Wellness Navigator

At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission.

Job Summary
The Wellness Navigator serves as a vital member of the care team, supporting patients through their healthcare journey by providing care coordination, linkage to services, and advocacy for health equity. This role works across DAP Health clinics and programs, focusing on reducing
barriers to care, promoting patient engagement, and improving health outcomes for diverse populations. The Wellness Navigator collaborates with clinical and administrative staff, external partners, and community organizations to ensure continuity of care and access to comprehensive services.
Supervisory Responsibilities: None
Essential Duties/Responsibilities

• Develop high level expertise in Epic population management to track high-risk patients and support appropriate engagement in care and utilization of services
• Ensure appropriate and timely documentation of all patient encounters using appropriate templates and documentation workflows
• Maintain a caseload of patients, tracking attendance, identifying barriers, and assisting with appointment scheduling and follow-up
• Provide outreach to patients to support timely initiation and completion of care
• Collaborate with clinical and administrative staff to address barriers to care and facilitate warm hand-offs to external providers and community organizations
• Coordinate and participate in multidisciplinary case conferences as needed to support care planning and continuity
• Ensure that all care documentation is complete, up-to-date, and available to all care team members
• Support and collaborate on quality assurance, improvement, and special projects related to patient care
• Maintain and track core performance indicators, providing reports as requested
• Assist patients in accessing and utilizing available services within DAP Health and transitioning to other care as needed
• Participate in events and outreach functions related to assigned program areas
• Understand and promote the organization's commitment to high-quality, patient-centered care
• Participate in meetings, training, and collaborative activities as required
• Perform other duties as assigned

Required Skills/Abilities

• Strong interpersonal and communication skills; ability to build trust with diverse populations
• Ability to explain complex health information in a culturally sensitive and patient-centered manner
• Excellent organizational and time management skills, with the ability to manage multiple priorities and follow-up effectively
• Ability to work independently and collaboratively within a multidisciplinary team
• Critical thinking and problem-solving skills to identify patient needs and appropriate interventions
• Flexibility and adaptability to respond to patient needs and program changes
• Ability to speak in front of a group of professionals and be comfortable
• Effective facilitation skills
• Bilingual (English/Spanish) preferred with sensitivity to linguistic and cultural needs of patients
• Proficient in using EHR, patient tracking systems, and basic MS applications

Education and Experience

• Three years' experience in a clinical setting or community health setting
• Three years' experience in care coordination
• Knowledge and experience of health system navigation, connecting patients to social service support agencies and resources
• Knowledge of State programs
• Familiarity with EHR and patient tracking systems
• Current BLS certification obtained through the American Heart Association or American Red Cross

Working Conditions/Physical Requirements

• This position is on-site at a DAP Health Clinic
• This job operates in an office and clinical settings and requires frequent times of sitting, standing, repetitive motion, and talking.
• Ability to lift up to 24 pounds
• Occasional travel between DAP Health locations may be required to support staffing coverage, training, meetings, and other business needs. DAP Health will make reasonable efforts to provide advance notice of travel requirements whenever operationally feasible.