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USD 20 - 21
1 Vacancy
Job Description
POSITION TITLE: BENEFITS NAVIGATOR
REPORTS TO: Clinical Supervisor Linkage and Engagement
SUPPORTS: Caracole Programming
SUPERVISES: N/A
POSITION SUMMARY:
This position assists clients in determining eligibility completing program applications and enrolling in programs to facilitate access to medical care medication access insurance and housing. Provides nonacute short term supportive services for individuals living with HIV and their family members adhering to Caracole standards of care.
RESPONSIBILITIES:
- Serve as a member of a collaborative multidisciplinary client support team with case management prevention and housing staff providing confidential culturally appropriate and efficient care to assure consistent access to medication and insurance coverage.
- Provide benefits counseling to assist clients in accessing public and private medical pharmaceutical and insurance programs for which they may be eligible.
- Work with clients to gather all necessary components of applications for the Ohio HIV Drug Assistance Program (OHDAP) application Affordable Care Act Medicare Medicaid and/or other medical insurance programs; ensure thorough completion and submit for processing.
- Coordinate track and review applications referrals and payment requests for insurance and other program applications. Troubleshoot applications that are incomplete or denied.
- Identify eligible client medical bills and enter into the TPA web portal accurately and within program timelines. Provide client assistance with submitting medical bills or copayments for reimbursement of allowable services.
- Create store scan upload and purge forms and documents in keeping with record retention and storage policies.
- Document services provided; communicate client needs skills and barriers to the case manager and care team to allow for appropriate interventions.
- Maintain client medical records as required by regulatory or funding agencies and Caracole. Meet all required deadlines for documentation.
- Meet with clients by phone/telehealth in the office and/or the community.
- Participate in training and maintain up to date knowledge of insurance and medication assistance program eligibility requirements procedures and timelines.
- Maintain a collaborative working relationship with Caracole team members.
- Participate in individual/group supervision meetings regional and local collaborative planning efforts and quality management activities.
- Identify and pursue educational opportunities to promote professional growth.
- Represent Caracole in the community.
- Other duties assigned.
QUALIFICATIONS:
Associates degree with at least one year experience in a social service or healthcare setting or equivalent experience. NonLicensed Position. Basic knowledge of HIV/AIDS substance abuse service networks entitlement programs medical and social community services. Proven ability to work harmoniously with ethnically culturally and racially diverse groups of individuals.
REQUIRED SKILLS:
- High level of attention to detail accuracy and organizational skills.
- Basic computer skills including accurate keyboarding and familiarity with Microsoft Office.
- Ability to maintain confidentiality in verbal print and electronic communications.
- Must be able to read write speak and understand English with good verbal and written communication skills.
- Sensitivity to persons living with chronic disease (HIV/AIDS and/or addiction) and coexisting social mental and physical conditions.
- Bilingual (Sp/En) preferred.
PHYSICAL REQUIREMENTS:
This position includes time spent working in the office remote at home and in the community. Work is generally 95 MF. The employee must be able to remain in a stationary position for multiple hours. Must operate a computer and other office productivity machinery such as a phone and copy machine. Must have the ability to accurately communicate information and ideas so others will understand. Must be able to move throughout the building and other sites in the community. Employee must have reliable transportation to travel to community sites and meetings as needed. Drivers license and car preferred but not required. The employee must be able to lift and/or move up to 25 pounds.
SALARY:
This position is full time hourly (nonexempt). The pay range is approx. $43000$45000 annually which is $20.67 $21.63 per hour based on experience.
BENEFITS INCLUDE:
- Hybrid work environment: in community in office and at home with a paid lunch hour.
- Competitive pay; annual increases ondemand pay advances.
- Medical health insurance dental and vision.
- At no cost to the employee: shortterm disability insurance longterm disability insurance life insurance and employee assistance program.
- 401k retirement plan with a company match.
- Paid paternity leave.
- Generous paid time off includes 11 paid holidays up to 5 weeks of sick and vacation time off in your first year and one community service day.
- Reimbursements for workrelated mileage and cellphone costs.
- Nonprofit student loan forgiveness program.
- Annual training allowance for all staff to continue their education
- Social work license supervision towards independent licensure and continuing education credits.
- Opportunities for internship or practicum supervision
- Funded through government grants donations and program income; no medical billing.
- Missionfocused local service agency with a focus on highquality services and highquality employment.
- A friendly progressive recoveryfriendly and inclusive environment that values people.
Caracole is an equal opportunity employer. We are proactively seeking a diverse applicant pool. Reflective of our strategic and client needs we welcome applications from individuals who live with HIV or are at risk for HIV.
Employment Type
Full-Time
