Care Navigator

CARE NAVIGATOR

ONSITE

EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well‑being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole‑person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high‑quality, personalized care while supporting a stronger, healthier community.

POSITION PURPOSE

The Care Navigator serves as a guide and advocate for members, helping them navigate healthcare and social service systems to improve health outcomes and overall quality of life. Through member engagement, education, coordination, and barrier reduction, this role supports members in accessing services, understanding available care options, and connecting to community resources that address medical, behavioral health, and social needs. The Care Navigator also facilitates communication among providers, care teams, and service partners to support continuity of care and reduce barriers impacting member wellbeing. This is a non-clinical role focused on member engagement, access, and navigation support. The Care Navigator operates within standardized tools, protocols, and established workflows and does not perform clinical assessments, diagnoses, or care plan development. All clinical concerns, higher‑acuity needs, and issues requiring clinical judgment are escalated to Care Coordinators or licensed clinical staff in accordance with established procedures.

ESSENTIAL JOB RESPONSIBILITIES

Engage members identified through data analysis, referrals, provider recommendations, or community sources, with a focus on low-risk or rising-risk members appropriate fornavigation-level support. Conduct standardized screenings using approved assessment tools and expedite findings requiring clinical interpretation to licensed care team members. Provide culturally responsive health education, supportive guidance, and resource navigation to promote healthy behaviors and self‑management. Support members with healthcare access needs, including appointment scheduling, benefit understanding, and connection to appropriate services. Monitor and identify changes in member condition, risk status, barriers to care, or unmet needs and elevate concerns to Care Coordinators or licensed clinical staff according to established workflows. Conduct community outreach activities, including home visits, transportation coordination, and connection to medical, behavioral health, substance use, and social service resources. Provide telephonic and face‑to‑face follow‑up with members and care team partners to support care plan activities, appointment adherence, and medication coordination. Collaborate with care managers and interdisciplinary teams to coordinate referrals to community‑based organizations and network providers addressing identified member needs. Communicate timely updates regarding member progress, risks, barriers, and unmet needs to care managers, providers, and care team partners. Maintain accurate, timely, and audit‑ready documentation in compliance with organizational policies, contractual requirements, and regulatory standards. Travel throughout the service area as needed to support field‑based member engagement activities, including home and community visits, with fieldwork constituting at least twenty‑five percent of assigned duties. Perform other duties as assigned; responsibilities may be modified based on organizational needs.

PERFORMANCE EXPECTATIONS

Member outreach and engagement targets Appointment scheduling completion rates Resource linkage completion rates Timeliness and accuracy of documentation Effective escalation of higher‑risk or clinical needs

CHALLENGES

Working with a variety of personalities, maintaining a consistent and fair communication style. Satisfying the needs of a fast‑paced and challenging company.

MINIMUM QUALIFICATIONS

Medical Assistant, Certified Clinical Medical Assistant, or OHA-recognized Traditional Health Worker (THW) certification, such as Community Health Worker (CHW), Peer Support Specialist, or Personal Health Navigator (PHN). Three (3) years of experience in a healthcare or community health setting. Mustpossesa valid driver’s license andmaintaincurrent automobile insurancein accordance withminimum state requirements. Ability to recognize potential barriers, unmet needs, or changes in member status and appropriately el…? No suspension, exclusion, or debarment from participation in federal healthcare programs (e.g., Medicare or Medicaid). Proficiencyin computerized systems for data entry, documentation, and information retrieval. Ability toidentify member barriers and support resolution through appropriate referraland escalation processes. Working knowledge of community resources, providers, and healthcare facilities that support member needs. Demonstrated commitment to confidentiality, privacy, and protection of health informationin accordance withorganizational and regulatory requirements.

PREFERRED QUALIFICATIONS

Associate degree in healthcare, social services, public health, ora relatedfield preferred. Experience collaborating with providers and interdisciplinary healthcare teams. Understandingofhealthcare benefits, covered services, and community-based support options. Knowledge of care navigation practices and community-based member support services. Ability toidentifybarriers to successful care coordination andassistin developingappropriate solutions. Bilingual or multilingual communication skillspreferred.

SCHEDULE

Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.

SALARY

Wage Band: $47245 - $ 54630

BENEFITS

Salary is dependent on skills, experience, and education Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave Medical, dental, and vision insurance 401(k) with company match (fully vested immediately) Company-sponsored life insurance and additional benefits Fitness reimbursement program Tuition reimbursement and more Why Umpqua Health? We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve. Inclusive Culture We foster a respectful, inclusive environment where employees feel valued, supported, and empowered. Growth & Development We support ongoing learning through mentorship, clear career pathways, and professional development opportunities. Work/Life Balance We promote flexibility and well‑being so employees can thrive both professionally and personally. Equal Opportunity Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law. #J-18808-Ljbffr Umpqua-Health