Care Navigator- Disease Management
Company: Community Medical Group
Location: Miami
Posted on: February 13, 2026
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Job Description:
Job Description Job Description Summary Disease management Care
Navigators work with the Director of Medical affairs and Chief
Medical officer to coordinate the care of the Disease Management
(DM) patients. Additionally, they assist the center administrators,
Complex case Care navigators, and PCPs to engage the DM patients
and ensure they receive timely, disease- and acuity-specific care.
Duties and Responsibilities Participates in DM rounds and regularly
reviews all pertinent reports as assigned by the Director of
Medical affairs and Chief Medical Officer. Regularly contacts the
DM patients to ensure compliance with and comprehension of
treatment plans, completion of necessary referrals and testing, and
scheduling of follow up PCP visits. Assists with member
prioritization based on familiarity with the DM patients. Assists
the DM patient’s center medical assistant with closing HEDIS gaps.
Assists in monitoring and analyzing outpatient reports and
identifying trends. Performs day-to-day admission review functions
and general office duties including but not limited to word
processing, copying, filing, faxing, answering phones and data
entry. Supports the department in the development and
implementation of care management initiatives. Monitors high risk/
high-cost patients in regards to care delivery, referrals, etc.
Follows all regulatory policies and procedures, privacy and
security standards in accordance with government agencies including
HIPAA requirements. Schedule DM patients for APRN telehealth
appointments. Chart prep 24 hours in advance of patient
appointment. Performs other duties as assigned. Qualifications
Education/Experience: High School diploma required. Minimum 3 years
of related experience in a clinic or hospital setting. Knowledge of
health care and managed care administration policies. Must hold a
medical assistant certification from an accredited organization.
Must be proficient with MS Office programs. Skills: Use relevant
information and individual judgment to determine whether events or
processes comply with laws, regulations, or standards. Ability to
work independently and to carry out assignments to completion
within parameters of instructions given, prescribed routines and
standard accepted practices. Use logic and reasoning to identify
the strengths and weaknesses of alternative solutions, conclusions
or approaches to problems. Ability to work with individuals within
and outside the organization, in professional and courteous manner.
Must develop constructive and cooperative working relationships
with others. Understand written sentences and paragraphs in work
related documents. Strong ability to use independent judgment and
initiative. Organized and able to manage competing priorities.
Resourcefulness in problem solving. Actively look for ways to help
people. Strong written and verbal communications skills. Knowledge
of medical terminology. Must be extremely detail oriented. Strong
organizational and interpersonal skills. Knowledge of EHR.
Bilingual skills preferred (English/Spanish or English/Creole).
Must develop constructive and cooperative working relationships
with others. Foreign Doctor preferred.
Keywords: Community Medical Group, Deerfield Beach , Care Navigator- Disease Management, Healthcare , Miami, Florida
