Top 32 Service navigator Jobs in Worcester, Ma

SCO Care Navigator - Worcester - Spanish Preferred
Fallon Health —Worcester, MA
- $28 - $30 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Patient Navigator (Foster Care) - 40 hours, Days
UMass Memorial Health —Worcester, MA
- $22.24 - $40.04 an hour
- 8 hour shift
- Spanish
- English
- Mid-level
Adjunct Faculty – School of PA Studies - Student Success Navigator
MCPHS —Worcester, MA
- $1,966 - $6,500 a month
- Background check
- 3 years
- Analysis skills
Community Health Worker- Pediatric Team
Family Health Center —Worcester, MA
- $20.00 - $26.92 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
Quick Apply
Nurse Navigator, Heart & Vascular, 40 Hours, Days
UMass Memorial Health —Worcester, MA
- $87,276.80 - $157,081.60 a year
- Online Application
- Hybrid work
- Nursing
- RN License
- Hospital
10d
Patient Navigator, Bachelors Level, Addiction Immediate Care - Harrington Hospital, Webster Campus - Various Shifts
UMass Memorial Health —Webster, MA
- $50,835.20 - $91,520.00 a year
- 8 hour shift
- Addiction Medicine
- Hospital
- Mid-level
1d
Community Health Worker- WHCH
Family Health Center —Worcester, MA
- $21.00 - $26.92 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Community Services - Navigator
Open Sky Community Services —Worcester, MA
- $22.07 - $24.81 an hour
- Full-time
- Clean driving record
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid holidays
HOUSING NAVIGATOR
YWCA CENTRAL MASSACHUSETTS INC —Worcester, MA
- $20.00 - $21.50 an hour
- Full-time
- Background check
- Spanish
- Computer literacy
- Mileage reimbursement
- Health insurance
Quick Apply
Breast Center Nurse Navigator, 40 Hour Days
UMass Memorial Health —Worcester, MA
- $87,276.80 - $157,081.60 a year
- 8 hour shift
- Hybrid work
- Nursing
- Surgery
- RN License
Recovery Support Navigator Supervisor
Spectrum Health Systems —Westborough, MA
- $24.90 - $28.51 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Loan repayment program
- Health insurance
Quick Apply
9d
Recovery Support Navigator, 40 hours, Evenings
UMass Memorial Health —Milford, MA
- $18.24 - $32.82 an hour
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Psychiatry
Community Services - Program Manager-HRSN
Open Sky Community Services —Worcester, MA
- $26.56 - $29.86 an hour
- Full-time
- Clean driving record
- Management
- Mid-level
- 403(b) matching
- Paid holidays
Recovery Support Navigator
Spectrum Health Systems, Inc. —Gardner, MA
- $21.63 an hour
- Full-time
- Bachelor's degree
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Join the Harrington Behavioral Health Team!
UMass Memorial Health —Southbridge, MA
- $58,000.00 - $99,652.80 a year
- Online Application
- LMFT
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Reentry Navigator
Advocates —Marlboro, MA
- From $20.19 an hour
- Full-time
- Computer literacy
- Writing skills
- Mid-level
Recovery Support Navigator
Spectrum Health Systems —Framingham, MA
- $22.90 an hour
- Part-time
- Primary Care
- Mid-level
- Clinic
- Loan repayment program
- Health insurance
Quick Apply
14d
Clinical Patient Navigator (Part-Time)
Healogics —Gardner, MA
- $19.69 - $24.20 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Surgery
Quick Apply
Clin Social Worker LICSW [Palliative Care], 32 Hour Days, University Campus
UMass Memorial Health —Worcester, MA
- $68,369.60 - $123,073.60 a year
- 8 hour shift
- Patient monitoring
- Computer literacy
- Data analysis skills
Direct Support Professional
GAAMHA —Gardner, MA
- $18.00 - $19.50 an hour
- Full-time
- Clean driving record
- Experience working with individuals with disabilities
- English
- Opportunities for advancement
Quick Apply

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service navigator jobs near worcester, ma

SCO Care Navigator - Worcester - Spanish Preferred

Fallon Health -
Worcester, MA

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Job Details

Full-time
$28 - $30 an hour

Qualifications

Microsoft Excel
Microsoft Outlook
Driver's License
Driving
Motivational interviewing
Working with individuals from diverse cultural backgrounds
Experience working with individuals from underserved communities
Experience working with individuals with language barriers
Medical terminology
Home visits (communication methods)

Full Job Description

Overview:

About us:

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief summary of purpose:

The Navigator–Care Management is part of an interdisciplinary care team that coordinates care, improves access, and supports quality outcomes for NaviCare members. The Navigator builds relationships with members/caregivers via phone and in person, conducts home visits as needed, helps implement care plan interventions, and works to remove barriers to care. In partnership with the Nurse Case Manager, the Navigator updates care plans and provides holistic case management for low-, moderate-, and high-risk members.

Responsibilities:

Primary Job Responsibilities

Member Education, Advocacy, and Care Coordination

Conduct phone and, as appropriate, in-person assessments, screenings, and visits using TruCare; update individualized care plans and aim for first-contact resolution in a culturally responsive manner.
Coordinate and follow up on care needs, including post-transition outreach, appointment scheduling, medication support, and service monitoring.
Educate members/representatives on benefits, coverage criteria, rights, appeals, authorizations, and evidence of coverage.
Identify and address gaps in care (e.g., PCP assignment, preventive screenings, vaccinations) per established protocols.
Screen for social determinants of health and refer to community resources (e.g., food, housing, fuel assistance, transportation); escalate clinical decisions to the Nurse Case Manager or PCP.
Advocate for members’ access to covered benefits and coordinate with community agencies for non-covered supports.

Provider Partnerships and Collaboration

Participate in—and as appropriate, lead—care plan meetings with providers, partners, and care team members.
Collaborate with the interdisciplinary team (e.g., LTC, behavioral health, advanced practitioners, community partners) to support coordinated care.
Build effective working relationships with community partners and providers (e.g., housing, ADH, assisted living, LTC facilities, PCPs) to support timely, member-specific communication.

Access to Care

Submit and track requests/authorizations for covered services; ensure accuracy and timeliness per program workflows.
Educate members and providers on authorization processes and help resolve authorization issues.
Facilitate access to medical, behavioral health, and social services, including arranging transportation when needed.

Care Team Communication

Communicate timely updates with members, caregivers, providers, and internal teams on care plans, service changes, and member status.
Partner with LTC and community teams during admissions, transitions, and discharges to ensure continuity of care.

Regulatory Requirements, Documentation, and Reporting

Complete required activities to meet CMS/State, NCQA, HEDIS, and other standards (e.g., welcome calls, screenings, care plans).
Document accurately and on time in TruCare and related systems; review and validate member panel data and reports.

Additional Responsibilities

Maintain knowledge of program benefits, policies, procedures, and community resources.
Support operations by covering assignments, adapting to priorities, and completing other duties as assigned.
Mentor or train staff on job-related processes and workflows, as assigned.

Qualifications:

Education

College degree (BA/BS in Health Services or Social Work) preferred

License/Certifications

License: N/A

Certification: Community Health Worker - preferred

Other: Satisfactory Criminal Offender Record Information (CORI) results

Driving your personal motor vehicle is an essential job function of this position and the following requirements apply:

Must possess a valid drivers’ license
Must attest to no disqualifiers per Driver Safety Policy
Must possess and provide proof of minimal state required auto insurance
Must have reliable transportation

Education

2+ years’ experience in managed care and/or community-based health and human services (e.g., home health, personal care management, independent living, ASAP, or relevant state agencies) preferred
Understanding of hospitalization and post-discharge needs required
Working knowledge of medical terminology, common conditions, and medical record documentation; able to identify triggers requiring RN intervention required
Motivational interviewing experience and ability to work effectively with diverse and non-English-speaking populations required
Understanding of social determinants of health required
Proficiency with Microsoft Office (Excel, Outlook, Word) required
Experience with face-to-face member visits and working with providers/community partners preferred
Experience working on a multidisciplinary care team within a managed care organization preferred

Pay Range Disclosure:

In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $28/hr - $30/hr which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Refine Your Search

service navigator jobs in worcester, ma

SCO Care Navigator - Worcester - Spanish Preferred

Patient Navigator (Foster Care) - 40 hours, Days

Adjunct Faculty – School of PA Studies - Student Success Navigator

Community Health Worker- Pediatric Team

Nurse Navigator, Heart & Vascular, 40 Hours, Days

Patient Navigator, Bachelors Level, Addiction Immediate Care - Harrington Hospital, Webster Campus - Various Shifts

Community Health Worker- WHCH

Community Services - Navigator

HOUSING NAVIGATOR

Breast Center Nurse Navigator, 40 Hour Days

Recovery Support Navigator Supervisor

Recovery Support Navigator, 40 hours, Evenings

Community Services - Program Manager-HRSN

Recovery Support Navigator

Join the Harrington Behavioral Health Team!

Reentry Navigator

Recovery Support Navigator

Clinical Patient Navigator (Part-Time)

Clin Social Worker LICSW [Palliative Care], 32 Hour Days, University Campus

Direct Support Professional

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