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.

• 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

• 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

• 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

• 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

• 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

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