Patient Care Navigator

Location: Gateway + rotating support across Nephrology Clinics IU North, IU Fishers, IU Methodist, IU West, and University Hospital
Schedule: Monday – Friday, 8:00 AM – 4:30 PM
Work Arrangement: Hybrid (Must reside in Indiana)

This position supports the Kidney Care Management program by managing a patient caseload and providing outreach, education, and care coordination for individuals with chronic kidney disease (CKD). The role blends telephonic, electronic, and in-person support to improve patient engagement, outcomes, and access to care.

• →Conduct outreach and cold-call patients to introduce and enroll them in the program
• →Complete monthly check-in calls to monitor patient progress and support care plans
• →Perform ED follow-up calls to ensure continuity of care post-discharge
• →Provide patient education and coaching to support self-management and clinical goals
• →Assist with scheduling appointments (nephrology, imaging, transplant coordination)
• →Identify patient needs and coordinate referrals (e.g., Social Work for SDOH barriers)
• →Support patients with:
  • →Transportation coordination
  • →Visit preparation (questions, expectations)
  • →Access to community and government resources
• →Document all patient interactions and maintain accurate records
• →Collaborate closely with a multidisciplinary care team
• →Participate in program evaluation and process improvement efforts

If filled by a Registered Dietitian (RD), the role will also include providing dietary education to patients.

• Optimistic and growth-oriented team culture
• Collaborative and flexible environment
• Opportunity to help build and shape a developing program

• High school diploma or equivalent required; Bachelor’s degree preferred
• One of the following preferred:
  • LPN
  • Registered Dietitian (RD)
  • Medical Assistant (MA)
  • Bachelor’s in Social Work (BSW)
• Experience working with patients with chronic or behavioral health needs
• Experience in a multidisciplinary care setting
• Experience in kidney care is preferred

• Self-starter who is comfortable working independently
• Confident in cold-calling and patient outreach
• Strong communication and relationship-building skills
• Comfortable working with the CKD population
• Organized, adaptable, and mission-driven