Patient Care Navigator NEW

Patient Care Navigator

Job Description

Overview

Patient Care Navigator - Kidney Care

Location: Gateway + rotating support across Nephrology Clinics IU North, IU Fishers, IU Methodist, IU West, and University Hospital

Schedule: Monday - Friday, 8:00 AM - 4:30 PM

Work Arrangement: Hybrid (Must reside in Indiana)

Role Overview

This position supports the Kidney Care Management program by managing a patient caseload and providing outreach, education, and care coordination for individuals with chronic kidney disease (CKD). The role blends telephonic, electronic, and in-person support to improve patient engagement, outcomes, and access to care.

Key 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

If filled by a Registered Dietitian (RD), the role will also include providing dietary education to patients.

Team Environment

• Optimistic and growth-oriented team culture
• Collaborative and flexible environment
• Opportunity to help build and shape a developing program

Qualifications

• High school diploma or equivalent required; Bachelor's degree preferred

• One of the following preferred:

• LPN

• Registered Dietitian (RD)

• Medical Assistant (MA)

• Bachelor's in Social Work (BSW)

• Experience working with patients with chronic or behavioral health needs

• Experience in a multidisciplinary care setting

• Experience in kidney care is preferred

Skills for Success

• Self-starter who is comfortable working independently
• Confident in cold-calling and patient outreach
• Strong communication and relationship-building skills
• Comfortable working with the CKD population
• Organized, adaptable, and mission-driven

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.