Community Health Navigator
About the role
Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
The primary location of this position is remote, with a strong preference of those living in TX, FL, MO, NC, GA, TN, NY, and/or GA with a schedule of Monday-Friday 9:00am-6:00pm Eastern Time or 8:00am-5:00pm Central Time.
What You’ll Do
As part of our Transitions of Care Team, the Community Health Navigator assists patients in getting post-hospital care in the form of telephonic and in-person patient support. In this role, you will:
- Work as part of an interdisciplinary, collaborative team to ensure we are meeting patient needs
- Outreach to patients discharged from emergency rooms to ensure continuity of care and assist with identifying and meeting needs related to social determinants of health
- Deliver resources to families within your geographic area
- Coordinate with facility discharge planners to ensure that there are no barriers to patients obtaining after-hospital resources and care
- Attend daily huddles with your team to communicate patient needs and progress
- Liaise with hospitals and other health systems to make staff aware of Imagine Pediatrics program and support
- Support patients with any in person/community needs related to care coordination/discharge support. These could include, but are not limited to, pharmacy fills, PCP coordination, SDOH needs, and home visits
- Perform other duties as assigned