Patient Navigator (CPN)
Location: Great Barrington, MA
Job Type: Direct Hire
Company: Community Health Programs
Salary: $24
Category: Non-Provider
Job Description Apply Now
The Patient Navigator (CPN) plays a vital role in facilitating access to health, wellness, and ancillary services for patients and the broader community. This position is designed to provide advocacy, information, enrollment assistance, and follow-up for individuals navigating Massachusetts Health Care reform and related benefit programs. As a Patient Navigator (CPN), you will serve as a critical resource for individuals seeking assistance with insurance enrollment, eligibility, and troubleshooting of billing issues, ensuring a seamless experience for patients interacting with healthcare systems. The Patient Navigator (CPN) is essential in supporting the mission, vision, and values of the organization, adhering strictly to compliance protocols and organizational policies. This role is grant-funded and may not extend beyond the grant period.
Patient Navigator (CPN) - Summary- Advocates for patients and community members in accessing available health and wellness services.
- Provides expert guidance with enrollment in Massachusetts Health Care programs, including MassHealth, Commonwealth Care, and the Health Safety Net.
- Supports individuals through insurance reinstatement, billing issues, and transitions between health plans.
- Acts as a key point of contact for patients seeking information and assistance related to healthcare access.
- Responds promptly to requests for assistance with insurance application and enrollment from both new and existing patients.
- Guides patients through the process of applying for state-subsidized programs using the Health Insurance Exchange website.
- Collaborates with clients and external agencies to confirm activation and continuity of insurance coverage.
- Participates in community outreach and enrollment events as needed, representing the organization and providing enrollment support to the public.
- Prepares and submits monthly reports and statistics on enrollment and referrals for grant documentation and compliance.
- Maintains up-to-date knowledge of state healthcare benefits, regulations, and enrollment processes by attending conferences, forums, and training sessions.
- Provides support to patients facing issues with medical groups, hospitals, or social organizations, ensuring comprehensive assistance.
- Works collaboratively with other organizations to support mutual patients and ensure continuity of care.
- Answers inquiries regarding eligibility guidelines, application requirements, and services, both in person and by phone, delivering high-quality customer service.
- Competitive compensation package aligned with experience and organizational standards.
- Comprehensive benefits package as applicable to the employment type and grant funding.
- Opportunities for continued education and professional growth within the organization.
- Benefit eligibility subject to employment status and organizational policies.
- Must obtain and maintain annual Certified Patient Navigator (CPN) certification as required by the State of Massachusetts.
- Demonstrated ability to analyze billing information and implement process improvements based on business needs.
- Ability to research and interpret complex healthcare regulations effectively.
- Strong analytical, reading, and comprehension skills in interpreting scientific, technical, financial, and legal documents.
- Proficient in responding to inquiries or complaints from patients, regulatory agencies, or members of the business community.
- Competence in calculating figures and managing data accurately.
- Proven problem-solving skills and adaptability in non-standardized situations.
- Familiarity with Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel.
- Associate degree preferred, or equivalent combination of education and two or more years of direct experience in a related field.
- Empathetic and patient-focused individual with a passion for helping others access healthcare services.
- Excellent communication skills, both verbal and written, with the ability to explain complex insurance and healthcare concepts clearly.
- Collaborative team player who can also work independently to resolve patient concerns.
- Strong organizational skills, with attention to detail in managing reports and compliance documentation.
- Flexible and adaptable, comfortable with a hybrid work environment and handling multiple tasks simultaneously.
- This Patient Navigator (CPN) position is dependent on grant funding and may not transition to a permanent role.
- The organization is committed to fostering a welcoming and inclusive workplace, upholding all Equal Employment Opportunity (EEO) standards.
- Applicants with diverse backgrounds and experiences are encouraged to apply.
- Working in this region offers the benefit of engaging with a diverse community and contributing to meaningful improvements in public health.
If you are motivated to make a difference in the lives of patients and the community, and you meet the qualifications for the Patient Navigator (CPN) role, we encourage you to apply today by clicking the job application button. Join our dedicated team and play a key role in ensuring equitable access to healthcare services for all.