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
- Ability to manage multiple workflows and priorities
- Excellent verbal and written communication skills with the ability to work effectively in team-based environments
- Proficiency with Outlook and related collaboration tools (email, calendar management, team communication)
- Ability to provide high-quality customer service to both facility partners and internal clinical teams
- Comfort working with quality metrics and performance goals
Preferred Qualifications
- Experience in value-based care, APCM, BHI, or care coordination programs
- Familiarity with EHR systems and healthcare compliance standards
Work Environment
- Primarily in-person role within long-term care facilities
- Remote or hybrid work may apply for physician assignments and coordination across multiple facilities
- Dynamic, fast-paced healthcare environment requiring flexibility and strong organizational skills
- Regular collaboration with clinicians, facility leadership, and internal operations teams
