Patient Navigator

Patient Navigator

Porch Light Health is a respected leader in the outpatient treatment of Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) and other addictive disorders. We foster a supportive and family-oriented environment where patients are treated with compassion, respect, and honesty. Our team believes that addiction is a chronic, relapsing brain disease, and we are passionate about helping individuals navigate their recovery journey. We provide Medication-Assisted Treatment (MAT), Methadone treatment, and behavioral health services, helping patients discover their purpose and build a healthy community.

The Patient Navigator serves as a dedicated member of the Porch Light Health care team, helping patients overcome barriers that may interfere with their ability to access, engage in, and remain connected to treatment. Acting as a trusted guide and advocate, the Patient Navigator assists patients in navigating insurance coverage, financial assistance programs, transportation resources, community services, and other social determinants of health that impact recovery and overall well-being.

This role works closely with providers, Patient Care Coordinators, the Call Center, Revenue Cycle, and community partners to proactively identify and resolve challenges before they disrupt treatment. While not providing clinical services, counseling, case management, or social work services, the Patient Navigator plays a critical role in supporting patient engagement, retention, and successful treatment outcomes.

Responsibilities and Duties:

• Insurance and Benefits Navigation
• Financial Assistance and Affordability
• Transportation and Access Support
• Patient Engagement and Retention
• Social Determinants of Health Support
• Healthcare Navigation
• Documentation and Reporting

Qualifications:

• Associate's degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field (preferred).
• Equivalent combination of education, experience, and demonstrated success working with patients will be considered.
• Experience in healthcare, patient services, customer service, care coordination, patient advocacy, community resources, insurance navigation, or social services (preferred).
• Experience supporting underserved, vulnerable, or behavioral health populations (preferred).
• Proficiency in insurance eligibility verification, EOB interpretation, and benefit navigation, including deductibles, copays, coinsurance, and out-of-pocket maximums. (Required)
• Ability to accurately determine and communicate patient financial responsibility for services. Experience with Medicaid, Medicare, ACA Marketplace, commercial insurance, and financial assistance programs. (Required)

Knowledge, Skills and Abilities:

• Demonstrated ability to build trust and rapport with patients.
• Strong problem-solving and resource navigation skills.
• Ability to manage multiple patient needs simultaneously.
• Strong organizational and follow-up skills.
• Ability to work collaboratively across departments and community partners.
• Commitment to patient-centered care and recovery support.

Success Measures:

• Medicaid enrollments and renewals completed.
• Insurance coverage interruptions prevented.
• Transportation barriers resolved.
• Community resource referrals completed.
• Patients successfully re-engaged in treatment.
• Reduction in avoidable treatment disruptions due to non-clinical barriers.
• Patient satisfaction and engagement outcomes.

Why This Role Matters:

At Porch Light Health, we believe recovery should not be limited by transportation challenges, insurance complexities, financial hardship, or lack of access to community resources. The Patient Navigator helps ensure that patients have a knowledgeable advocate and guide who can help remove barriers and keep them connected to the care and support they need to succeed.

Work Setting & Hours:

Majority will be remote with occasionally requirement of in-person, in clinic.

8:00am - 4:30pm, M-F

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Anticipated Application Window - This role is anticipated to close within 30 days from the date of posting. However, if the position has not been filled, PLH may keep the application period open longer.