Community Transitions Navigator, Saluda/Edgefield

1st Shift 8am-5pm Monday-Friday The Community Transitions Navigator (CTN) provides healthcare navigation services to enrolled clients/patients, coordinates medical home placements and first appointments, collaborates with a multi-disciplinary team to address the social determinants of health and arranges supportive services and referrals to community partners for improved health outcomes and to prevent avoidable hospital admissions/emergency department visits. CTN may provide limited health coaching and advocacy to improve assigned clients'/patients' appropriate healthcare utilization and may assist them with applications for healthcare payor options, prescription assistance and/or other benefit programs. CTN will be expected to attend appointments and to make home visits as required to advocate for the client/patient and to connect them to needed resources.