Lead Care Navigator (Enhanced Care Management Program)

Job Summary

The Lead Care Navigator provides outreach and comprehensive, whole-person care management for pregnant and postpartum individuals enrolled in Medicaid programs who have complex health-related social needs. This role delivers both telehealth and in-person support, focusing on care coordination, resource navigation, and long-term case management. The position is dedicated to reducing health disparities and improving birth outcomes for historically underserved communities, with a strong emphasis on pregnancy and postpartum support.

Key Responsibilities

Outreach, Enrollment, and Community Engagement

• Conduct outreach and enroll eligible pregnant individuals and families into maternal health programs

• Increase participants awareness of health issues, available services, and community resources

• Build and maintain collaborative relationships with community partners and service providers

• Participate in community events and outreach activities to increase program visibility

• Share information, resources, and referrals to improve health outcomes within the community

Whole-Person Care Management

• Verify program eligibility through insurance validation and health documentation

• Conduct in-person, home, and telehealth visits to provide comprehensive client support

• Provide education, emotional support, and stress-reduction strategies related to pregnancy, childbirth, breastfeeding, and postpartum care

• Develop, implement, and regularly update individualized, person-centered care management plans

• Conduct health screenings, assess risks, and support clients in making healthy lifestyle choices

• Identify needs related to medical, behavioral health, social, and economic services

• Coordinate referrals and follow up to ensure access to appropriate perinatal and support services

• Maintain a professional, empathetic, and client-centered approach at all times

• Ensure care plans are reviewed by a supervisor

Data Collection and Documentation

• Collect and maintain accurate data on client strengths, needs, services, and outcomes

• Enter case management data in a timely manner into designated systems

• Perform regular data quality checks and corrections in collaboration with program leadership

• Ensure confidentiality and compliance with privacy regulations

• Monitor participant progress and outcomes in alignment with program objectives

Additional Responsibilities

• Support community events, group activities, and health education sessions

• Participate in organizational, project, and partner meetings and activities

• Engage in continuing education and professional development, including training and certifications

• Perform other related duties as assigned

Special Responsibilities

• Availability to work occasional evenings and one Saturday per month

• Ability to work additional hours during peak program periods

• Regular travel within the service area to support clients and community activities

• Commitment to fostering a culture of inclusion, learning, collaboration, and excellence

Qualifications

• Undergraduate degree with at least two (2) years of professional experience in health, psychology, child development, social work, or a related field

• Knowledge of womens health, including prenatal and postpartum care, mental health, and trauma-informed approaches

• Experience in case management, care navigation, community health work, or related roles

• Familiarity with public benefits and assistance programs

• Experience providing childbirth education, doula support, lactation support, and/or care coordination preferred

• Strong understanding of and respect for the cultural values and lived experiences of the communities served

• Experience with community-based outreach and support services

• Strong communication, interpersonal, and data management skills

• Ability to work independently and collaboratively within a team

• Comfort using video conferencing and digital documentation tools

• Proficiency in basic computer applications, including word processing and spreadsheets

• Access to a private and secure workspace for remote work

• Fluency in English required; additional languages are a plus

• Reliable transportation and ability to travel as required

• Willingness to travel occasionally within the state and nationally

• Demonstrated commitment to health equity, inclusion, and community-centered care

San Diego, California, United States

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