Patient Care Navigator

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 Requirements High school diploma or equivalent required; Bachelor’s degree preferred Experience working with patients with chronic or behavioral health needs Experience in a multidisciplinary care setting Experience in kidney care is preferred #J-18808-Ljbffr Jobtailor