Care Navigation Manager BSW MSW LPC LPN MA

About The Role We are seeking a compassionate, experienced, and driven Care Navigation Manager to lead and oversee care navigation services within the CMS GUIDE Model framework. In this role, you will ensure patients and caregivers receive coordinated, timely, and high-quality support throughout their healthcare journey. You will manage a team of Care Navigators, drive operational excellence, and maintain compliance with participating organizations and CMS guidelines, all while enhancing the patient and caregiver experience. What You’ll Do Leadership & Team Management Lead, mentor, and support a team of Care NavigatorsConduct regular supervision, coaching, and performance check-insFoster a culture of collaboration, accountability, and patient-centered care Care Coordination & Operations Oversee patient engagement workflows and touchpoint assignmentsEnsure Care Navigators maintain a 90% monthly touchpoint closure rateConduct eligibility checks and manage new referralsMonitor and manage patient alignment status and workflow accuracySupport daily operations of the 24/7 patient support line during business hoursMaintain a national resource referral databaseReview and guide wellness plans to align with patient goals Compliance & Quality Ensure adherence to CMS regulations and GUIDE Model Participation requirementsSupport audit readiness by maintaining complete and accurate documentationUphold organizational quality and compliance standardsUphold participating organizations’ policies and procedures Process Improvement Identify opportunities to streamline workflows and enhance service deliveryCollaborate with cross-functional teams to implement system updates and improvements Training & Development Lead onboarding and ongoing training for Care NavigatorsEnsure team competency in dementia care, communication techniques, and cultural sensitivityPromote continuous professional development What You’ll Bring Education Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related fieldMaster’s degree preferred Experience 3-5 years of experience in care coordination, case management, or healthcare navigationPrior leadership or supervisory experience strongly preferredFamiliarity with CMS guidelines and dementia care best practices Skills Strong leadership and team-building capabilitiesExcellent communication and interpersonal skillsExperience with care management systems and data reporting toolsAbility to manage multiple priorities in a dynamic environment Benefits & Perks We value our team members and offer a comprehensive benefits package designed to support your health, well-being, and professional growth: Competitive salary with performance-based incentivesComprehensive health benefits (medical, dental, vision)Paid time off (PTO) including vacation, sick time, and holidaysFlexible hybrid work environmentProfessional development opportunities and continuing education supportSupportive, mission-driven culture focused on improving patient outcomesOpportunities for career advancement and leadership growth Why Join Us? Make a meaningful impact on patients and caregivers navigating complex healthcare needsLead a dedicated, mission-driven teamOpportunity to shape and improve care delivery processesHybrid work environment for flexibility and collaboration