Client Access & Navigator

Position: Client Access & Benefits Navigator

Location: Federal Way Administration, WA

Job :910

# of Openings:0

SIGNING BONUS $1500

About Us:

Valley Cities has recently been selected to lead efforts in Washington State to become a Certified Community Behavioral Health Clinic (CCBHC), reflecting compliance with stringent national standards in behavioral health care. This status enables broader service availability, improved integration of mental health and substance use treatment, enhanced crisis intervention capabilities, and ensures services are accessible to all, regardless of financial circumstances.

We are excited about the future ahead! We’re looking for people who want to make a real difference in behavioral health while growing alongside a mission-driven team. Employees joining Valley Cities at this time will become part of an impactful organization dedicated to advancing community behavioral health, that is grounded in compassion, equity and community impact. Join us to make significant contributions during pivotal moments in the lives of others!

supportive and inclusive work environment. Join us in making a difference every day!

Role Overview:

The Client Access & Benefits Navigator helps Valley Cities clients obtain and keep the health coverage that makes their care possible and serves as the organization’s internal subject‑matter resource on coverage requirements for clinicians and staff. Recent federal Medicaid legislation introduces more frequent eligibility redeterminations, community engagement (work) requirements for certain adult enrollees, expanded verification and documentation obligations, and new cost‑sharing rules.

These changes place significant administrative demands on a client population that includes people living with serious mental illness, substance use disorders, cognitive impairment, housing instability, and acute crisis — populations for whom a missed notice or an unreturned form can mean losing coverage and, with it, access to treatment. The Navigator works directly with clients to complete renewals, document exemptions, meet reporting deadlines, and respond to adverse determinations.

The Navigator also equips clinical and front‑office teams with the training, workflows, and documentation support they need to meet these obligations without diverting clinical time away from care.

Key Responsibilities:

• Assist clients in gathering, completing, and submitting eligibility and renewal documentation, including income verification, residency, household composition, and disability documentation.
• Support clients through Washington Healthplanfinder, Health Care Authority, and DSHS Community Services Office processes, including account setup, password recovery, document upload, and follow‑up on pending determinations.
• Identify reinstatement pathways for clients who have lost coverage, including retroactive coverage, good‑cause reinstatement, appeals, and reapplication.
• Conduct proactive outreach to clients approaching Apple Health redetermination deadlines, using multiple contact methods and coordinating with the client’s care team when standard outreach fails.
• Assist clients who are ineligible for or transitioning off Medicaid for alternative coverage, including Qualified Health Plans with subsidies, Medicare, employer coverage, and Valley Cities’ sliding fee scale or charity care.
• Coordinate with revenue cycle and billing staff on coverage lapses affecting active treatment episodes, prior authorizations, and medication access.

Community Engagement Requirements & Exemption Support

• Educate clients on applicable community engagement (work) requirements, qualifying activities, reporting deadlines, and verification methods, adapting the explanation to the client’s cognitive,…