Population Health Navigator

About the role

The Population Health Navigator (PHN) at Self Regional Healthcare is a key member of the Accountable Care team. Their primary responsibility is to advance the organization's mission by supporting Chronic Care Management (CCM) efforts.

Responsibilities

• Identify, engage, and manage patients with complex and/or multiple chronic conditions.
• Collaborate with providers, care managers, and other interdisciplinary team members to address both clinical and non-clinical needs.
• Carefully coordinate services across the care continuum to support patients in achieving their self-management goals.

Required Qualifications

• A high school diploma or equivalent.
• CMA or LPN certification required.
• Minimum of 3 years of healthcare or community health experience, preferably in care coordination, case management, or chronic disease management.
• Strong understanding of chronic conditions such as diabetes, hypertension, heart failure, and COPD.
• Proficiency in EHR systems and Microsoft Office Suite.
• Excellent interpersonal and communication skills.
• Ability to work independently while functioning as part of a collaborative team.

Preferred Qualifications

• Experience in an Accountable Care Organization (ACO) or value-based care environment.
• Knowledge of Medicare Chronic Care Management program requirements.
• Bilingual skills (English/Spanish) a plus.