Navigator
  • Job Posting Expires: 3/31/2022
2W ago
$30,000 to $40,000
Full Time
No
Healthcare
0-2 Years
4Year
Primary Duties

Essential Duties and Responsibilities

1. Conduct public education activities to raise awareness about the Exchange

2. Provide application assistance and facilitate enrollment of eligible patients and community members in health insurance programs, Medicaid, and CHIP.

3. Facilitate the selection of a Qualified Health Plan.

4. Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Federal Marketplace and other health coverage programs such as Medicaid and CHIP.

5. Work to continually build new relationships and maintain existing ones with current and future community entities that are providing services to consumers to promote health insurance coverage through the Federal Marketplace, Medicaid, and or CHIP.

6. Provide referrals for consumers (patients) with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies. This includes assisting consumers (patients) with marketplace decision appeals.

7. Participate in regularly scheduled conference calls, meetings, and trainings in order to provide accurate, quality services. This includes participation in the Centers for Medicare and Medicaid Services (CMS) trainings and other required training to complete and maintain Navigator certification and to enhance outreach and enrollment expertise.

8. Provide data and other information necessary for CMS and other reporting requirements.

9. Ensure the protection, data-sharing consent, and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.

10. Other duties as assigned.

 

Duties 1 through 10 are designated as ADA Essential Functions and must be performed in this job. All other job duties are secondary functions.


Required Knowledge, Skills, and Abilities

Qualifications: Training and Education

Bachelor’s Degree in Healthcare Administration, Public Health, Communications, Social Work or closely related field with knowledge of health care project management or equivalent combination of education and experience.

 

Qualifications: Experience

Prior experience in customer service and insurance related activities desirable.

 

Qualifications: Licensure/Certification

Must have a valid Nebraska driver’s license and provide proof of personal driver’s insurance and the ability to utilize own transportation for work purposes.

 

Qualifications: Knowledge, Skills, and Abilities

Highly detail oriented and organized work.

Demonstrated skill initiating, organizing and completing tasks with moderate to minimal supervision.

Ability to work cooperatively and collaboratively with all levels of management and external agencies to maximize performance, creativity, problem solving and results.

Demonstrated ability to apply knowledge of a variety of federal, state and local resources, programs and services involved with Outreach and Enrollment initiatives. Demonstrated ability to use intermediate functions and features of the MS Office suite including word processing, spreadsheet, presentation and database applications.

Able to work in a team environment. Strong communication skills.

Ability to efficiently carry out Midtown Health’s Center mission statement and comply with its policies and procedures.

Ability to establish and maintain effective working relationships with patients, co-workers, and the public and to be able to demonstrate cultural awareness and sensitivity.

Must be able to maintain strict confidentiality of sensitive information in accordance to HIPPA regulations.

Ability to comply with all occupational safety and health standards and all rules, regulations, and orders issues under the Occupational Safety and Health Act (OSHA).

Ability to utilize critical thinking and problem solving skills to address clinic’s needs.

Ability to interpret oral and written instructions and do appropriate follow-up.

Ability to constructively participate in quality improvement efforts.

Ability to actively participate in marketing and outreach activities when requested and emergency response events when required.

Bilingual (English/Spanish) verbal and written skills are highly desired.

Must have strong oral and written communication skills.

Ability to speak to both large and small groups.

Ability to utilize and understand appropriate software and technology including the EHR system to accomplish job functions.

Knowledge of community, state, and federal assistance programs.

 

Working Conditions/Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to work varied and extended hour scheduling as requested including early mornings, evenings, and occasional weekends.

Ability to work in a smoke-free and drug-free work environment.

 

Physical Demands

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.

Maintain physical condition appropriate to the performance of assigned duties and responsibilities which may include sitting or standing for extended periods of time.

Must have the ability to exert up to 20 pounds of force occasionally and/or a negligible amount of force constantly to move objects.

Requires frequent bending, stooping, or stretching.

Ability to reach by extending hand(s) and arm(s) in any direction.

Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.

Vision and hearing within normal parameters to perform job requirements.


Compensation Details

Midtown Health Center offers competitive wages.


Benefits

Midtown Health Center offers a comprehensive benefits package including health, dental and vision insurances, 401(k), paid time off and more.


How to Apply

Please visit our website to apply