Healthcare Navigator

Healthcare Navigator- (West Pasco)

General Description:

The Healthcare Navigator serves a vital role in helping patients/consumers prepare applications to establish eligibility and enroll in coverage through the Health Insurance Marketplace, the programs in Florida KidCare, Florida Medicaid, or localized safety-net resources. This includes screening to help patients/consumers find out if they qualify for insurance affordability programs, and if they are eligible, to get enrolled. Healthcare Navigators also provide outreach and education to patients/consumers to raise awareness about publicly funded healthcare programs available to them.

Qualifications:

• Undergraduate degree or a minimum of three (3) years of experience working with individuals and families
• Current or prior certification as a Marketplace Navigator or Certified Application Counselor (CAC) preferred
• Bilingual preferred
• Valid driver’s license and reliable transportation

Essential Duties and Responsibilities:

• Community Engagement and Education
  • Lead designated region by developing relationships within the community that is being served.
  • Participate in outreach events and conduct Health Insurance Marketplace presentations.
  • Conduct public education activities to raise awareness about Florida KidCare, the Health Insurance Marketplace, and Medicaid.
  • Provide outreach and enrollment services as requested.
  • Conduct marketing events which can include social media posts.
  • Conduct patient/consumer assistance in-person and/or virtually with culturally and linguistically appropriate content.
  • Ensure accessibility and usability of enrollment tools and functions for individuals with disabilities.
  • Provide information and services in a fair, accurate and impartial manner.
  • Maintain expertise in eligibility and enrollment through the health insurance marketplace using a range of activities such as, available community resources, learning webinars, and training opportunities.
  • Serve as an ongoing resource for patients and community members.
  • Maintain and update community contacts and other information to ensure cooperative working relationships with agencies and community partners interested in health insurance marketplace.
  • Identify new locations to provide Navigator services.
  • Have knowledge of any scheduling software used to support Navigator activities.
  • Collaborate with Community Services Specialists, Community Health Education Specialist, and Community Programs & Resource Development Manager to assist patients/consumers with appropriate and needed resources.
  • Conduct activities to identify interest and needs.
  • Document activities and records information such as outreach completed, presentations conducted, and patients/consumers assisted.

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  Other Duties & Responsibilities
  • Ensure confidentiality and HIPAA compliance at all times.
  • Keep other care team members informed when situations occur that disrupts timely patient flow through site.
  • Adhere to patient/consumer care needs and the core values of Premier Community HealthCare to a provide best-in-class patient experience.
  • Work towards attaining department goals and drive Quality Improvement/Quality Assurance (QI/QA).
  • Other duties as assigned.

Supervisory responsibilities: None

Knowledge, Skills and Abilities:

• Ability to work with culturally and linguistically diverse populations.
• Excellent presentation, communication, and facilitation skills.
• Well versed in public programs for healthcare, including Florida Medicaid, Florida KidCare, the Health Insurance Marketplace, and county/local resources.
• Ability to coordinate with multiple disciplines within the health center and community organizations.
• Proficiency in Microsoft Office applications and virtual applications such as (Zoom, Google Meets, MS Teams, etc.)
• Exceptional patient engagement and patient experience skills.
• Ability to communicate effectively, verbally and in writing with multiple levels within the organization.
• Excellent grammar, spelling, and interpersonal skills.
• Available for extended hours, occasional evenings, and weekends.

Working conditions and physical requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally.
• Ability to sit for long periods of time.
• Direct exposure to computer screen.
• May be exposed to contagious/infectious diseases.