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Program Navigator
Mosaic Life Care. Conduct standardized screening and intake to identify clinical, behavioral, and social needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in community health navigation, care coordination, and case management, with a focus on addressing barriers to care for high-need populations. Proficient in utilizing digital systems for documentation and tracking, while maintaining strong communication and outreach skills.
Highest-signal resume keywords
Community Health WorkCare CoordinationCase ManagementPatient NavigationBehavioral Health Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Intake ScreeningReferral ManagementDocumentationData TrackingProblem-Solving
Soft Skills
Verbal CommunicationWritten CommunicationOrganizational SkillsIndependent Work
Tools & Technologies
Community Information ExchangeElectronic Health RecordCase Management Tools
Certifications & Qualifications
High School DiplomaValid Driver's License
Industry Keywords
Medicaid Care ManagementPublic Health OutreachSocial ServicesRural CommunitiesHigh-Need Populations
About the role
Key responsibilities & impact- Conduct standardized screening and intake to identify clinical, behavioral, and social needs
- Document findings, referrals, and follow-up in the Community Information Exchange and other Hub-approved systems
- Manage closed-loop referrals and warm handoffs across healthcare and community partners
- Confirm service receipt, document outcomes, and re-engage residents when referrals or services are incomplete
- Engage Medicaid members, dually eligible residents, and other high-need residents through calls, field visits, community outreach, and partner-site follow-up
- Provide health education, care navigation, and reinforcement of care plans
- Help residents access primary care, behavioral health, women’s health and prenatal care, EPSDT services, chronic disease management, healthy homes services, home visiting, pharmacy services, telehealth, and non-emergency medical transportation
- Identify, prioritize, and resolve barriers involving appointments, transportation, medication access, benefits or insurance, food and nutrition, and digital access
- Own an assigned caseload and maintain structured follow-up until services are completed, needs are resolved, or care is transitioned
- Participate in Hub huddles, case reviews, and partner meetings
- Track and report outreach, screening, referral, and outcome data
- Escalate urgent clinical, behavioral health, or safety concerns to licensed staff or supervisors
- Maintain a visible community presence through outreach activities, partner-site engagement, and local events
- Work as a non-clinical navigator; do not diagnose, prescribe, or provide licensed clinical treatment
Requirements
What you’ll need- High school diploma or equivalent required
- Relevant experience in community health work, care coordination, case management, patient navigation, Medicaid care management, behavioral health support, public health outreach, social services, or a related field required
- Demonstrated experience working directly with rural communities and/or high-need populations facing barriers such as transportation limitations, food insecurity, housing instability, low digital access, limited provider access, or fragmented behavioral health services required
- Experience conducting resident, client, or patient intake and needs screening and following through on referrals to completion required
- Valid driver's license required upon hire
- Must be able to travel between various system facilities and off-site locations as needed
- Ability to manage multiple active cases and maintain organized follow-up
- Ability to accurately document and track activities using digital systems such as CIE, EHR, or case management tools
- Ability to work across multiple organizations and disciplines
- Strong verbal and written communication skills
- Practical problem-solving ability to remove barriers to care
- Ability to work independently in community-based, field settings
- Associate’s degree in Community Health, Public Health, Social Services, Behavioral Health, Human Services, or a related field preferred
- Experience using a Community Information Exchange or other closed-loop referral platform preferred
- Bilingual skills or demonstrated effectiveness serving culturally and geographically diverse rural communities preferred
Benefits
Comp & perks- Concierge services
- Employee lounge
- Wellness programs
- Free covered parking
- Free on-site and virtual health clinics
- Compensation and recognition programs