Head of Care Navigation Operations

2070 Health

Leading the operational architecture of Kero Health's care navigation platform. Involves patient caseload management, workflow design, team building, and product shaping.

Posted 4/24/2026full-timeSan Francisco • California • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

**The Role**
You are the first operational hire - the person who has actually done this work and can now architect how it's done at scale. You've been a community health worker, patient navigator, or care coordinator yourself. You've screened for SDOH needs, helped patients navigate Medicaid, coordinated specialist referrals, logged your time under incident-to billing rules, and dealt with the messy reality of helping complex patients stay on their care plan. Now you're ready to take that lived expertise and build the entire care navigation operation from zero: the workflows, the training curricula, the QA systems, the team.
This is not a strategy-only role. In the early months you will personally carry a caseload of patients alongside our first practice partners to validate our workflows, stress-test our platform, and write the playbook that every future navigator will follow.
**Location:** Remote (US-based) | Willingness to travel to practice partner sites
**What You'll Own**
*Build the operation from scratch.* Design end-to-end navigator workflows for both CHI (SDOH barrier resolution) and PIN (serious chronic illness navigation) — from patient identification and enrollment through monthly time documentation and billing attestation. Establish the 16-phase workflow across identification, consent, initiating visit coordination, navigator assignment, disease-specific navigation, specialist coordination, medication management, care transitions, insurance/financial navigation, caregiver support, time tracking, billing review, claims, workforce ops, offboarding, and outcomes reporting.
*Carry a patient caseload initially.* Work directly with the first practice partners to navigate real patients — conduct SDOH screenings, coordinate referrals, log billable time, and generate the documentation artifacts that prove the model works. Target: 15–25 patients/month at 60+ documented minutes each.
*Hire and train the navigator team.* Define the navigator profile (CHW certification, condition-specific training, language capabilities). Build training programs covering CMS's 8 billable service categories: person-centered assessment, care coordination, health education, self-advocacy coaching, healthcare system navigation, behavioral change facilitation, social/emotional support, and leveraging condition knowledge. Develop condition-specific modules for oncology, CHF, COPD, dementia, CKD, HIV/AIDS, SMI, SUD, and other qualifying conditions.
*Own compliance and audit readiness.* Ensure every navigator interaction meets CMS documentation standards — proper consent collection, initiating visit linkage, time-based billing thresholds (60-min base, 30-min add-ons), non-duplication with CCM/RPM, general supervision documentation, and ICD-10/Z-code accuracy. Build the QA cadence: case conferences, chart audits, caseload reviews.
*Shape the product.* Work hand-in-hand with the engineering team to define what navigators need from the Kero platform — time logging interfaces, care plan templates, SDOH screening tools, escalation workflows, attestation dashboards. You are the voice of the navigator in every product decision.
*Scale the model.* Document everything into repeatable playbooks. Define caseload ratios, hiring rubrics, onboarding timelines, and performance metrics. Build the operating model that lets Kero go from 1 practice to 50.

Requirements

What you’ll need

**You Should Have**
- 5+ years of direct, hands-on experience in community health work, patient navigation, or care coordination — you have personally carried a patient caseload
- At least 2 years in a supervisory or program management role overseeing CHWs, patient navigators, or care coordinators
- Deep working knowledge of Medicare billing, specifically incident-to services, and ideally direct experience with CHI (G0019/G0022) or PIN (G0023/G0024) codes
- Fluency in SDOH screening tools (AHC HRSN, PRAPARE, or similar) and community resource navigation
- Experience building programs or teams from scratch — not just inheriting and maintaining
- Understanding of CMS compliance requirements: time-based billing, documentation standards, audit preparation
- CHW certification, patient navigator certification, or equivalent clinical/social work credential
**Strongly Preferred**
- Experience navigating patients with serious chronic conditions (oncology, CHF, CKD, COPD, dementia)
- Familiarity with FQHC, health system, or managed care organization care navigation programs
- Experience working with or building health technology platforms (EHR workflows, care management systems)
- Bilingual (Spanish/English strongly preferred given patient demographics)
- Comfort operating in an early-stage, ambiguous environment where you're writing the rules, not following them

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account 2070 Health Website LinkedIn All Job Openings 11 - 50 employees ⚕️ Healthcare Insurance 💰 Seed Round on 2023-06 Healthcare Insurance 2070 Health is India's first venture studio dedicated to building patient-centric healthcare companies from the ground up. By combining innovative ideas, exceptional founders, and a robust innovation platform, 2070 Health aims to transform the healthcare landscape. It supports new ventures by conducting thorough diligence on impactful healthcare concepts, assembling teams, launching companies, and scaling them using its innovation platform. The studio focuses on creating meaningful healthcare companies that address large, unmet needs within the sector, with the goal of revolutionizing healthcare delivery in India. Some of its ventures include BabyMD, Elevate Now, and Nivaan Care, which provide specialized healthcare services such as pediatric care, weight loss programs, and pain management clinics. Head of Care Navigation Operations 🔥 24 minutes ago 🏢🏡 San Francisco – Hybrid ⏰ Full Time 🔴 Lead ⚙️ Operations Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
**The Role**
You are the first operational hire - the person who has actually done this work and can now architect how it's done at scale. You've been a community health worker, patient navigator, or care coordinator yourself. You've screened for SDOH needs, helped patients navigate Medicaid, coordinated specialist referrals, logged your time under incident-to billing rules, and dealt with the messy reality of helping complex patients stay on their care plan. Now you're ready to take that lived expertise and build the entire care navigation operation from zero: the workflows, the training curricula, the QA systems, the team.
This is not a strategy-only role. In the early months you will personally carry a caseload of patients alongside our first practice partners to validate our workflows, stress-test our platform, and write the playbook that every future navigator will follow.
**Location:** Remote (US-based) | Willingness to travel to practice partner sites
**What You'll Own**
*Build the operation from scratch.* Design end-to-end navigator workflows for both CHI (SDOH barrier resolution) and PIN (serious chronic illness navigation) — from patient identification and enrollment through monthly time documentation and billing attestation. Establish the 16-phase workflow across identification, consent, initiating visit coordination, navigator assignment, disease-specific navigation, specialist coordination, medication management, care transitions, insurance/financial navigation, caregiver support, time tracking, billing review, claims, workforce ops, offboarding, and outcomes reporting.
*Carry a patient caseload initially.* Work directly with the first practice partners to navigate real patients — conduct SDOH screenings, coordinate referrals, log billable time, and generate the documentation artifacts that prove the model works. Target: 15–25 patients/month at 60+ documented minutes each.
*Hire and train the navigator team.* Define the navigator profile (CHW certification, condition-specific training, language capabilities). Build training programs covering CMS's 8 billable service categories: person-centered assessment, care coordination, health education, self-advocacy coaching, healthcare system navigation, behavioral change facilitation, social/emotional support, and leveraging condition knowledge. Develop condition-specific modules for oncology, CHF, COPD, dementia, CKD, HIV/AIDS, SMI, SUD, and other qualifying conditions.
*Own compliance and audit readiness.* Ensure every navigator interaction meets CMS documentation standards — proper consent collection, initiating visit linkage, time-based billing thresholds (60-min base, 30-min add-ons), non-duplication with CCM/RPM, general supervision documentation, and ICD-10/Z-code accuracy. Build the QA cadence: case conferences, chart audits, caseload reviews.
*Shape the product.* Work hand-in-hand with the engineering team to define what navigators need from the Kero platform — time logging interfaces, care plan templates, SDOH screening tools, escalation workflows, attestation dashboards. You are the voice of the navigator in every product decision.
*Scale the model.* Document everything into repeatable playbooks. Define caseload ratios, hiring rubrics, onboarding timelines, and performance metrics. Build the operating model that lets Kero go from 1 practice to 50. 🎯 Requirements
**You Should Have**
- 5+ years of direct, hands-on experience in community health work, patient navigation, or care coordination — you have personally carried a patient caseload
- At least 2 years in a supervisory or program management role overseeing CHWs, patient navigators, or care coordinators
- Deep working knowledge of Medicare billing, specifically incident-to services, and ideally direct experience with CHI (G0019/G0022) or PIN (G0023/G0024) codes
- Fluency in SDOH screening tools (AHC HRSN, PRAPARE, or similar) and community resource navigation
- Experience building programs or teams from scratch — not just inheriting and maintaining
- Understanding of CMS compliance requirements: time-based billing, documentation standards, audit preparation
- CHW certification, patient navigator certification, or equivalent clinical/social work credential
**Strongly Preferred**
- Experience navigating patients with serious chronic conditions (oncology, CHF, CKD, COPD, dementia)
- Familiarity with FQHC, health system, or managed care organization care navigation programs
- Experience working with or building health technology platforms (EHR workflows, care management systems)
- Bilingual (Spanish/English strongly preferred given patient demographics)
- Comfort operating in an early-stage, ambiguous environment where you're writing the rules, not following them Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Director, Strategy & Operations 🕒 April 17 ŌURA 201 - 500 🧘 Wellness Website LinkedIn All Job Openings Director of Strategy & Operations partnering with leadership at Oura to translate strategies into operational plans. Leading planning cycles and optimizing business performance in a growth-oriented environment. 🏢🏡 San Francisco – Hybrid 💵 $200.6k - $236k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Director of Sales Operations 🕒 April 15 Roo 11 - 50 ⚕️ Healthcare Insurance 🤝 B2B 🤝 Non-profit Website LinkedIn All Job Openings Director of Sales Operations leading sales operations strategy at Roo, optimizing systems and driving growth. Collaborates with cross-functional teams to ensure revenue efficiency and forecasting accuracy. 🏢🏡 San Francisco – Hybrid 💵 $180k - $230k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Director, Strategy and Operations 🕒 April 10 Bright Machines 501 - 1000 Website LinkedIn All Job Openings Director of Strategy & Operations partnering with CEO to shape company strategy and drive high-impact initiatives at Bright Machines. 🏢🏡 San Francisco – Hybrid 💵 $180k - $240k / year ⏰ Full Time 🔴 Lead ⚙️ Operations 🦅 H1B Visa Sponsor Head of Sales Ops 🕒 March 31 Quantcast 501 - 1000 🤖 Artificial Intelligence ☁️ SaaS Website LinkedIn All Job Openings Head of Sales Ops revolutionizing advertising technology with AI-driven solutions for marketers. Leading revenue forecasting and sales strategies in a hybrid work environment. 🏢🏡 San Francisco – Hybrid 💰 $8M Series C on 2011-11 ⏰ Full Time 🔴 Lead ⚙️ Operations 🦅 H1B Visa Sponsor VP, Commercial Operations 🕒 March 18 Hinge Health 1001 - 5000 🧘 Wellness 🤝 B2B ☁️ SaaS Website LinkedIn All Job Openings VP of Commercial Operations at Hinge Health driving operational transformation and commercial strategy for MSK care. Leading cross-functional teams to improve processes and systems for growth. 🏢🏡 San Francisco – Hybrid 💵 $321.2k - $481.8k / year 💰 $400M Series E - Hinge Health on 2021-10 ⏰ Full Time 🔴 Lead ⚙️ Operations 🦅 H1B Visa Sponsor View More Operations Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

community health workpatient navigationcare coordinationMedicare billingincident-to servicesSDOH screening toolsprogram managementdocumentation standardsaudit preparationEHR workflows

Soft Skills

leadershipteam buildingcommunicationproblem-solvingadaptabilityorganizational skillstraining developmentpatient advocacycollaborationcritical thinking

Certifications

CHW certificationpatient navigator certificationclinical/social work credential