LGBTQIA+ Care Navigator & Advocate

NaviHealth; Boston (MA); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Job summary

UnitedHealth Group, through its Optum and Reliant Medical Group collaboration, seeks a Pride+ Care Facilitator to coordinate LGBTQIA+ adult primary care and HIV care, bridging primary care, specialists, social workers and insurers. The role emphasizes longitudinal patient relationships and culturally competent care within MA communities.

The facilitator manages care plans, data entry, follow-ups, and outreach while participating in care improvement activities and community engagement to enhance

Qualifications

• High School Diploma/GED
• 1+ years of experience working within a healthcare organization directly with patients
• College degree in social work or population health management strongly preferred
• 1+ years of EMR experience
• Experience with referrals
• Previous training or experience in population health management
• Experience working with the LGBTQIA+ community in a facilitator or coordinator capacity and/or exposure to the local LGBTQIA+ ecosystem
• Proficiency in data management
• Knowledge of medical terminology
• Strong interpersonal and communication skills with the ability to interact effectively with patients and medical professionals
• Ability to demonstrate a high level of cultural competence and sensitivity to patient needs and concerns
• Problem-solving skills
• Self-starter

Responsibilities

• Serves as a primary point of contact for LGBTQIA+ patients, providing tailored support and guidance throughout their healthcare journey
• Advocates for patients' needs and rights within the healthcare system, helping to address challenges or barriers to care
• Collaborates with primary care case management, internal and external specialists, nutrition, social work and insurers as needed
• Tracks patient adherence with scheduled appointments, labs, studies, referrals, and prescription compliance
• Manages program referral work queue and supports patients in scheduling primary care and Pride+ specific appointments
• Independently contacts patients, clinical and administrative staff, and external organizations to gather and relay clinical and care plan information
• Performs high volume of daily patient outreach calls, mailings and MyHealth messages in regard to lab tests, appointments and other chronic care recommendations made by the primary care team
• Regularly assesses at risk patients for clinical triggers that could require clinical intervention
• Documents details of outreach attempts into patients' electronic medical record to ensure
• Coordination of care
• Guides patient through process of care including transitions, providing directions, identifying barriers and approaches, serving as advocate and facilitator to enable specialty care needs
• Supports communication with clinicians and validates patient understanding
• Actively collects feedback on the LGBTQIA+ Adult Medicine program and makes recommendations for continuous improvement
• Supports the maintenance of collaborative relationships with LGBTQIA+ community organizations, advocacy groups, and other stakeholders
• Coordinates and leads monthly pilot panel roster reviews, chronic conditions, and specialty needs
• Attends required meetings related to care navigation, organizational updates, and Pride+ Care specific meetings to facilitate learning and collaboration
• Participates in community events, workshops, and e-Learnings to promote the clinics and raise awareness about LGBTQIA+ health issues
• Supports patients in enrolling in medication assistance programs (e.g., Massachusetts' HIV Drug Assistance Program [HDAP]), including liaising between patient, care team, and external program(s)
• Assists patients in understanding insurance coverage for primary care and Pride+ specific services, such as gender-affirming care and injectable PrEP or HIV medication
• Supports patients in navigating gender-affirming care landscape, including but not limited to: identifying appropriate gender-affirming surgeons based on patient and insurance needs, liaising between organizations to support care coordination and external referrals, and facilitating prior authorizations for some procedures
• Performs other duties as assigned

Skills

Healthcare experience

EMR experience

Referrals

Population health management

LGBTQIA+ community experience

Communication skills

Education

High School Diploma/GED

College degree in social work or population health management

Job description

UnitedHealth Group, through its Optum and Reliant Medical Group collaboration, seeks a Pride+ Care Facilitator to coordinate LGBTQIA+ adult primary care and HIV care, bridging primary care, specialists, social workers and insurers. The role emphasizes longitudinal patient relationships and culturally competent care within MA communities.

The facilitator manages care plans, data entry, follow-ups, and outreach while participating in care improvement activities and community engagement to enhance