Per Diem Healthcare Navigator

NEW JERSEY HOSPITAL ASSOCIATION GROUP•Princeton, NJ
•$30 - $35

About The Position

The Healthcare Navigator serves as a Certified Enrollment Counselor as part of the New Jersey State Navigator Program during the Open Enrollment Period. The role provides free, fair, accurate, and impartial outreach, education, enrollment, re-enrollment, and post-enrollment assistance to uninsured and underinsured New Jersey residents who may qualify for healthcare coverage with financial assistance. Navigators work in community-based settings, primarily within their assigned region and occasionally elsewhere in New Jersey, as well as in virtual environments, guiding consumers through the enrollment process and beyond.

Requirements

  • A college degree in healthcare administration, nursing, health services, public health, or a related field, or 10 years of equivalent training or experience in healthcare, patient navigation, counseling, social work, mental health, public assistance programs, or a similar background.
  • Ability to demonstrate creative problem-solving, organizational skills, and peer education skills.
  • Proficiency with video conferencing software and data entry systems.
  • Reliable transportation for daily travel, primarily throughout the assigned region and occasionally elsewhere in New Jersey.
  • Willingness to work a nontraditional schedule, including extended hours and weekends during Open Enrollment and special events.

Nice To Haves

  • Bilingual fluency in English and Spanish, or another language prominent in the region served, is strongly preferred.
  • Veterans from any branch of the U.S. military are encouraged to apply.

Responsibilities

  • Participate in relevant in-person or virtual trainings and obtain required certifications, pass follow-up exams, and maintain expertise in program eligibility, enrollment specifications, and related concerns.
  • Collaborate with the project team to engage, educate, and establish partnerships and referral processes with healthcare providers, public agencies, faith-based organizations, social service agencies, community organizations, workforce partners, libraries, housing providers, small businesses, and other trusted local partners.
  • Participate in outreach events, enrollment fairs, community resource events, virtual education sessions, and partner-site assistance.
  • Educate consumers about GetCoveredNJ, NJ FamilyCare, enrollment periods, financial assistance, eligibility requirements, documentation needs, and free Navigator assistance.
  • Assist consumers with creating or reopening GetCoveredNJ accounts, completing or updating applications, reviewing eligibility results, applying for financial assistance, comparing coverage options, selecting or changing qualified health plans, and completing NJ FamilyCare applications.
  • Provide re-enrollment and post-enrollment assistance, including helping consumers respond to data-matching or documentation requests, report life changes, resolve eligibility or enrollment issues, understand renewal requirements, and maintain or transition coverage.
  • Explain health insurance terms, premiums, deductibles, cost sharing, provider networks, appropriate sites of care, primary care, coordinated care, and how to use coverage after enrollment.
  • Obtain consumer authorization before assisting with insurance or other social service applications and comply with Marketplace privacy, security, authentication, and data security standards.
  • Arrange qualified interpreter services or other language supports and ensure assistance is culturally and linguistically appropriate and accessible to people with disabilities.
  • Provide information fairly, accurately, and impartially, acting in the best interests of consumers.
  • Connect consumers with community resources addressing health-related social needs, including housing, transportation, food, employment, tax preparation, and other healthcare assistance.
  • Document project activities using HRET data collection tools.
  • Collaborate with other HRET members to research and discuss strategic opportunities to address observed community health needs.
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