Care Navigator

Job not on LinkedIn

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🤠 Texas – Remote

🤠 Texas – Remote

💵 $57.2k - $73.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Conduct proactive outreach to identify unmet social needs using the nine-domain CMS-aligned SDoH assessment • Engage patients in goal-oriented conversations, identify priorities, assess readiness, and build rapport • Identify and document SDoH needs across nine domains • Research and connect patients with community resources, local programs, public benefits, and referral partners • Guide patients through application, referral, and enrollment processes • Follow up to verify resource utilization, confirm access, and ensure resolution of social barriers • Own SDoH cases from initial identification through confirmed closure • Document interventions, follow-up contacts, and resolution outcomes in Pt. 360 • Drive timely closure of open SDoH cases and escalate stalled cases • Partner with RNs, APPs, and BHCs to coordinate patient care • Escalate clinical, behavioral health, safety, or high-risk psychosocial concerns • Participate in interdisciplinary huddles and complex case discussions • Monitor ongoing SDoH needs until resolution • Support quality improvement initiatives and SDoH data collection

🎯 Requirements

• High school diploma or GED • Bachelor’s degree in public health, human services, social sciences, or related fields preferred • Minimum of 2 years of experience in care coordination, patient navigation, community health, or social services support • Demonstrated communication and relationship building skills • Comfort working with diverse populations and complex social needs • Ability to manage multiple priorities in a fast-paced environment • Experience working with Medicaid, Medicare, or value-based care populations preferred • Familiarity with community resources and benefit programs preferred • Bilingual language skills preferred

🏖️ Benefits

• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • 401k with employer match • Financial wellness resources • 20 PTO days • 7 paid holidays • 1 floating day • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub employee discounts

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