Community Resource Navigator

Job Title: Community Resource Navigator

Pay: $24-$27/hr

Location: Onsite, Santa Rosa, CA

Type: Contract – 13 weeks (possible temp-to-perm)

Schedule: Mon-Fri 8a-4:30p

Minimum Qualifications

• High School Diploma or equivalent
• Minimum of 1–2 years of experience in healthcare, case management support, discharge planning, insurance verification, utilization review, or related healthcare administrative role preferred.
• Experience working with community resources, referrals, insurance authorizations, or care coordination strongly preferred.
• Knowledge of Medi-Cal/Medicaid, Medicare, managed care, and payer authorization processes preferred.
• Knowledge of medical terminology, healthcare systems, discharge planning, and community resources.

Position Summary

The Community Resource Navigator supports the case management and continuum of care process by coordinating administrative, referral, discharge planning, and community resource activities to ensure timely, efficient, and appropriate patient care transitions. This role serves as a liaison between patients, families, providers, payers, and community agencies to facilitate continuity of care, authorizations, referrals, and access to needed services and benefits.

Key Responsibilities

• Supports the case management and continuum of care process through coordination of referrals, transfers, discharge planning, and community resources.
• Coordinates services including home health, durable medical equipment (DME), oxygen, transportation, and referrals to outside facilities or lower levels of care.
• Obtains insurance verifications, authorizations, benefit information, and assists with Medi-Cal applications, non-coverage letters, appeals, and denial tracking.
• Serves as a resource for patients, families, physicians, hospital staff, and community providers regarding discharge planning and available resources.
• Facilitates communication and exchange of patient information to support continuity of care and timely transitions.
• Maintains accurate documentation, data entry, medical records, utilization review requests, and claims-related information.
• Assists with department administrative functions including scheduling support, special projects, and participation in meetings and committees.
• Ensures compliance with organizational policies, regulatory requirements, and standards of confidentiality and patient care.

AYA DELIVERS…

• Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
• A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
• A credentialing specialist to streamline the entire compliance process.
• Premium medical, dental, vision and life insurance beginning day one of your assignment.
• Pay listed above includes taxable wages and tax-free expense reimbursements, when applicable.

Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!

Job Types: Full-time, Contract, Temporary

Pay: $24.00 - $27.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Application Question(s):

• This role is a 13 week contract. There is a potential to transition into a perm position after contract completion. Are you comfortable working a contract?

Education:

• High school or equivalent (Required)

Experience:

• Case management: 2 years (Required)
• Transition of Care: 2 years (Required)
• Insurance verification: 2 years (Required)

Work Location: In person

Salary : $24 - $27