Care Navigator

Overview

Function:
The Care Navigator is a central point of contact for individuals accessing behavioral health, primary care, and community support services through Ramey-Estep/Re-group. This hybrid role combines in-person engagement with remote telehealth and administrative support to ensure clients receive timely, person-centered care. The Care Navigator works closely with clinicians, case managers, and community partners to reduce barriers, coordinate services, and promote recovery, wellness, and long-term stability in alignment with Certified Community Behavioral Health Clinic (CCBHC) standards.

Organizational duties & responsibilities:

• The primary responsibility of all staff is to ensure the safety and well-being of all Ramey-Estep/Re-group (RE) clients.
• Support the mission, vision, and values of RE. Facilitate and adhere to the agency’s code of ethics, policies, and procedures.
• Support all functions that attain and maintain accreditation and compliance with regulatory agencies.
• Support and facilitate positive interaction with clients and staff by exhibiting both in-office and in-public when carrying out job duties: individual maturity, respect for others, a team-centered approach, maintenance of confidential information, and awareness and sensitivity to cultural and other differences in clients and staff.
• Exhibits effective communication skills, including proper use of agency communication systems.
• Participates in appropriate professional development programs to attain and maintain competency.
• Effectively manages financial and physical resources to achieve the mission of RE.
• Reports incidents of abuse or potential abuse involving clients to the appropriate authorities and RE.

• Welcome and support clients in-person, via phone, or telehealth.
• Conduct initial screenings to determine eligibility and service needs.
• Complete intake forms, consent, and release documents (HIPAA/42 CFR Part 2 compliant).
• Educate clients on available services, rights, grievance procedures, and community resources.
• Connect clients to behavioral health, primary care, and community support services.
• Track and follow up on referrals to ensure successful connection.
• Help clients overcome barriers such as transportation, housing, employment, insurance, or documentation.
• Collaborate with clinical and case management teams on individualized care plans.
• Maintain consistent contact with clients through calls, virtual check-ins, and in-person visits.
• Support clients in setting and achieving personal goals.
• Monitor client progress, identify unmet needs, and escalate risks to the care team.
• Participate in treatment team meetings, case reviews, and care planning discussions.
• Participate in community outreach events and rotating crisis/on-call support as directed by supervisor(s).
• Respond to urgent client needs in coordination with crisis and clinical teams.
• Assist in safety planning, Psychiatric Advance Directives (PADs), and connection to stabilization resources.
• Support transitions and discharges, ensuring continuity of care and follow-up.
• Document client interactions, progress notes, referrals, and care plan updates in the EHR.
• Track outcomes using agency-approved tools (PHQ-9, GAD-7, CANS, etc.).
• Assist with data collection for Continuous Quality Improvement (CQI) and program reporting.
• Provide in-person support for high-need clients, intakes, and community events.
• Conduct telehealth check-ins and administrative follow-up remotely.
• Adapt flexibly between fieldwork and virtual tasks to meet client and program needs.
• Performs other duties as assigned.

• Schedule is typically Monday – Friday, day shift.
• Holidays, weekends, and extra hours may occasionally be required.
• A fast-paced environment with the need for quick decisions to deal with any crisis that may arise.
• This position is based on a hybrid office, community, and remote responsibilities model with extensive computer usage.
• Regular regional travel to meet clients and attend partner meetings.
• Makes a positive, professional contribution to the work environment.

• Education: A…