You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated and entrepreneurial Care Navigator to own the care experience for a panel of senior patients and their families. This role involves developing individualized care plans, coordinating care across various healthcare partners, and managing post-hospitalization follow-ups. The Care Navigator will also play a pivotal role in building out the care model by developing repeatable workflows and processes, and will eventually contribute to building, leading, and overseeing a growing care team, serving as a clinical leader and patient advocate.

Key Responsibilities

• Own the care experience for a growing panel of senior patients and their families.
• Develop thoughtful, individualized care plans based on each patient's health, goals, and circumstances.
• Coordinate care across physicians, specialists, hospitals, pharmacies, insurers, and other healthcare partners.
• Manage post-hospitalization follow-ups and ongoing care needs.
• Coordinate referrals, appointments, and other necessary services.
• Support medication reconciliation and identify potential gaps or issues across providers and pharmacies.
• Help patients and families navigate insurance issues, including denials, prior authorizations, and appeals.
• Maintain consistent communication with patients and family members.
• Attend or support appointments when appropriate.
• Ensure important follow-up items and action plans are completed.
• Serve as a consistent and trusted resource for patients and their families.
• Independently manage an initial patient population while maintaining a high standard of care.
• Identify recurring challenges and opportunities within the patient experience.
• Help develop repeatable workflows, processes, scripts, escalation protocols, and handoffs.
• Document best practices and lessons learned from working directly with patients.
• Partner with technology and product stakeholders to identify ways to improve care delivery.
• Provide a clinical perspective on the development of tools, workflows, and technology.
• Help establish the foundation for a scalable care-delivery model.
• Help define the skills, backgrounds, and characteristics needed for future clinical team members.
• Participate in recruiting and onboarding future Care Navigators.
• Train and mentor new team members using the processes and best practices you help establish.
• Help establish quality standards for patient care.
• Eventually take responsibility for building, leading, and overseeing a growing care team.
• Help ensure patients receive a consistent, high-quality experience as the organization scales.
• Serve as a clinical leader and advocate for the patient as the organization grows.

Qualifications

• Active RN/NP/PA licensure.
• Demonstrated ability to work independently and take full ownership of a patient population with minimal day-to-day direction.
• Strong clinical judgment and the ability to assess complex situations, prioritize needs, and develop thoughtful, individualized care plans.
• Comfortable operating in an environment where processes, workflows, and best practices are still being built (startup mindset).
• Eager to learn, seek feedback, experiment, identify opportunities for improvement, and continuously raise the standard of care (growth mindset).
• Entrepreneurial and proactive with a tendency to take action rather than waiting for instruction.
• Passionate about improving the healthcare experience for older adults and their families.
• Comfortable balancing direct patient care with the responsibility of helping build scalable processes and workflows.
• Strong interest in healthcare technology and willingness to leverage AI and other tools to improve efficiency and patient outcomes.
• Demonstrated potential to grow into a leadership role, including hiring, mentoring, developing, and eventually overseeing a team of Care Navigators.
• Comfortable collaborating cross-functionally with clinical, operational, product, and technology teams.

Skills

• Strong clinical judgment.
• Ability to assess complex situations and prioritize needs.
• Individualized care plan development.
• Startup mindset.
• Growth mindset.
• Entrepreneurial and proactive approach.
• Passion for improving healthcare for older adults.
• Ability to balance direct patient care with process development.
• Interest in healthcare technology and AI.
• Leadership potential.
• Cross-functional collaboration.

Education

• Active RN/NP/PA licensure is required.

Additional Requirements

• Willingness to work five days per week onsite. (Patient interactions will be virtual/over phone).

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.