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  • Benefits Navigator - Mansfield - Equitas Health, Inc.

    Equitas Health, Inc.
    Equitas Health, Inc. Mansfield

    1 week ago

    Default job background
    Full time Healthcare
    Description

    Job Description

    The Benefits Navigator position plays a crucial role in assisting clients in determining their eligibility and enrolling into the Ohio AIDS Drug Assistance Program (OHDAP) and various Ryan White local and state programs. This includes preauthorization, certification, and recertification requirements throughout Ohio.

    This individual will also assist clients with connecting to Medicaid, Medicare, Qualified Health Plans through the Federal Marketplace, subsidies, and other insurance opportunities for persons living with HIV needing health insurance services throughout Ohio.

    The Health Insurance Navigator will promote the independence, stability, and health of persons living with HIV by providing navigation services through Ending the HIV Epidemic (EHE) funding and/or through Ryan White Part B (RWB) funding.

    The position operates in accordance with the established professional standards and guidelines as stated by the Ohio Revised Code. Health Advocacy Services adhere to the established professional standards and guidelines of the National Association of Social Workers (NASW) and its social work management standards.

    This position is represented by Equitas Health Workers United Local 6609, Ohio Federation of Teachers (OFT), American Federation of Teachers (AFT), AFL-CIO union and is subject to the terms and conditions of the collective bargaining agreement.

    Major Responsibilities:

    • Provide navigation and support to individuals living with HIV to ensure they are retained in HIV medical care and maintain viral suppression.
    • Refer clients to HIV screening programs, Linkage to Care Coordinators, Re-engagement Specialists, HIV Medical and Community-Based Mental Health providers, and Ryan White Case Managers.
    • Cultivate positive working relationships with clients and provide regular communication.
    • Screen for insurance options and assist eligible clients to apply for insurance through the Federal Marketplace, public insurance options, including Medicaid, Medicare, HIV/AIDS-specific public benefits, and other public health insurance options for HIV clients/patients.
    • Explain different insurance options available through the Federal Marketplace or public insurance, affordability and cost-sharing structure of plans, and consumer rights under these options.
    • Complete all required trainings, submission of invoices, and other duties in a timely manner and in accordance with standard operating procedures.
    • Assist eligible clients in completing relevant applications, securing necessary supporting documentation, and filing applications with the appropriate agencies.
    • Acquire and maintain certification as a Federally Qualified Health Insurance Navigator.
    • Document and track applications and submissions.
    • Advocate on behalf of the client with government offices as necessary and identify matters that should be referred to other specialists for further action.
    • Collaborate internally and externally with community stakeholders, including government offices and community partners.
    • Participate in community outreach events, biweekly supervision, and group supervision.
    • Demonstrate continuous growth and development aligned with Equitas Health Values, exhibiting awareness and respect for diversity, inclusion, and cultural humility.

    Requirements:

    • Associate degree with a minimum of one year of relevant experience, completed coursework towards an associate degree with a minimum of two years of relevant experience, or high school diploma/GED with a minimum of three years of relevant experience.
    • Bachelor's Degree in human services or related field preferred.

    Knowledge, Skills, Abilities, and Other Qualifications:

    • Sensitivity to, interest in, and competence in cultural differences, HIV/AIDS, minority health, sexual practices, and demonstrated competence in working with persons of color and LGBTQ+ community.
    • Medical and/or insurance-related experience desired.
    • Community-based services, housing services, case management services, or prevention services experience desired.
    • Proficiency in Microsoft Office applications and general computer applications required.
    • Valid Ohio driver's license and reliable transportation required.
    • Knowledge and adherence to social work standards and ethics required.

    Other Information:

    Background and reference checks will be conducted. In accordance with Equitas Health's Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload.


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