Patient Care Navigator

Location: Gateway + rotating support across Nephrology Clinics IU North, IU Fishers, IU Methodist, IU West, and University Hospital Schedule: Monday – Friday, 8:00 AM – 4:30 PM Work Arrangement: Hybrid (Must reside in Indiana) Role Overview This position supports the Kidney Care Management program by managing a patient caseload and providing outreach, education, and care coordination for individuals with chronic kidney disease (CKD). The role blends telephonic, electronic, and in-person support to improve patient engagement, outcomes, and access to care. Key Responsibilities Conduct outreach and cold-call patients to introduce and enroll them in the program Complete monthly check-in calls to monitor patient progress and support care plans Perform ED follow-up calls to ensure continuity of care post-discharge Provide patient education and coaching to support self-management and clinical goals Assist with scheduling appointments (nephrology, imaging, transplant coordination) Identify patient needs and coordinate referrals (e.g., Social Work for SDOH barriers) Support patients with: Transportation coordination Visit preparation (questions, expectations) Access to community and government resources Document all patient interactions and maintain accurate records Collaborate closely with a multidisciplinary care team Participate in program evaluation and process improvement efforts If filled by a Registered Dietitian (RD), the role will also include providing dietary education to patients. Qualifications High school diploma or equivalent required; Bachelor’s degree preferred One of the following preferred: LPN Registered Dietitian (RD) Medical Assistant (MA) Bachelor’s in Social Work (BSW) Experience working with patients with chronic or behavioral health needs Experience in a multidisciplinary care setting Experience in kidney care is preferred Skills for Success Self-starter who is comfortable working independently Confident in cold-calling and patient outreach Strong communication and relationship-building skills Comfortable working with the CKD population Organized, adaptable, and mission-driven #J-18808-Ljbffr