HIP Primary Care Patient Navigator

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Description

• The HIP Primary Care Patient Navigator position plays a vital role in supporting clients who are primarily unhoused as they navigate healthcare and social service systems. The role centers on direct client assistance, including helping individuals apply for and maintain Medicaid benefits, coordinating access to care, transporting clients to appointments, and ensuring they receive prescribed medications. The position supports clinical operations as directed by providers or the program director and focuses on reducing barriers to care for diverse and underserved populations. The ideal candidate is compassionate, organized, and committed to client-centered service. The following essential function statements are not intended to be an exhaustive list of tasks and functions for this position. Job descriptions provide a representative summary of the major duties and responsibilities performed by incumbents. Other tasks and functions may be assigned as needed to fulfill the mission of the organization.

Essential Functions

Patient Care:

• • Support patients/clients with insurance-related needs, including Medicaid applications, renewals, troubleshooting, and general benefits navigation
• Act as an Authorized Rep for select patients as assisting with benefits navigation
• Assist clients in accessing healthcare services and community resources, addressing social financial, and logistical barriers
• Participates in regular meetings and required trainings with the HealthNet OE team with intent to maintain ongoing knowledge of the guidelines for all health insurance programs.
• Transport clients to and from medical appointments, social-service agencies, pharmacies, or other community locations as needed
• Pick up and deliver medications from pharmacies or partner organizations to ensure timely access to treatment
• Help patients/clients obtain required documents such as identification, medical records, or Social Security cards

Clinical Support:

• Prepare exam rooms, equipment, and medical records for patient visits
• Rooms patients, obtains vital signs and medical history from patients, and accurately documents in electronic medical record.
• Support smooth clinical flow by coordinating with providers, nurses, and administrative staff

Documentation/Clerical Functions:

• • Successfully complete Certification Training for Market Place Navigation on an annual basis
• Successfully complete monthly update training to maintain Navigation Certification
• Submits monthly reports to the OE Manager specific to enrollment activity.
• Maintains files as directed and performs general office functions including medication count, scanning, requesting medical records, or other various needs as needed by team
• Thoroughly and accurately documents patient information in electronic medical record
• Assist patients with obtaining required documents (e.g. identification, medical records, social security cards)
• Maintains, at all times, the confidentiality of any patient or employee medical, financial, or other personal information, records, and date to which there is access
• Views, uses, or discloses such information only for reasons necessary to perform duties
• Responsible to challenge unauthorized individuals from viewing such confidential information or accessing restricted information.

Commitment to Purpose/Service:

• • Demonstrates a commitment to HealthNet's mission, vision and values and supports organizational decisions and behaviors.
• Demonstrates efforts to discovering, meeting and advocating for patient and customer's needs.

HIPAA:

• • Maintains at all times the confidentiality of any patient or employee medical, financial, or other personal information, records and data to which there is access.
• Views, uses or discloses such information only for reasons necessary to perform duties.
• Responsible to challenge unauthorized individuals from viewing such confidential patient or employee information or accessing restricted areas.

Commitment to Diversity:

• • Committed to fostering a diverse, inclusive, and equitable work environment, where all employees, whatever their gender, race, ethnicity, national origin, age, sexual orientation or identity, education or disability, feels valued and respected.
• Committed to a nondiscriminatory approach and provides equal opportunity for employment and advancement in respective departments, programs, and worksites.
• Respects and values diverse life experiences and heritages and ensures that all voices are valued and heard.
• Committed to modeling diversity and inclusion and to maintaining an inclusive environment with equitable treatment for all.

The preceding essential function statements are not intended to be an exhaustive list of tasks and functions for this position. Job descriptions provide a representative summary of the major duties and responsibilities performed by incumbents. Other tasks and functions may be assigned as needed to fulfill the mission of the organization.

• QUALIFICATIONS/KNOWLEDGE/SKILLS/ABILITIES
• • Requires high school diploma or GED.
• Requires Basic Life Support certification through the AHA.
• Requires ability to accurately collect patient information.
• Requires ability to ability to perform multiple tasks simultaneously.
• Requires excellent teamwork ability and maturity in interpersonal staff relationships.
• Requires strong interpersonal skills/abilities to relate to people with respect for their individuality and privacy.
• Requires computer experience utilizing Microsoft products as well as Electronic Medical Records.
• Requires flexibility to adjust to variations in the work environment.
• Requires experience working with culturally diverse communities and families with the ability to be culturally sensitive and appropriate.
• Reliable transportation required as travel is required within city limits.
• Experience working in a healthcare, community health, or social services setting preferred
• Knowledge of Medicaid and public assistance programs a plus.

Physical Requirement:

• • Prolonged periods of sitting at a desk and working on a computer.
• Able to be involved in degrees of prolonged standing, walking, sitting, bending, squatting, and stooping; as well as abilities of repeated bending, stooping, and squatting.
• Able to lift, push, and/or pull light to moderately heavy weight up to 20-30 pounds is a necessary function of this position.
• Able to perform duties during periods of varied and/or prolonged work hours.
• Must be able to read, write, hear, and communicate effectively in the English language by both orally and written.

EVALUATION OF PERFORMANCE

• The Primary Care Patient Navigator - HIP will receive annual performance evaluations that rate job performance in accordance with HealthNet vision, mission, policies and procedures. The evaluations may include, but not be limited to, performance of many of the specific skills and abilities noted above. The Primary Care Patient Navigator - HIP is expected to present an exemplary professional image; maintain a positive attitude toward work and HealthNet; display a willingness to accept and complete assigned job responsibilities and duties; demonstrate the ability to independently exercise judgment, supervise staff if applicable, and complete all phases of assigned tasks or projects; and serve as a positive role model for other HealthNet staff.
• EQUAL EMPLOYMENT OPPORTUNITY:
• HealthNet is an Equal Employment Opportunity Employer and employment decisions are made without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, or any other category protected by federal, state, or local law.