Care Navigator-CMA/RMA

Key Responsibilities 

Quality & Clinical Compliance 

• Complete OCH screenings in accordance with organizational standards (>90% completion). 

• Support Advance Care Planning (ACP) discussions and documentation (>85% completion). 

• Manage medication refill requests efficiently, maintaining low monthly volume. 

• Identify, document, and report OCH adverse events accurately and timely. 

Operations & Care Management 

• Support completion of APCM care plans aligned with patient needs. 

• Coordinate patient scheduling to ensure timely follow-ups and visits. 

• Complete patient consenting processes accurately. 

• Support enrollment and ongoing management of Behavioral Health Integration (BHI) services. 

• Assist clinicians with visit and note preparation to support efficient, high-quality documentation. 

Administrative Excellence 

• Maintain accurate insurance information and patient facesheets. 

• Ensure care plan flags and documentation are complete and up to date. 

• Process patient discharges according to defined workflows. 

• Support audits and administrative reviews with accurate, timely documentation. 

Relationship Management 

• Build and maintain strong relationships with partner facilities. 

• Conduct regular pulse checks with facilities to assess needs and satisfaction. 

• Participate in QAPI meetings and quality improvement initiatives. 

• Complete required facility visits and maintain consistent engagement. 

Why This Role Matters 

• Improves clinician efficiency by assisting with note preparation and administrative workflows 

• Strengthens facility satisfaction through consistent on-site presence and high-touch customer service 

• Protects revenue and compliance by ensuring accurate documentation, consenting, and care coordination 

• Supports quality outcomes tied to organizational performance metrics 

Career Path & Growth Opportunity 

This role is designed as a growth opportunity for high-performing Clinical Support Specialists. It offers increased compensation, expanded responsibility, and exposure to clinical operations leadership. The Care Navigator position serves as a stepping stone for broader advancement across the organization, including future opportunities in care management, clinical operations, and leadership roles. 

Performance Metrics 

Performance in this role is evaluated using a balanced scorecard across: - Quality outcomes (screenings, ACP, adverse event reporting) - Operational effectiveness (care plans, scheduling, enrollment) - Administrative accuracy (documentation, audits, discharges) - Relationship health (facility engagement, attendance, communication) 

Required Skills & Qualifications 

• High school diploma or equivalent (required) 

• 2 years related experience as an Administrative Assistant, Clinical Support Specialist, or Certified/Registered Medical assistant required. Experience in long-term care or care coordination settings preferred 

• Strong attention to detail and documentation accuracy 

• Abili