Patient Navigator

Neighborhood Health is an innovative network of 10 community health centers in Nashville, Lebanon, and Gallatin, Tennessee. We provide comprehensive primary care, integrated behavioral health, and dental services to almost 30,000 patients. Our patients primarily include immigrants, residents of public housing, individuals experiencing homelessness, and persons living with addiction. As a federally qualified health center, we provide care without regard to health insurance or a patient’s ability to pay.

We also strive to improve our Patient Centered Medical Home (PCMH) model to ensure all of our patients get the right high-quality care, at the right place, and at the right time.

Neighborhood Health now seeks a
Patient Navigator
. This full-time employee will be responsible for two primary functions: enrollment in coverage programs and coordinating care for our members. This position will report to the Manager of Patient Navigation.

The
Patient Navigator
will work within Neighborhood Health communities to enroll members in programs such as Tenn Care, Cover Rx and the Federal Health Insurance Marketplace. Furthermore, it will be the responsibility of this individual to coordinate ongoing care between patients and practitioners. The Patient Navigator may also be required to represent Neighborhood Health at community events.

Graduation from an accredited college or university with a bachelor’s degree, associate’s degree
or experience equivalent.Qualifying full-time eligibility determination experience, experience in a clinical setting or similar experience at a professional, paraprofessional or technical level of three years or more.

Active listening and learning skills

Basic computer skills

Basic mathematical skills

Able to communicate effectively, both verbal and written, as appropriate for the needs of the audience.

Critical thinking, problem-solving and decision-making skills

Effective organizational and time management skills

Exceptional interpersonal skills

Spanish speaking preferred

Experience with Tenn Care, Cover Rx and the Federal Health Insurance Marketplace is preferred

Flexibility and adaptability to various environments and regulations

Able to be objective

Combines pieces of information to form conclusions

Communicates information and ideas in a manner tailored to the audience

Concentrates on tasks over a period of time without getting distracted

Multi-tasks with competing priorities

Retains information

Works as part of a team

Able to work with diverse population

• Ensures:
  • uninsured children and uninsured pregnant women apply for Tenn Care/Cover Kids on or before their date of service;
  • uninsured parents/caretaker relatives of minor children under the federal poverty level apply for Tenn Care on or before their date of service;
  • uninsured adults age 18-64 under the federal poverty level apply for Cover Rx on their date of service; and
  • Medicare enrollees who are at or below 135% of the federal poverty level apply for the Medicare Savings Program on their date of service.
• Ensures those patients ineligible for health coverage programs apply for and enroll in pharmacy patient assistance programs (PAPs) so these patients can obtain the prescription medications they need.

Remains up-to-date on new policies and procedures as they are implemented in order to ensure accurate eligibility determination and enrollment.

Successfully complete all required and applicable federal and/or state consumer assistance training.

Makes decisions by analyzing information related to client’s eligibility to ensure appropriate policy and procedures are applied.

Calculates accurate income based on information provided by clients and obtained through other…