Demo

Federal Navigator II (Bilingual)

El Centro Del Barrio
San Antonio, TX Full Time
POSTED ON 2/17/2025
AVAILABLE BEFORE 5/2/2025

Job Description

Job Description

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 :

As part of the Federal Navigator Grant and under the supervision of the Director – Enrollment Services, the Navigator II will facilitate consumer enrollment in a Qualified Health Plan (QHP) through the Federal Marketplace and / or other health programs such as Medicaid, CHIP, Title V, Primary Health Care, Methodist Healthcare Ministries and assist qualified individuals in making informed decisions on the selection of a health plan. The Navigator II will conduct outreach and education activities to consumers and businesses about the availability and affordability of available insurance programs. The Navigator II will provide services to all consumers, including but not limited to, CentroMed patients and area residents, particularly residents under-represented in the health insurance market. The Navigator II 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 :

  • Provide confidential application assistance and facilitate enrollment of eligible patients and community members in health insurance programs.
  • Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Federal Marketplace and other health coverage programs such as Medicaid and CHIP.
  • Prepare and submit narrative and statistical reports daily as required by the Federal Navigator Grant.
  • Implement outreach strategies to promote the availability of health insurance and encourage participation of consumers particularly in communities that are under-served and under-represented in the current health insurance market.
  • Conduct inreach, outreach and education activities to inform CentroMed patients, consumers, businesses, community organizations and other stakeholders about insurance affordability through the Marketplace, Medicaid and or CHIP to encourage participation.
  • Provide information and assistance in the consumer’s preferred language and / or provide limited-English proficiency consumers with oral and written notices of their rights to receive language assistance services and how to obtain such services.
  • Provide referrals for consumers with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies.
  • 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)
  • Assist with the development and dissemination of marketing and promotional materials for outreach, application assistance and education activities that are tailored to CentroMed’s service delivery area and target population.
  • Assists in training new employees in performing their duties as requested
  • Prepare and submit narrative and statistical reports to the Manager as required by funding sources.
  • 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
  • Perform other duties as assigned

PERFORMANCE STANDARDS :

Performance will be evaluated by the Manager using the Performance Evaluation CDB Form No. 1006c (2 / 94) wherein a satisfactory overall rating is considered as a minimum acceptable level of performance.

PRE-EMPLOYMENT REQUIREMENTS All offers of employment by this employer are conditional upon the incumbent’s successful completion of pre-employment screenings, including a criminal background check, drug screen, educational and prior employment verification, professional reference checks, and verification of the incumbent’s eligibility and authorization to work in the United States.

Requirements : QUALIFICATIONS :

Education : Bachelor’s degree in Social Work, Public Health, Psychology, Business, Public Administration, or Social and Behavioral Sciences from an accredited college or university is required.

Other degrees may apply if applicant has social services experience or equivalent experience as a CAC, Navigator or Outreach Specialist specifically with the ACA Health Insurance Marketplace.

Experience : Experience in helping people access social services.

Specific experience with enrollment in health insurance programs including assisting people with the insurance application, facilitating enrollment, explaining insurance policies, and selecting a plan that best suits them is preferred.

Working knowledge of Your Texas Benefits application process, Texas Medicaid Program, CHIP, and the public assistance benefit application is desirable.

Experience with community organizing outreach strategies to promote programs, sales or marketing is preferred.

Other : Strong oral and written communication skills.

Ability to work effectively and professionally in a fast-paced environment.

Knowledge of and ability to work with the uninsured, under-served and under-represented populations.

Must have advanced computer skills and experience with Word, Excel, Outlook, Publisher and PowerPoint programs.

Must be able to type at least 40 wpm.

Spanish and English bilingual preferred.

WORK / PHYSICAL REQUIREMENTS :

  • Must be able to perform the essential functions of the position.
  • Must be able to meet the attendance requirements of the position.
  • Work must be performed on-site as designated
  • Must not pose a threat to the health or safety of other individuals in the workplace.
  • Physical ability to lift up to 20 pounds unassisted.
  • Must be able to deliver excellent customer service, externally and internally
  • CentroMed is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

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