Care Navigator (Baltimore, MD)

• Annual Salary with benefits: $54,000 - $58,000
• Bi-Lingual Preferred
• A minimum of 80% of this role’s time is spent onsite in hospitals, skilled nursing facilities and/or residential treatment facilities to engage members and build relationships with facility discharge planners and case management staff.

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer.

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works.

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.

Job Summary

The role of Care Navigator-Community is essential in supporting our goal to reduce unnecessary hospital readmissions by visiting admitted members in person, addressing social determinants of health (SDoH), and ensure seamless transitions of care. The Care Navigator is assigned to acute and post-acute facilities in the community andworks team to build trust with patients and connect them to AbsoluteCare’s comprehensive services and interventions.

Duties and Responsibilities

• Engage in person with admitted members in hospitals and healthcare facilities to build lasting rapport and trust.
• Conduct comprehensive screenings for social determinants of health and identify gaps in care.
• Complete delegated tasks and coordinate resources to address identified needs.
• Schedule and coordinate follow-up appointments with our primary care physician, community-based nurse practitioner, or member’s own primary care provider post-discharge.
• Serve as a liaison between the members, healthcare providers/facilities, and AbsoluteCare services.
• Document all interactions and tasks accurately and timely in our care management system.
• Collaborate with AbsoluteCare’s interdisciplinary teams to support holistic, integrated, patient-centered care.
• Maintain mobility and flexibility to work independently across multiple healthcare sites.
• Meet established Key Performance Indicators.
• The Care Navigator’s facility assignment may change and/or duties may be modified based on business needs.

Minimum Qualifications

• A minimum of 80% of this role’s time is spent onsite in hospitals, skilled nursing facilities and/or residential treatment facilities to engage members and build relationships with facility discharge planners and case management staff.
• High School diploma or equivalent
• CNA, Certified MA, LPN or CHW required
• CPR/BLS certification required.
• 3 years of experience in serving the needs of complex populations, in a patient facing healthcare environment. Preference given to qualified candidates with hospital experience and/or care coordination roles.
• Experience working in patient-facing roles in a SNF, hospital or physician office is required.
• Ability to complete screenings and delegated tasks as well as escalate findings to the clinical team where appropriate.
• Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.
• Ability to take a creative and innovative approach to problem-solving to aid patients in overcoming barriers to care transitions.
• Excellent computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and electronic medical record documentation required.
• Excellent written and oral communication skills to interact with members, families, community stakeholders, and interdisciplinary team required.
• Ability to work independently.
• Active unencumbered driver’s license, with automobile insurance, reliable transportation, and ability to work in office and in the community.
• Second language ability is desirable relevant to local population, geography, resources.

Working conditions

This job operates in the community, hospitals, healthcare facilities and within a professional office environment. This role requires reliable transportation to commute back and forth between inpatient facilities and office; and routinely uses general office equipment.

Physical requirements

• Ability to communicate clearly and exchange accurate information consistently.
• Ability to remain stationary for long periods of time.
• Repetitious movements.
• Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.

• Ability to occasionally move objects up to 20 lbs.

Direct reports

None.