Certified Patient Navigator-Bilingual 40 hours Great Benefits

ABOUT THE ORGANIZATION

Community Health Programs is a network of health centers and caring professionals that provide outstanding primary and preventive care for patients of all ages. What's truly unique to CHP is our broad spectrum of support services that extend beyond medical and dental issues to strengthen families and improve children's well-being. The region is a federally designated rural community and a Medically Underserved Population Area.

Community Health Programs embraces its role as a nonprofit health care provider and community partner. We are a leader in the communities we serve by providing high quality healthcare, dental services, wellness education and family support services. CHP outreach provides free health screenings, insurance enrollment assistance as well as information so people can learn how to take better care of themselves and their families.

Salary: $24.00-$28.00 / per hour The Certified Patient Navigator is a grant funded position that provides advocacy, information, enrollment and follow up assistance to CHP patients and community at large seeking health, wellness and ancillary services within the practices. The Certified Patient Navigator helps client/patients navigate Massachusetts Health Care reform including enrollment, reinstatement, billing, troubleshooting and the best customer service to all patients. This person will support CHP’s mission, vision, and values and will adhere to compliance protocols as well as CHP’s policies and procedures. Position is tied to grant funding and may not be converted into a permanent position.

POSITION REQUIREMENTS

Certified Patient Navigator Essential Duties and Responsibilities:

• Responds to incoming requests for assistance regarding the application and enrollment process by assisting old and new patients with expired or no insurance coverage to apply for available state subsidized programs, including Mass Health, Commonwealth Care, and the Health Safety Net as well as assistance regarding both the transitioning of health plans and the use of the Health Insurance Exchange website.
• Works with clients and outside agencies to ensure insurance is activated and duly covered.
• Attends community outreach and enrollment assistance events as time allows.
• Provides monthly reports and statistics of enrollment numbers and referrals as required for grant documentation.
• Keeps current on updates related to Mass Health and other state benefits and enrollment processes by attending conferences, forums, and receiving emails.
• Assists patients with various issues including those related to other medical groups, hospitals, and other social organizations.
• Works in collaboration with other organizations (BHS, Advocacy for Access, Berkshire Taconic Foundation) regarding mutual patients.
• Answers inquiries by phone and in person about eligibility guidelines, application requirements, and services covered.

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

• Strong ability to multi-task and manage projects and personnel.
• Responds promptly to customer needs.
• Responds to requests for service and assistance.
• Meets commitments and is punctual.
  • Is a subject matter expert and keeps knowledge current by attending required trainings and meetings.
  • Applies specialized knowledge and techniques to nutrition related health issues.
  • Knowledge of and respect for HIPAA regulations.
  • Exhibits objectivity and openness to others' views.
  • Gives and welcomes feedback.
  • Contributes to building a positive team spirit.
  • Excellent customer service and interpersonal skills.

• Highest degree of professionalism and ethics.
• Handles issues with tact and diplomacy.
• Takes initiative, follows through, and manages different tasks with quick turn-around time.
• Excellent verbal and written communication skills.
• Prepares and presents statistical and other reports oral or written as required.
• Must read, write, and speak English

Essential Skills and Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must initially pass and later maintain annual certification requirements as outlined by the State of Massachusetts.

• Must be able to understand and analyze billing information to develop processes re-engineering based on business needs.
• Able to research and interpret complex regulations.

• Ability to read, analyzes, and interprets common scientific and technical journals, financial reports, and legal documents; ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
• Ability to calculate figures and amounts.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• To perform this job successfully, an individual should have knowledge of Microsoft Office: Outlook, Word, Power Point and Excel.
• Position requires a level of specialized knowledge normally acquired through an Associate’s degree, or a combination of education and experience or 2 or more years of experience.

FULL-TIME/PART-TIME Full-Time

POSITION Certified Patient Navigator-Bilingual 40 hours Great Benefits

EXEMPT/NON-EXEMPT Non-Exempt

LOCATION MA, Great Barrington, CHP Family Services

EOE STATEMENT

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

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