Rx Navigator

ASHwell•Austin, TX

1d•$50,000 - $54,000•Onsite

About The Position

ASHwell’s Rx Navigators are the heart of our HOPE Rx program, dedicated to Helping Overcome Prescription Expenses for our Patient Members. HOPE Rx ensures zero-cost access to life-saving medication, removes financial barriers and supports self-determination by building access and Health Equity. The Rx Navigator’s vital role in ensuring our Patient Members’ access to medications and financial assistance programs means working closely with our Patient Members to minimize no-show appointments, maximize ease in accessing meds and adhering to medication schedules. They are the liaison between our Patient Members and: our clinic, our in-house pharmacy, external pharmacies, insurance companies and, assistance programs. The Rx Navigator works with cross functional team members to ensure the best and most efficient wrap-around support and plays a vital role in keeping ASHwell patients in care.

Requirements

2+ years of customer service experience in any field
1+ years working with marginalized communities OR have lived experience
Strong interpersonal and communication skills for working directly with patients, providers, and pharmacies
Exceptional verbal and written communication skills for cross team collaboration
Prior experience coordinating social or programmatic services
Ability to work independently, workplan and prioritize workload to align with departmental priorities
Strong analytical and problem-solving skills
Ability to read, analyze, and convey complex information
Proficiency in Microsoft Office Suite - Teams, Word, Excel, OneDrive, PowerPoint
Lives in Austin, TX or within the greater Austin Metro Area or within 50 miles of ASHwell headquarters at 3800 Red River
In depth understanding of gender and sexual orientation spectrums
High comfort level working in a pro-pleasure, pro-sex, pro-kink and pro-queer environment
Baseline understanding of Harm Reduction and need for HIV de-stigmatization
Alignment with ASHwell values of race and gender justice, sexual and reproductive health equity

Nice To Haves

Bi-lingual English and Spanish speaking
HIPPA Certified
1–2 years of experience in healthcare navigation, case management, pharmacy, or patient advocacy
Prior experience working in a nonprofit environment
Prior experience and knowledge of medication access programs (e.g., 340B, PAPs, copay assistance)
Prior experience working with insurance plans, prior authorizations, and patient assistance programs
Prior experience working or volunteering in HIV/STI prevention or other community health programs, especially PrEP/PEP, HIV and or HCV treatment
Associate’s or Bachelor’s degree in healthcare, social work, public health, or a related field
Prior experience working in sexual health and wellness field
Experience working with EHRs/CRMs (Apricot, Athena, etc.)

Responsibilities

Coordinate with in-house and other pharmacies to ensure Patient Members receive their medication
Track prior authorizations, renewals, and prescription refills, and follow up on delays or denials
Enroll Patient Members in foundation-based or pharmaceutical prescription assistance programs to ensure that PrEP/HIV/HCV medications are acquired at no cost to the patient-client.
Assist clients in understanding their medication needs and options
Collaborate with the Health Insurance Enrollment team and provide one-on-one support to help clients navigate insurance coverage, copay programs, and patient assistance programs as needed
Educate clients about importance of accessing medication instructions, side effects, and importance of adherence
Provide culturally competent, trauma-informed guidance tailored to clients’ literacy and language needs
Collaborate with cross functional team members to ensure medication access needs are included in integrated care team rounds.
Draft request for ASHwell’s internal “Care for All” Fund to eliminate gaps in cost coverage
Maintains a spreadsheet tracking medication access and detailing delivery of medications.
Monitor and track patient paperwork to confirm all necessary documentation is received and correctly filed in collaboration with Health Insurance Enrollment and Intake Specialist teams
Track prior authorizations, renewals, and prescription refills, and follow up on delays or denials
Support the Intake Specialist team to contact Patient Members for reminders of upcoming appointments via phone call, email, or text message, providing any necessary instructions or information regarding their visit.
Consistently maintain and update tracking systems (Apricot, Athena, Spreadsheets) to monitor Rx access and ensure accurate records
Assist Patient Members in completing intake and registration paperwork, including medical history forms, consent forms, etc.
Review Patient Member’s documents and information to ensure accuracy and completion
Support the Health Insurance Enrollment team to gather necessary documents from patient-clients, such as identification, insurance cards, and medical records, and organize them for easy access by healthcare providers as needed
Keep track of any additional paperwork or information needed, remind Patient Members to provide missing documents, and follow up to ensure all necessary paperwork is completed in a timely manner
Assist in completing prior authorizations, insurer records requests, insurance opt-out processes, and patient-client assistance programs
Collaborate with Hope Rx team members to improve existing service and develop new strategies to maximize medication access
Participates in all required staff meetings and retreats.
Maintains up-to-date calendar and work plan.
Utilizes agency-wide systems and protocols for all agency business.
Offers at least 24 hours' notice for internal meeting cancellations/rescheduling.
Maintains chain of command for internal communications.