Job Title: Discharge Coordination Navigator
Location: Onsite
Hours: Full-Time, Monday through Friday, 8 AM to 5 PM

Join the Jane Pauley Community Health Center

Empowering communities through accessible, inclusive, and compassionate care.

At the Jane Pauley Community Health Center (JPCHC), joining our team isn’t just the start of a new job—it’s the beginning of a purpose-driven journey. Every member of our team plays a vital role in delivering healthcare that makes a real difference in the lives of individuals and families across Central Indiana. Here, you’ll find a workplace that values balance, growth, and belonging.

As a proud Federally Qualified Health Center (FQHC), our mission is to foster healthier communities by providing accessible, respectful, and integrated care regardless of a person’s income or insurance status. With strong local partnerships and the inspiration of our namesake, Indiana native and Emmy-winning journalist Jane Pauley, we are committed to compassion, dignity, and inclusion in everything we do.

We’re in an exciting period of growth and transformation and we’d love for you to be a part of it. If you’re looking to bring your talents to a team that’s passionate, supportive, and forward-thinking, we invite you to consider a future with JPCHC. Together, we can build healthier futures for all.

Job Summary

Under the supervision of the Navigation Manager, the Discharge Coordination Navigator ensures seamless continuity of care by coordinating benefits and community resources for patients transitioning out of clinical settings. You will process benefit applications, conduct intake assessments, provide de-escalation support, and facilitate interdisciplinary care meetings—helping our patients bridge the gap between hospital discharge and ongoing support.

Job Responsibilities (include but are not limited to):

• Benefit Application Support:
  • Process follow-up and provide hands-on assistance with HIP, Medicaid, TANF, and SNAP applications
  • Determine and submit presumptive eligibility paperwork
• Intake & Assessment:
  • Conduct thorough intake assessments to identify individual navigation needs
  • Document findings and develop personalized service plans
• Care Coordination:
  • Schedule and facilitate coordination meetings with therapists, the Nurse Manager, and the Navigation Manager
  • Maintain regular check-ins with the detox unit to monitor patient progress and identify resource gaps
• Crisis & De-Escalation Support:
  • Provide de-escalation techniques to support patients in crisis
  • Refer patients to Indiana’s 24/7 crisis helplines and community behavioral health agencies
• Patient Advocacy & Education:
  • Educate patients and families on available community resources and benefits
  • Advocate for timely access to services and follow through until enrollment is confirmed
• Documentation & Reporting:
  • Maintain accurate, timely records in the electronic health record (EHR) system
  • Generate reports on application statuses, service gaps, and outcome metrics

Required Skills and Qualifications

• Education & Certification:
  • High school diploma or equivalent required
  • Peer Recovery Certification preferred
  • Indiana Navigator License (or proof of eligibility) required within 90 days of hire
• Experience:
  • 1–2 years’ experience in patient navigation, case management, or related social services
• Core Competencies:
  • Strong working knowledge of HIP, Medicaid, TANF, SNAP, and presumptive eligibility processes
  • Excellent verbal and written communication skills
  • Highly organized with strong attention to detail
  • Ability to build rapport quickly and collaborate effectively across multidisciplinary teams

What we offer

We know that when you feel supported, you can do your best work. That’s why we offer:

• Generous paid time off (PTO) to recharge and reset
• Comprehensive medical, dental, and vision insurance
• A 401(k) plan with a 6% employer match—because your future matters
• Paid life insurance for peace of mind
• A welcoming, team-oriented environment where your voice matters