Care Navigator-CMA/RMA

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

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.