HEALTH NAVIGATOR

OpSam Health; Chula Vista (CA); On-site; USD 48,000 - 64,000; Full time

Job summary

Operation Samahan (OpSam Health) is a Federally Qualified Health Center serving the San Diego County community with primary care, dental, behavioral health, family planning, and more.

The Health Navigator coordinates with health plans to ensure compliance, prepares HEDIS reports, and engages members to close care gaps across clinics, supporting care delivery and quality improvement with Patient Care Coordinators as needed.

Qualifications

• Bachelor's in Public Health or closely related field preferred.
• One year of experience providing medical information and dissemination.
• Proficient with Windows and MS Office applications.

Responsibilities

• Comply with department policy and procedures.
• Obtain needed data from health plans regarding HEDIS measures.
• Collect medical records, conduct reviews and ensure documentation accuracy.
• Assist in planning and implementation of projects to improve delivery of services and quality of care.
• Perform patient outreach and scheduling to close care gaps.
• Understand HEDIS and HIPAA principles.
• Provide in-service training to providers regarding HEDIS and CMS Star Measures.
• Generate and maintain accurate reports as required.
• Attend health plan, provider, and interdepartmental calls.

Skills

Health education knowledge

Microsoft Office

Organizational skills

Communication skills

Interpersonal skills

Project coordination

Training leadership

Education

Bachelor's in Public Health / Health Education / Social Work or related field

One year experience providing medical information

Tools

Windows

Word

Excel

PowerPoint

Outlook

Job description

Operation Samahan (OpSam Health) is a Federally Qualified Health Center (FQHC) that serves the San Diego County community. Founded in 1973 in a barber shop in Downtown San Diego by Filipino health professionals offering services to immigrants who did not have the finances, linguistic skills, or ability to navigate the health care system. Today, Operation Samahan has evolved into a diverse community health center with services available in National City, Mira Mesa, City Heights, and Rancho Penasquitos. We provide primary care, dental, behavioral health, family planning, integrative health and wellness, healthy eating, civic engagement, and other health related services to the uninsured, underinsured, and underserved families of all income levels regardless of their ability to pay .

JOB PURPOSE

The Health Navigator coordinates with different health plans to ensure compliance issues based on the value of each health plan. Prepares reports on HEDIS measures and communicates the results to the different stakeholders. Visits each clinic to thread with other Patient Care Coordinators as needed. Monitors projects funded by the health plans.

They are responsible for member engagement and bringing members in for health screening to close gaps in care. The goal is to improve member relationships and preventative care outcomes through face-to-face member engagement by the Health Navigator.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Other duties may be assigned

• Comply with department policy and procedures
• Obtain needed data from health plans regarding HEDIS measures
• Collect medical records, conduct reviews and ensure accuracy of documentation for reporting
• Assist in planning and implementation of projects to improve delivery of services and quality of care
• Perform patient outreach and scheduling to close care gaps
• Understand the principles of HEDIS and HIPAA
• Provide in-service training to providers regarding HEDIS and CMS Star Measures
• Generate and maintain accurate reports as required
• Attend to health plan, provider, and interdepartmental calls
• Perform other duties, projects, and actions as assigned

QUALIFICATIONS

Knowledge, Skills, and Abilities:

• Knowledge of the principles and practices of health education or medical knowledge.
• Knowledge of training methods, group dynamics, and community organization.
• Proficient in Windows and Microsoft applications including Word, Excel, Power Point, and Outlook.
• Must have a high level of organizational skills.
• Skill in planning, organizing, implementing, evaluating and administering health education programs. Skill in presenting information in-group settings.
• Skill in leading and coordinating the work of others.
• Ability to develop and maintain positive interpersonal relationships with a variety of people.
• Demonstrate effective verbal and written communication skills with staff, Board members, vendors, medical providers, and members of the general public.
• Complete many different duties, often changing from one task to another of a different nature without loss of efficiency or composure.
• Must be able to work under stress when confronted with critical or unusual situations.
• Must be able to follow instructions explicitly.
• Demonstrates ability to exercise analytic ability.
• Read and write, verbal and written communication, time management, and interpersonal skills.
• Prioritize, meet deadlines, and use sound judgment.

Education and Experience:

• Bachelor's in Public Health, Health Education, Social Work or closely related field preferred.
• One-year experience providing medical information and dissemination.

Annual Requirements, Licensure, and Certifications

• Have reliable transportation; clean driving record, and car insurance as required by the state.

PHYSICAL DEMANDS

• Move throughout the clinic and community.
• Repetitive hand movement, use and view PC. Use fax, telephone, and copier.
• Sits or stand for long period of time, reach, bend, climb, stoop, and lift up to 25lb.