Rural Health Transformation Program; RHTP) Navigator

Full-Time M-F

Times could vary based on needs or when outreach is required

Job Summary:

The RHTP Navigator will serve as a frontline, community-based member of the local community hub. This position will be responsible for conducting standardized screening and intake, managing closed-loop referrals and warm handoffs across Hub Partners, engage insured members in completing healthcare processes, help residents access Hub-supported services, Identify, prioritize and resolve barriers to care, and own an assigned caseload and maintain structured follow-ups, and track and report outreach, screening, referral and outcomes data.

The navigator will work across hospitals, RHC’s and other healthcare entities communicating progress with each area.

Minimum Education/Training Requirements

High school diploma or equivalent and relevant experience in community health work, care coordination, case management, patient navigation, Medicaid care management, behavioral health support, public health outreach, social services, or a related field

Demonstrated experience working directly with rural communities and/or high-need populations facing barriers such as transportation limitations, food insecurity, housing instability, low digital access, limited provider access, or fragmented behavioral health services, among others

Experience conducting resident, client, or patient intake and needs screening and following through on referrals to completion

Ability to manage multiple active cases and maintain organized follow-up across residents and partners

Ability to accurately document and track activities using digital systems (e.g., CIE, EHR, or case management tools)

Valid driver’s license and ability to travel routinely within an assigned multi-county Hub service area

Strong verbal and written communication skills and the ability to build trust with patients, families, providers, and community organizations

Preferred Qualifications

Formal Community Health Worker (CHW) training/certification or related training, certification, or post-secondary education in community health, public health, social services, behavioral health, human services, or a related field

Experience using a Community Information Exchange (CIE) or other closed-loop referral platform to manage closed-loop referrals, track service completion, and document outcomes

Experience in one or more settings central to the Hub model, such as an FQHC, RHC, Critical Access Hospital, behavioral health agency, local public health agency, EMS/community paramedicine program, school-based health setting, pharmacy program, home visiting program, or community-based organization

Experience serving Medicaid members, dual-eligible residents, maternal/child populations, pediatric populations, individuals with chronic disease, behavioral health populations, or people with substance use disorder or OUD-related support needs

Training or demonstrated experience in motivational interviewing, trauma-informed care, health coaching, benefits navigation, Mental Health First Aid, suicide prevention training, or other community-based behavioral health support approaches

Experience supporting access to services such as transportation, food/nutrition programs, home safety, preventive screenings, or telehealth

Relevant frontline credentials in addition to CHW experience may be helpful, such as Behavioral Health Support Worker, Emergency Medical Technician, Certified Nursing Assistant, or Pharmacy Technician training, when paired with strong community-based navigation experience

Bilingual skills or demonstrated effectiveness serving culturally and geographically diverse rural communities

SCH is an Equal Opportunity Provider and Employer

SCH is a Drug and Alcohol Free Workplace