Eligibility Navigator Supervisor - Phoenix - Adelante Healthcare Center

The Eligibility Navigator Supervisor is responsible for overseeing the Navigator Program, promoting health insurance programs throu...

ESSENTIAL SKILLS AND EXPERIENCE:

Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)

Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations

High School Diploma or GED from an accredited institution

Minimum three (3) year experience in medical front office, customer service and/or experience in sales, interview techniques, and extensive public relations/contact work

Experience and knowledge of health care programs available through state and federal programs such as Medicaid/AHCCCS, DES, etc.

Bilingual English/Spanish. Must have the ability to communicate effectively with monolingual Spanish speakers

Ability to write routine reports and correspondence, utilizing excellent English, spelling, and punctuation skills

Ability to calculate figures and amounts such as discounts, interest, and percentages

Ability to interpret a variety of instructions furnished

Strong familiarity with human service agencies serving low-income and minority populations and understanding of and sensitivity to issues of concerns to low-income and minority communities

Ability to meet and deal effectively with clients, associates, and the general public

Basic computer efficiency, with the ability to utilize the Patient Management system

Valid Arizona Driver’s License and current auto insurance

Must have reliable transportation that can meet any operational reassignments of the organization during the workday.

Competency in dealing with people of various cultures and backgrounds

POSITION RESPONSIBILITIES

Directly supervise Eligibility Navigators, working closely with the Eligibility Manager and Eligibility Specialist.

Provide ongoing performance feedback and conducting team check-ins, supporting eligibility navigators, being proactive about anticipating and solving problems, and if necessary, working closely with leadership, implementing any corrective actions and making employment termination decisions.

Recruit, screen, hire, orient, train, direct and monitor all community-based navigator outreach and enrollment work.

Complete online Navigator certification and obtain Navigator license, maintaining training annually and perform duties of a Navigator for the length of the cooperative agreement. This also includes any additional training that supports the work of the Eligibility Navigators as agreed upon with the Eligibility Manager and Community Programs Director.

Coordinate with marketing and other departments to allow for timely and actionable messages to convey about health coverage opportunities available. Ensure translated materials are made available as needed to serve consumers and/or patients in culturally and appropriate ways.

Maintain knowledge, expertise, and certification in eligibility, enrollment and program specifications of the Federal Marketplace and other health coverage programs such as AHCCCS, CHIP, SNAP, and presumptive eligibility.

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

Work with Eligibility Navigators to build a referral network within Adelante Health Centers and community partners to help identify eligible individuals who need assistance enrolling in coverage

Collect and submit reports including, but not limited to weekly, quarterly, and annual reports as required by Navigator grant

Provide enrollment assistance to uninsured children and adults to help them access health insurance through the Federally Facilitated Marketplace, state Medicaid Program or Sliding Fee Scale Discount Program as needed, especially during open enrollment.

Collect and store all Navigator consent forms as required by the grant.

Present to other community partners on health coverage programs available.

Attend community outreach events to promote Navigator enrollment assistance and Adelante Healthcare services and outreach to community members, partner organizations and businesses to provide material and information about available resources and programs.

NONESSENTIAL SKILLS AND EXPERIENCE:

Associates Degree from a two year college in a health care or related field

Three (3) years of experience in community health

Additional Duties and Responsibilities

Other duties as requested or assigned

Patient Centered Medical Home (PCMH) and Integrated Care Team (ICT)

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Code of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics 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.

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.  The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites.  The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities.  Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises.  In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.