Community Navigator - St. Rita's Medical Center

Job Summary

The Community Wellness Navigator serves as a key member of the interdisciplinary care team, supporting high-risk populations through care coordination, patient advocacy, and access to community-based resources. This role partners with providers, community organizations, and government agencies to address health needs, chronic conditions, and social determinants of health that impact patient outcomes. The Community Wellness Navigator promotes continuity of care across healthcare settings, facilitates patient engagement in wellness initiatives, and strengthens connections between patients and supportive services.

The role also contributes to program evaluation, community partnership development, and population health improvement efforts.

The Community Wellness Navigator serves as a key member of the interdisciplinary care team, supporting high-risk populations through care coordination, patient advocacy, and access to community-based resources. This role partners with providers, community organizations, and government agencies to address health needs, chronic conditions, and social determinants of health that impact patient outcomes. The Community Wellness Navigator promotes continuity of care across healthcare settings, facilitates patient engagement in wellness initiatives, and strengthens connections between patients and supportive services.

The role also contributes to program evaluation, community partnership development, and population health improvement efforts.

• Coordinates care transitions and ongoing support for high-risk patients across acute, primary, specialty, and community-based care settings.
• Connects patients to appropriate healthcare, social service, community, and government resources to address medical and social determinants of health needs.
• Serves as a patient advocate and trusted resource to improve engagement, access to services, and adherence to care plans.
• Collaborates with interdisciplinary care teams and community partners to support individualized health and wellness goals for identified populations.
• Facilitates communication among patients, providers, caregivers, and community organizations to promote coordinated and effective care delivery.
• Maintains current knowledge of community resources and develops strong working relationships with external agencies and safety net providers.
• Supports health and wellness initiatives through participation in outreach activities, care coordination programs, and patient education efforts.
• Contributes to program effectiveness through accurate documentation, data collection, reporting, and participation in quality improvement activities.
• Ensures services are delivered in a manner that supports patient rights, confidentiality, cultural sensitivity, and organizational standards.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

• Current local state driver’s license
• BLS/CPR certification.
• Demonstrate bilingual proficiency (English/Spanish) both oral and written (provided by Bon Secours St. Francis Health System).

• Bachelors, Social Work, Psychology, Sociology or related field (required)

• 5 years community based experience (required)

• None

• Bilingual proficiency (English/Spanish) both oral and written.

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

All Ages

Periods of high stress and fluctuating workloads may occur.

General office environment.

M…