Description

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

Requirements

 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 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