HIV Prevention Navigator

Fenway Health•Boston, MA
•$24 - $26

About The Position

Under the direction of the ID Program Manager, the HIV Prevention Navigator provides comprehensive, patient-centered navigation for individuals eligible for or receiving HIV Pre-Exposure Prophylaxis (PrEP). As a member of the Infectious Disease (ID) team’s HIV prevention program, the Navigator supports timely linkage to PrEP services, retention in care, medication access, adherence, and patient engagement. The role collaborates with medical providers, pharmacy staff, community health workers, and insurance payers to reduce barriers to HIV prevention services and assist patients with insurance coverage, prior authorizations, pharmaceutical assistance programs, and benefits coordination. The Navigator provides education and navigation for oral and long-acting injectable PrEP and supports informed decision-making through culturally responsive communication. This is a grant-supported position funded through September 2027, with possible extension depending on grant funding availability. The position also supports nPEP education and referrals, Ryan White program compliance and documentation, digital navigation through MyChart and telehealth, community outreach, and initiatives to promote equitable access to HIV prevention. The role includes participation in team huddles, case reviews, quality improvement activities, required meetings, trainings, and professional development. Some local travel between Fenway sites and community locations is required. This is a union position in a Fenway Health bargaining unit represented by 1199 SEIU United Healthcare Workers East.

Requirements

  • High school diploma or equivalent.
  • Knowledge of HIV prevention strategies and PrEP services.
  • Experience working with diverse and underserved populations.
  • Proven task-management skills and strong documentation habits.
  • Strong interpersonal, communication, and organizational skills.
  • Ability to build trust with vulnerable populations.
  • Initiative and independence, with the ability to manage multiple priorities and maintain confidentiality.
  • Proficiency in Microsoft Office.
  • Complete Ryan White HIV/AIDS Program grant-funded staff training within 30 days of hire and annually thereafter.
  • Complete Fenway Digital Navigation training within 90 days of hire.
  • Complete the HealthHIV PrEP Navigation Certification (HIVPNC), provided by Fenway, within 90 days of hire.
  • Ability to work respectfully and effectively with people from a wide range of backgrounds, perspectives, and life experiences, without regard to protected characteristics defined by applicable law.
  • Ability to sit at a computer station and keyboard for extended periods.
  • Ability to meet the stated physical requirements with or without reasonable accommodations.
  • Ability to make some local travel between Fenway sites and community locations for outreach and events.
  • Adhere to standard infection control precautions during periodic in-person contact with patients in clinical settings.

Nice To Haves

  • Bachelor's degree.
  • Experience in healthcare navigation, case management, patient advocacy, HIV prevention, or related services.
  • Experience with insurance verification, prior authorizations, and pharmacy benefit management.
  • Experience supporting patients receiving long-acting injectable therapies.
  • Proficiency using electronic health record (EHR) systems.
  • Bilingual or multilingual proficiency.
  • Familiarity with Ryan White, Medicaid, Medicare, commercial insurance, and patient assistance programs.
  • Experience in infectious disease, sexual health, LGBTQ+, community health, or population health settings.
  • Experience supporting patients with digital health tools, patient portals, or telehealth workflows.

Responsibilities

  • Conduct outreach and engage individuals who may benefit from PrEP services.
  • Educate patients about HIV prevention strategies, PrEP eligibility, effectiveness, side effects, adherence requirements, oral and long-acting injectable therapies, and available prevention options.
  • Provide culturally responsive education to support informed decision-making.
  • Educate patients about non-occupational Post-Exposure Prophylaxis (nPEP) and facilitate referrals when indicated.
  • Guide patients through the PrEP care continuum, from referral and enrollment through treatment initiation, adherence, and retention.
  • Coordinate new patient intake, risk assessments, and PrEP eligibility screening.
  • Schedule medical appointments, laboratory visits, and follow-up appointments.
  • Refer patients to primary care, behavioral health, substance use treatment, social services, housing resources, and community programs as needed.
  • Conduct follow-up outreach to maintain engagement and reduce missed visits.
  • Communicate with providers and multidisciplinary team members about patient needs and barriers to care.
  • Verify insurance eligibility and benefits coverage.
  • Complete and submit prior authorization requests, monitor their status, and coordinate appeals when required.
  • Assist patients with pharmaceutical copay assistance, patient assistance programs, and other financial assistance resources.
  • Coordinate with pharmacy and clinical teams to facilitate medication acquisition and administration.
  • Educate patients about coverage options and opportunities to reduce out-of-pocket costs; resolve medication access barriers to support timely initiation and continuation of PrEP.
  • Coordinate injectable PrEP administration visits, track injection due dates and follow-up intervals, and help patients who miss appointments re-engage and reschedule.
  • Collaborate with providers, pharmacy staff, and nursing teams to support adherence to injectable PrEP schedules and continuity of care.
  • Help patients access and use MyChart for scheduling, messaging, and reviewing PrEP-related results and reminders.
  • Support patients preparing for and troubleshooting telehealth visits related to PrEP initiation, follow-up, and monitoring.
  • Help patients evaluate health information found online or through AI tools and direct them to accurate, evidence-based PrEP resources.
  • Complete Fenway Digital Navigation training and apply the skills in patient support.
  • Complete required Ryan White HIV/AIDS Program grant-funded staff training and maintain working knowledge of applicable eligibility, reporting, and documentation requirements.
  • Document patient encounters and services in accordance with Ryan White reporting requirements and timelines, in partnership with the ID Program Manager.
  • Support accurate and timely data collection for Ryan White-funded HIV prevention and PrEP navigation services.
  • Maintain accurate, complete, and timely documentation in the electronic health record (EHR), in compliance with HIPAA, organizational policies, and funding requirements.
  • Participate in community events, health fairs, educational workshops, and outreach activities.
  • Develop and maintain relationships with community partners to strengthen referral networks.
  • Promote equitable access to HIV prevention services, including for disproportionately impacted populations such as cis women and cis women of color.
  • Support initiatives addressing social determinants of health that affect PrEP access and adherence.
  • Participate in team huddles, case reviews, and collaborative care planning with the ID and Sexual and Reproductive Health teams.
  • Participate in department and health center quality improvement activities as requested.
  • Protect patient and client confidentiality and attend required meetings, in-services, and professional trainings.
  • Perform other related duties.
  • Complete the HealthHIV PrEP Navigation Certification (HIVPNC) within 90 days of hire and participate in related continuing education and professional development.

Benefits

  • Competitive salary.
  • For those who qualify, comprehensive medical and dental insurance plans.
  • Retirement plan with employer match.
  • 11 paid holidays.
  • Paid vacation.
  • Support to maintain HealthHIV PrEP Navigation Certification and pursue continuing education.
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