Federal Navigator I (Bilingual)

Description

COMPANY OVERVIEW

CentroMed is 501(c) (3) non-profit organization that provides healthcare for all populations is a primary care provider and Federally Qualified Health Center (FQHC) with multiple locations throughout San Antonio and the New Braunfels area. Over the past 50 years, CentroMed has changed lives while remaining dedicated to the mission and vision of being a premier healthcare provider in the community. Join our team of dedicated professionals in providing comprehensive care and quality customer service to our community.

Founded in 1971 by CEO and President Ernesto Gomez, PHD, CentroMed has grown from a community-based program focused on providing culturally competent care for underserved populations, to a network of high-quality healthcare clinics across San Antonio and New Braunfels providing full- service health and dental care to all populations, regardless of income limitations.

We are a mission focused organization that wants to be the heart of our communities. We invite you to visit CentroMed and discover how we can be your medical home.

MISSION

We improve lives through improving the well-being of families through high quality, compassionate health care.

CORE VALUES

RESPECT We treat all persons with dignity and compassion  

INTEGRITY We build trust through honesty, word and deed  

EXCELLENCE We use best practices to deliver exceptional quality care 

AFFORDABILITY We manage resources to provide affordable health care 

TEAMWORK We work together as a team in the interest of patient care 

POSITION OVERVIEW:

We are searching for our next SUPER STAR ! As part of the Federal Navigator Grant and under the supervision of the Manager, the Navigator I, position involves meeting and interviewing Community Health Center patients and other community members to determine eligibility and facilitate enrollment in various health programs, including Medicaid, CHIP, Title V, Primary Health Care, Methodist Healthcare Ministries, and Qualified Health Plans (QHP) through the Federal Marketplace. The role requires maintaining current knowledge of patient eligibility status, enrollment protocols, and changes in program specifications. This role includes assisting patients in making informed decisions regarding their health plans and ensuring the security and confidentiality of consumer information. The Navigator will be required to complete up to 30 hours of Navigator training through CMS and the HHSC Community Partner Program to obtain consumer assistance certification and will be required to recertify on an annual basis.  

DUTIES AND RESPONSIBILITIES:

• Evaluates patient’s eligibility using the VeritySource Medicaid Eligibility System and provides application assistance for health programs like Medicaid, CHIP, and QHPs.
• Maintain up-to-date knowledge of eligibility, enrollment procedures, and program details for various health coverage programs.
• Implement outreach and in-reach strategies to promote health insurance availability, especially in under-served and under-represented communities.
• Conduct confidential interviews to gather necessary information from patients and potential clients and assist them in applying for services.
• Educate the public and patients about available programs, services, policies, and procedures, ensuring information is provided in the consumer’s preferred language.
• Ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures. Demonstrating and maintaining the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA).
• Prepare and submit narrative and statistical reports daily as required by the Federal Navigator Grant.
• Completes necessary forms and maintains complete and accurate records of each prospective client abiding by the company’s confidentiality policies
• Assists in training new employees in performing their duties as requested 
• Comply with TDH, state, and private funding requirements; (ie. Centro del Barrio’s infection control, hazardous materials, and safety policies)
• Performs all duties in conformance to appropriate safety and security standards.
• Participate in the agency’s Quality Improvement Program 
• Performs other duties as assigned

PERFORMANCE STANDARDS:

Performance will be evaluated by the Manager using the Performance Evaluat