Patient Navigator


Date Posted:
Job Code:
1751 Park Ave
New York
United States of America




The Patient Navigator acts as the medical link between the client and the healthcare system.  The Patient Navigator is responsible for engaging chronically ill individuals and/or those with mental health and/or substance use disorders who disengaged, or who are at risk to become lost to care. The Patient Navigator will work with the Care Manager to address barriers that impact clients and may contribute to increased hospitalizations / ER visits, as well as assist with the coordination of services to help ensure success in medical care and overall increased quality of life.


1. Provides direct services to clients under supervision of Senior Care Manager and/or Care Coordinator Supervisors.

2. Carries out tasks that are needed to execute the medical and support services as outlined in the care plan.

3. Participate in Multi-Disciplinary Case Conferences as scheduled. 

4. Accompanies clients to appointments when required, provides coaching and health promotion to clients.

5. Conduct field visits to client home and other provider settings, as needed to fulfill care plan. 

6. Ensure core services for clients are completed for case assignments.

7. Work collaboratively with Care Team and Health Home leads to outreach and engage hard to reach clients. 

8. Provide resources and referral to clients as needed.

9. Complete client intakes into Health Home program.

10. Ensure services and client work is documented within required timeframes in required systems completely.

11. Participate in staff meetings, trainings and supervision. 

12. Perform other responsibilities and duties as assigned.

Minimum Requirements



1. High school diploma/GED with 2 years of working experience in medical care coordination field required; Associates degree in related field is preferred. 

2. Good oral and written communication skills, as well as good interpersonal and customer service skills and the ability to effectively work as part of a team. 

3. Demonstrated computer proficiency, particularly with Microsoft Office (Word, Excel) and electronic health record systems.

4. Demonstrated knowledge of HIV/AIDS, chronic medical conditions, mental illness, substance use, and homelessness, as well as a basic understanding of public benefits and entitlements.

5. Good organizational and time management skills and demonstrated ability to problem-solve using good judgment in a complex social and health services environment.

6. Good working knowledge of local social and health services resources and the necessary skill to promptly acquire and effectively use such knowledge and information.

7. The ability to work effectively with people from diverse cultures and socioeconomic backgrounds.

8. Demonstrated Spanish language (oral and written) proficiency preferred.




The Patient Navigator will have access to PHI during the course of his/her work activities. The Patient Navigator will use this information to deliver care coordination services that will occur during the patient’s visits with the provider and to ensure core services and implementation of the care plan occurs. ALL HIPPA, corporate compliance, and Health Home guidelines must be maintained at all times.



• Must be able to remain in a stationary position 50% of time. Frequently move about inside the office to access file cabinets, office equipment, meet with clients and supervisor or co-workers, etc.

• Regularly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.

• Frequently communicates with (exchanges information, converses with, expresses oneself to), vendors, supervisors, community at large, and clients regarding treatment, management, incidents, other reporting, and advertising of services.

• Must be able to determine accuracy of reports (figures, balances, documentation), perceive risk or agitation of clients, and to judge, observe, and assess situations germane to program operations.

• Good verbal and written communications skills; articulation and instruction of policy procedure and practice. 

• Frequently exchange information in communication with individuals who are agitated, confrontational or difficult, and with colleagues from a variety of socio-economic, cultural, and religious backgrounds.

• Occasionally move, position, or place files weighing up to 10 lbs.

• Regularly required to traverse public transportation in order to attend meetings, give presentations, or meet with clients in the community.

• Noise level is moderate.

• In the office 40-50% of the time. May need to work remotely and access computer software. Frequently need to manage, manipulate or maneuver use of technological devices.

• Occasional exposure to inclement weather when conducting field work.

• Occasional to frequent exposure to patients with infectious diseases. 


The physical requirements described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made, whenever possible, to enable individuals with disabilities to perform the essential functions.


DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements, or working conditions associated with this position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise this job description or to require that other or different tasks be performed as assigned.


Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.