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Lead Care Navigator (Enhanced Care Management Program)

Vets Hired · vetshired.us
San DiegoLead / Manager
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The job in short

Care navigation for enhanced care management.

InsuranceCompliance

Details

Found
30 d ago · posted 2026-10-04
Location
San Diego, California

Full description

Job Summary The Lead Care Navigator provides outreach and comprehensive, whole-person care management for pregnant and postpartum individuals enrolled in Medicaid programs who have complex health-related social needs. This role delivers both telehealth and in-person support, focusing on care coordination, resource navigation, and long-term case management. The position is dedicated to reducing health disparities and improving birth outcomes for historically underserved communities, with a strong emphasis on pregnancy and postpartum support. Key Responsibilities Outreach, Enrollment, and Community Engagement • Conduct outreach and enroll eligible pregnant individuals and families into maternal health programs • Increase participants awareness of health issues, available services, and community resources • Build and maintain collaborative relationships with community partners and service providers • Participate in community events and outreach activities to increase program visibility • Share information, resources, and referrals to improve health outcomes within the community Whole-Person Care Management • Verify program eligibility through insurance validation and health documentation • Conduct in-person, home, and telehealth visits to provide comprehensive client support • Provide education, emotional support, and stress-reduction strategies related to pregnancy, childbirth, breastfeeding, and postpartum care • Develop, implement, and regularly update individualized, person-centered care management plans • Conduct health screenings, assess risks, and support clients in making healthy lifestyle choices • Identify needs related to medical, behavioral health, social, and economic services • Coordinate referrals and follow up to ensure access to appropriate perinatal and support services • Maintain a professional, empathetic, and client-centered approach at all times • Ensure care plans are reviewed by a supervisor Data Collection and Documentation • Collect and maintain accurate data on client strengths, needs, services, and outcomes • Enter case management data in a timely manner into designated systems • Perform regular data quality checks and corrections in collaboration with program leadership • Ensure confidentiality and compliance with privacy regulations • Monitor participant progress and outcomes in alignment with program objectives Additional Responsibilities • Support community events, group activities, and health education sessions • Participate in organizational, project, and partner meetings and activities • Engage in continuing education and professional development, including training and certifications • Perform other related duties as assigned Special Responsibilities • Availability to work occasional evenings and one Saturday per month • Ability to work additional hours during peak program periods • Regular travel within the service area to support clients and community activities • Commitment to fostering a culture of inclusion, learning, collaboration, and excellence Qualifications • Undergraduate degree with at least two (2) years of professional experience in health, psychology, child development, social work, or a related field • Knowledge of womens health, including prenatal and postpartum care, mental health, and trauma-informed approaches • Experience in case management, care navigation, community health work, or related roles • Familiarity with public benefits and assistance programs • Experience providing childbirth education, doula support, lactation support, and/or care coordination preferred • Strong understanding of and respect for the cultural values and lived experiences of the communities served • Experience with community-based outreach and support services • Strong communication, interpersonal, and data management skills • Ability to work independently and collaboratively within a team • Comfort using video conferencing and digital documentation tools • Proficiency in basic computer applications, including word processing and spreadsheets • Access to a private and secure workspace for remote work • Fluency in English required; additional languages are a plus • Reliable transportation and ability to travel as required • Willingness to travel occasionally within the state and nationally • Demonstrated commitment to health equity, inclusion, and community-centered care

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