COMMUNITY SERVICE AIDE - PMC - Public Health

Tarrant-County,-Tx; Texas; On-site; USD 36,000 - 48,000; Full time

Job summary

Tarrant County's Preventive Medicine Clinic seeks a Referral Navigator to assist patients with service navigation and ADAP-related applications for uninsured individuals. You will coordinate with social services and community partners to ensure timely access to care.

Responsibilities include documenting interviews, eligibility screens, and referrals, plus supporting transportation and follow-up activities within the Ryan White program framework.

Qualifications

• High school diploma or GED required.
• Minimum 1 year working in a social service or healthcare setting.
• Bilingual in English and Spanish preferred.
• Strong organizational and time management skills.
• Excellent interpersonal and communication skills.
• Detail oriented with the ability to follow-up with patients and providers.
• Basic computer and phone skills required.

Responsibilities

• Provide referrals and assist patients with service navigation.
• Coordinate referrals with social service agencies within and outside the Ryan White continuum of care.
• Develop and maintain relationships with community partners to facilitate referrals.
• Document initial patient interviews and ADAP eligibility screens.
• Document referrals and care plans, facilitate appointments, and follow up as needed.
• Monitor monthly “lost to care” activities and document outcomes.
• Provide transportation support to eligible patients and track assistance tools.
• Maintain ADAP eligibility records and perform eligibility screens every six months.
• Collaborate with medical and non-medical case managers for coordinated care.
• Attend yearly ADAP trainings.
• Perform all other duties as assigned.

Skills

Bilingual in English and Spanish

Interpersonal communication

Organizational skills

Time management

Customer service

Basic computer skills

Phone skills

Ability to follow up

Education

High school diploma or GED

Tools

Computer skills

Phone skills

Job description

Provide referrals and assist Preventive Medicine Clinic patients with service navigation. Follow up on non-medical case management services for patients seeking assistance from community agencies and assist with patient assistance and AIDS Drug Assistance Program (ADAP) applications for uninsured patients.

1. Coordinates referrals with social service agencies in and out of the Ryan White continuum of care.
2. Develops and maintains relationships with community partners to facilitate referrals.
3. Performs and documents initial patient interviews as assigned.
4. Documents all clinic and ADAP eligibility screens and services provided in required databases.
5. Receives and documents referrals from clinical providers. Develops a plan of care related to referrals before patient leaves the clinic if possible. Facilitates appointments.
6. Follows up and documents monthly "lost to care" activities.
7. Provides transportation support to eligible patients. Documents and tracks all transportation assistance tools.
8. Maintains clinic list of all ADAP eligible patients. Performs initial ADAP eligibility screening and recertification every six months thereafter.
9. Works closely with medical and non-medical case managers in care team to ensure well-coordinated medical care.
10. Attends ADAP trainings annually.
11. Performs all other duties as assigned.

Qualifications

• High school diploma or GED.
• One (1) year working in a social service or healthcare setting.
• Experience with basic health education preferred.
• Experience with HIV/AIDS preferred.
• Bilingual in English and Spanish preferred.
• Good organizational and time management skills.
• Strong interpersonal and communication skills.
• Detail oriented with the ability to follow-up with patients and services providers in a timely manner.
• Possess outstanding customer service skills, especially with patients.
• Basic computer and phone skills.
• Ability to focus and complete tasks.

While performing the duties of this position, the incumbent is regularly required to bend, carry, climb, climb stairs, grasp/squeeze, use hand tools, hear, keyboard, kneel, lift below the waist, lift between waist and shoulder, lift overhead, lift to the side/twist, tolerate noise, tolerate hot and cold outside temperatures, pull, push, reach, reach overhead, perform repetitive tasks, see color, see far and near, sit, squat, stand, stoop, talk, use his/her hands, drive a vehicle, walk, and work alone and with others. Exposure to active infectious diseases and body fluids. Possible needle sticks and restraining of children.