance enrollment, medication access, and digital access
Lead warm handoffs and coordinate bidirectionally with residents and local hospitals, FQHCs, RHCs, behavioral health agencies, EMS, LPHAs, pharmacies, and CBOs
Maintain an active caseload and document 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 dashboards, KPIs, and outcome reports for the Rural Health Transformation Office and state partners
Support preparation of Hub Board meeting materials, record actions and votes, and coordinate post-meeting follow-up
Implement workflows and reporting for the state-funded ToRCH Care program across 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
Candidates with nursing credentials such as RN or an associate degree with extensive healthcare navigation experience may be considered
Two to three years of experience required
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
Experience in community outreach, patient navigation, social services, care coordination, public health, or healthcare/CBO customer service
Experience conducting intake and needs screening and following referrals through 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
Valid driver's license and ability to travel within the four-county Hub service area
Successful completion of background checks prior to employment
Basic computer literacy with Microsoft Office, Google Workspace, and web-based databases
Ability to collect, organize, and analyze program performance metrics, social determinant data, and healthcare utilization outcomes
Ability to manage multiple active cases and maintain organized follow-up
Strong verbal and written communication skills
Frequent travel throughout the multi-county Hub geography; daily local travel expected
Preferred: Certified Community Health Worker (CHW), or experience in Motivational Interviewing, Trauma-Informed Care, or Mental Health First Aid
Preferred: Experience in an FQHC, RHC, Critical Access Hospital, behavioral health agency, LPHA, EMS, school-based health setting, pharmacy, home visiting program, or related CBO

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Employee-elected benefits begin the first of the month following hire date, if eligible