Patient Navigator

Neighborhood Health•Nashville, TN

17d

About The Position

Neighborhood Health is a network of 12 community health centers in Nashville, Lebanon, and Gallatin, Tennessee, providing primary care, integrated behavioral health, and dental services to nearly 30,000 patients. The organization serves communities including immigrants, residents of public housing, people experiencing homelessness, and people living with addiction. As a federally qualified health center, it provides care regardless of insurance status or ability to pay. The Patient Navigator works in Neighborhood Health communities to help patients enroll in programs such as TennCare, CoverRx, and the Federal Health Insurance Marketplace, and coordinates ongoing care between patients and practitioners. The role may also represent Neighborhood Health at community events. The position reports to the Manager of Patient Navigators and has no supervisory responsibilities. The Patient Navigator helps patients determine eligibility for public coverage and assistance programs, supports enrollment in pharmacy patient assistance programs, and maintains accurate, confidential case records. The role also supports care coordination by identifying patients at risk of complications, addressing gaps in care, and working with patients and the care coordination team to improve health and quality-of-life outcomes. The position is full-time, non-exempt, with a 40-hour work week; occasional nights or weekends may be required.

Requirements

Graduation from an accredited college or university with a bachelor’s degree, an associate’s degree, or equivalent experience.
At least three years of qualifying full-time eligibility determination experience, clinical-setting experience, or similar professional, paraprofessional, or technical experience.
Active listening and learning skills.
Basic computer and mathematical skills.
Effective verbal and written communication appropriate to the audience.
Critical-thinking, problem-solving, and decision-making skills.
Effective organizational and time-management skills.
Interpersonal skills and reading comprehension.
Flexibility and adaptability to different environments and regulations.
Ability to remain objective, synthesize information, tailor communication to the audience, concentrate on tasks, manage competing priorities, retain information, work as part of a team, and work with diverse populations.
Ability and willingness to occasionally work nights or weekends.
Ability to sit, stand, and/or walk for periods of five hours or more, and move and examine objects at high and low reach.
Ability to work with frequent interruptions while maintaining attention to detail, accuracy, documentation, and timeliness.

Nice To Haves

Spanish speaking.
Experience with TennCare, CoverRx, and the Federal Health Insurance Marketplace.

Responsibilities

Help eligible uninsured children and pregnant women apply for TennCare/CoverKids by their date of service.
Help eligible uninsured parents or caretaker relatives of minor children apply for TennCare by their date of service.
Help eligible uninsured adults ages 18–64 apply for CoverRx on their date of service.
Help eligible Medicare enrollees apply for the Medicare Savings Program.
Enroll patients who are ineligible for coverage programs, as well as uninsured and underinsured patients, in pharmacy or other Patient Assistance Programs.
Keep current on policies and procedures and complete required federal or state consumer assistance training.
Analyze eligibility information, calculate income, obtain supporting documentation, and apply appropriate policies and procedures.
Interview clients, explain eligibility, benefits, responsibilities, rules, and determinations, and help clients understand available services.
Enter client information into computer systems, document verifications and services, maintain case files and confidentiality, and submit required activity and outcome reports.
Communicate with outside organizations and vendors to obtain or provide information about client eligibility and circumstances.
Identify clients at risk of high-risk complications and coordinate appropriate supported self-care with clients and the care coordination team.
Recognize and address gaps in care; develop and implement targeted strategies to improve health, functional, or quality-of-life outcomes.
Compare clients’ plans of care with established pathways, identify variances, and intervene as indicated.
Provide materials for morning huddles and meet with new clients after visits to address questions or concerns.
Resolve general client concerns about agency programs, policies, and procedures, and refer grievances or other issues to appropriate offices.
Provide fair, accurate, culturally appropriate, and impartial information and assistance.
Maintain professional working relationships with referral sources, community resources, and care providers.
Provide information and support to coworkers, vendors, and clients, and identify benefits and services available through the insurance exchange or related sources.
Promote a positive image of Neighborhood Health through quality service and support of the organization’s mission.
Represent Neighborhood Health at community events when required.