HEALTH NAVIGATOR

OPSAM HEALTH • Chula Vista, CA

7d

About The Position

The Health Navigator coordinates with different health plans to ensure compliance issues based on the value of each health plan. Prepares reports on HEDIS measures and communicates the results to the different stakeholders. Visits each clinic to thread with other Patient Care Coordinators as needed. Monitors projects funded by the health plans.

They are responsible for member engagement and bringing members in for health screening to close gaps in care. The goal is to improve member relationships and preventative care outcomes through face-to-face member engagement by the Health Navigator.

Requirements

• Knowledge of the principles and practices of health education or medical knowledge.
• Knowledge of training methods, group dynamics, and community organization.
• Proficient in Windows and Microsoft applications including Word, Excel, Power Point, and Outlook.
• Must have a high level of organizational skills.
• Skill in planning, organizing, implementing, evaluating and administering health education programs. Skill in presenting information in-group settings.
• Skill in leading and coordinating the work of others.
• Ability to develop and maintain positive interpersonal relationships with a variety of people.
• Demonstrate effective verbal and written communication skills with staff, Board members, vendors, medical providers, and members of the general public.
• Complete many different duties, often changing from one task to another of a different nature without loss of efficiency or composure.
• Must be able to work under stress when confronted with critical or unusual situations.
• Must be able to follow instructions explicitly.
• Demonstrates ability to exercise analytic ability.
• Read and write, verbal and written communication, time management, and interpersonal skills.
• Prioritize, meet deadlines, and use sound judgment.
• Have reliable transportation; clean driving record, and car insurance as required by the state.
• One-year experience providing medical information and dissemination.

Nice To Haves

• Bachelor’s in Public Health, Health Education, Social Work or closely related field preferred.

Responsibilities

• Comply with department policy and procedures
• Obtain needed data from health plans regarding HEDIS measures
• Collect medical records, conduct reviews and ensure accuracy of documentation for reporting
• Assist in planning and implementation of projects to improve delivery of services and quality of care
• Perform patient outreach and scheduling to close care gaps
• Understand the principles of HEDIS and HIPAA
• Provide in-service training to providers regarding HEDIS and CMS Star Measures
• Generate and maintain accurate reports as required
• Attend to health plan, provider, and interdepartmental calls
• Perform other duties, projects, and actions as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level