Department: Rural Health Transformation Program
Location: Audrain, Callaway, and Montgomery Counties
Reports To: Director of Rural Health Transformation
Job Type: Full-time | Monday - Friday, 8:00 AM - 5:00 PM (occasional evenings or weekends as needed)
Travel: Frequent local travel throughout assigned Hub geography expected most days

POSITION SUMMARY

Arthur Center is looking for a dedicated, community-rooted RHTP Navigator to serve as a frontline member of our Local Community Hub under Missouri's Transformation of Rural Community Health Care (ToRCH Care) model. In this role, you will work directly with rural residents in Audrain, Callaway, and Montgomery Counties conducting needs screenings, managing referrals, removing barriers to care, and following up until services are completed. You will work across hospitals, FQHCs, behavioral health providers, pharmacies, EMS, schools, local public health agencies, and community organizations to help residents connect to and follow through on clinical, behavioral, and social services they need. This is active, relationship-driven, community-based work that requires strong follow-through, genuine care for people, and the persistence to keep showing up. If you find value in making real connections in your community and helping people navigate complex systems with dignity, we want to hear from you.

THE RHTP NAVIGATOR POSITION OFFERS

- Meaningful, community-based work as part of a statewide rural health transformation initiative
- Competitive pay commensurate with experience | Benefits Eligible
- Comprehensive benefits package including Medical (HSA option), Dental, Vision, Life insurance, and 401(k) with up to 6% company match
- 9 paid holidays plus generous PTO




- A mission-driven workplace culture committed to making quality care accessible for rural Missourians

Key Tasks And ResponsibilitiesSCREENING, INTAKE AND REFERRAL MANAGEMENT

- Conduct standardized screening and intake to identify clinical, behavioral, and social needs for residents served by the Hub.
- Manage closed-loop referrals and warm handoffs across Hub partners including hospitals, FQHCs, behavioral health providers, pharmacies, EMS, local public health agencies, schools, and community organizations.
- Confirm service receipt, document outcomes, and re-engage residents when referrals or services are not completed.
- Document all screenings, referrals, and follow-up activity accurately in the Community Information Exchange (CIE) and other Hub-approved systems.

RESIDENT ENGAGEMENT AND CARE NAVIGATION

- Engage Medicaid members, dually eligible residents, and other high-need residents through calls, field visits, community outreach, and partner-site follow-up.
- Help residents access Hub-supported services including primary care, behavioral health, women's health and prenatal care, EPSDT services, chronic disease management, healthy homes services, home visiting, pharmacy-based services, telehealth, and non-emergency medical transportation.
- Provide health education, care navigation,



and reinforcement of care plans to support resident engagement and follow-through.
- Maintain an assigned caseload with structured follow-up until services are completed, needs are resolved, or care is appropriately transitioned.

BARRIER RESOLUTION AND ESCALATION

- Identify, prioritize, and resolve barriers to care including appointment scheduling, transportation, medication access, benefits and insurance issues, food and nutrition supports, and digital-access barriers.
- Escalate recurring or complex barriers to the Hub Program Manager for review or broader workflow changes.
- Escalate urgent clinical, behavioral health, or safety concerns to licensed staff or supervisors according to established Hub protocols.
- Implement re-engagement strategies including multi-channel outreach and partner coordination for residents who are difficult to reach or who do not complete referred services.

COMMUNITY PRESENCE AND HUB COLLABORATION

- Maintain a visible presence in the community through outreach activities, partner site engagement, and local events to build awareness of Hub services and resident trust.
- Actively contribute to Hub huddles, case reviews, and partner meetings; support provider coordination and share frontline insights to improve referral pathways and workflows.
- Track and report outreach, screening, referral, and outcome data required by the Hub, Regional Care Network (RCN), and Rural Health Transformation Office (RHTO).
- Perform other duties as assigned.

SKILLS AND ATTRIBUTES

- Commitment to serving rural communities and high-need populations with dignity and respect.
- Strong relationship-building skills. Able to earn and mainta

📌 Community Health Navigator (Ecatepec de Morelos)
🏢 Arthur Center Community Health
📍 Ecatepec de Morelos