This position is temporary.
Bilingual in Spanish is required.
The Care Navigator supervisor is responsible for the day-to-day oversight, coaching and performance management of a small team of Care Navigators. The Care Navigator supervisor will manage a caseload of patients in addition to having a small team. The Care Navigator will be embedded within the Sacramento Medical Center to support Kaiser Permanente Medi-Cal members and dually eligible Medicare/Medi-Cal members. The role is designed to provide high touch navigation, engagement, and linkage support for members with complex medical, behavioral health, social, and utilization needs.
The Care Navigator will work closely with the medical center’s leadership, care coordination teams, social work, Transitional Care Services (TCS), Complex Case Management (CCM), Medicare teams, and community partners to help members navigate Kaiser Permanente services, CalAIM programs, and community-based resources.
The role focuses on real time member engagement in the care setting, with the goal of improving care coordination; reducing avoidable ED utilization and readmissions; and connecting members to the appropriate ongoing supports after discharge.
Staff Supervision & Development
· Supervise, coach, and support Care Navigators to ensure high-quality, person-centered service delivery.
· Provide onboarding, training, and ongoing professional development related to Care Navigation program requirements, workflows, documentation standards, and engagement strategies.
· Conduct regular individual supervision, team meetings, and case conferences to review member progress, address barriers, and support complex case management.
· Complete 90-day, annual, and corrective performance evaluations; address performance concerns through coaching and performance improvement plans as needed.
· Review and approve staff timecards, paid time off requests, and schedules in alignment with program needs.
Member Identification and Engagement
- Review real time census lists and identify eligible members for outreach.
- Conduct in person member engagement within the care setting.
- Prioritize outreach based on utilization patterns, clinical complexity, and operational workflow needs.
- Participate in huddles, operational meetings, and staff workflows as an integrated member of the care team.
Care Navigation and Coordination
- Support enrollment into Enhanced Care Management (ECM), including coordination with authorization teams when needed
- Provide navigation support for members already enrolled in ECM or other care coordination programs (Community Supports, Community Health Workers, etc.)
- Connect members to appropriate Kaiser Permanente services including:
- Transitional Care Services (TCS)
- Complex Case Management (CCM)
- Social Work
- Medical Financial Assistance (MFA)
- Conduct basic assessments to identify and/or support social and community resource needs
- Connect members to community-based organizations and external support programs when appropriate
Benefits Support and Coordination
- Connect dually eligible members to the appropriate KP Medicare or Health Care Options (Medi-Cal) resources for conversion, alignment, or benefits related support
- Coordinate warm handoffs to internal Medicare / Medi-Cal support teams when appropriate
- Assist non-KP Medi-Cal members with connection back to their assigned Managed Care Plan for available services and supports
Member Follow-Up and Operational Integration
- Conduct post visit telephonic follow up with members after discharge
- Participate in ongoing workflow refinement and pilot operational development
- Collaborate with KP operational teams to improve member identification and engagement processes
- Document outreach and interventions according to pilot workflows and operational guidance
Qualifications, Preferred Skills and Experience
· Bachelor’s degree required in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, or a related field.
· Case management experience and 2-5 years supervisory experience.
- Experience working with Medi-Cal, Medicare, Dual Eligible populations, or CalAIM programs
- Familiarity with hospital or Emergency Department operations
- Strong communication and patient engagement skills
- Ability to navigate complex systems and coordinate across multidisciplinary teams
- Experience with care coordination, community resource navigation, or social service linkage preferred
- Comfortable working in fast paced operational environments and adapting to evolving pilot workflows
- Bilingual and bicultural skills reflective of the communities served
Preferred Skills and Experience
- Experience working with Medi-Cal, Medicare, Dual Eligible populations, or CalAIM programs
- Familiarity with hospital or Emergency Department operations
- Strong communication and patient engagement skills
- Ability to navigate complex systems and coordinate across multidisciplinary teams
- Experience with care coordination, community resource navigation, or social service linkage preferred
- Comfortable working in fast paced operational environments and adapting to evolving pilot workflows
- A minimum of 2-5 years years of experience supervising care navigators required
- TB test required
Partners in Care Foundation is an equal opportunity employer. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws. All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.