HRSN Navigator

Job Description

Job Description

Job Summary:

The HRSN NAVIGATOR functions as a part of the HRSN Team. Screens, navigates, and processes community members requests for eligible 1115 waiver services. Provides enhanced HRSN Services to eligible community members. Enters accurate information into Unite Us and any necessary databases utilized for the delivery of 1115 services, regarding eligibility and authorization requirements for timely facilitation of service. Through detailed understanding of program requirements and compassionate interaction with community members and their care teams, this position will serve as a link between access to health-related social need (HRSN) services through the 1115 waiver, community members and their care teams.

Major Activities:

1. Serves as a point of contact for community members and referents for screening, navigation and eligibility for HRSN and enhanced HRSN 1115 waiver services and activities.
2. Ensure accurate enrollment and eligibility records through proactive verification and reconciliation of enrollment and eligibility file data, including identifying and resolving discrepancies.
3. Maintain accurate records in accordance with New York state regulations and agency protocols.
4. Maintain accurate and up-to-date documentation of enrollment, eligibility, and prior authorization information needed in advance of HRSN service provision.
5. Perform other duties as assigned. This job description is not designed to cover or contain all of the required tasks, activities and/or duties that are required in this position.

Qualifications:

• Associates degree or higher in Human Services, Public Health or related field OR sufficient experience
• Applicable human service experience preferred.
• Experience and knowledge of the target populations and services systems preferred.
• Unrestricted driver’s license and independent, reliable means of transportation.
• Ability to work flexible hours as this position may require evening and weekend hours.

Knowledge, Skills and Abilities Required:

• Familiarity with social services or benefits administration.
• Cultural awareness and sensitivity
• Knowledge of guidelines across federal, state, and local levels and ability to interpret and be trained on NYSDOH guidelines for management of HRSN services.
• Experience working with community members and care teams to determine eligibility and collaborating with care teams to obtain prior authorization for programs and services.
• Strong interpersonal and communication (oral and written) skills.
• Experience with MS Office Suite, including Word, Excel, PowerPoint, Outlook, and Zoom/Teams.
• Attention to detail; well organized; good time management skills.
• Ability to maintain professional boundaries within agency and grant guidelines, as well as with clients and external service providers.
• Ability to interact with people from diverse backgrounds within a climate of mutual respect, inclusion, enrichment, and growth.

Employment Classification: Non-exempt; Full-time 37.5 hours per week

PHYSICAL DEMANDS: The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equipment Used : Office equipment (such as computer, cellphone, fax, copy machine, shredder); motor vehicles.