Department: Jackson Memorial Hospital - Non-State and Federal Grants
Address: 1611 NW 12th Ave, Miami, Florida, 33136
Shift details: Full-Time/Days
Why Jackson:
Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.
Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.
Summary
The Outreach Navigator will act as a Linkage to Care Specialist playing a vital role in coordinating initial appointments and ensuring seamless integration of HIV/HCV-positive patients into medical care. This position requires direct patient contact, involving counseling, appointment scheduling, and linkage coordination. The specialist collaborates with hospital teams, the Department of Health (DOH), and community resources to enhance healthcare access and equity.
Responsibilities
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Coordinates with providers and community groups to schedule Jackson Insurance Navigator at community events, health fairs and other gatherings.
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Assists Project Director in scheduling assignments for outreach and in-reach initiatives.
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Conducts outreach to consumers with a health insurance and coverage option focus.
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Distributes fair and impartial information concerning enrollment in QHPs, the availability of premium tax credits and cost-sharing reductions in accordance with federal tax laws and enrollment in public programs.
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Educates the public about the value of health insurance for the individual and family in culturally and linguistically appropriate ways.
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Informs consumers, particularly the uninsured and underinsured, about health insurance and coverage options available through healthcare.gov.
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Aids consumers in understanding health insurance terms, such as premiums, deductibles and co-insurance.
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Provides materials and explanations about the ten required Essential Health Benefits of all Affordable Care Act policies.
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Informs consumers about the application process, required documentation needed, mandated requirements and any exemption criteria.
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Explains program eligibility rules for advance premium tax credits, cost sharing reductions, Medicaid or CHIP.
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Describes the various methods available to purchase and enroll in QHP.
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Addresses questions regarding access to enrollment methods and the submission of enrollment documentation.
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Explains the enrollment criteria for purchasing insurance through healthcare.gov.
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Administers tools to assess insurance needs for individuals, including all persons who reside in a household, to identify possible eligibility for insurance options.
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Assists individuals with the enrollment process.
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Provides referrals to other social service providers or Navigators as needed.
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Handles post-enrollment inquiries issues and grievances.
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Maintains expertise in Navigator duties and program specifications.
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Gathers information for verification, statistical and grant reporting purposes.
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Monitors consumer presence at locations and activities to ensure that outreach efforts in targeted neighborhoods remain viable.
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Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
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Performs all other related job duties as assigned.
Experience
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Generally requires 3 to 5 years of related experience.
Preferred Qualifications
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Prior experience in HIV/AIDS or HCV services, healthcare coordination, or patient advocacy is advantageous.
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Strong interpersonal, communication, and problem-solving skills to engage effectively with diverse populations.
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Proficiency in data entry and electronic medical records.
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Sensitivity to cultural and socioeconomic diversity.
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Willingness to undergo DOH training and certification in HIV/AIDS testing and counseling.
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Bilingual Spanish and/or Creole.
Education
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High school diploma is required.
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Bachelor's degree in Public Health, Social Work, or Healthcare Administration preferred.
Credentials
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Valid license or certification is required as needed, based on the job or specialty.
Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.
