Philadelphia FIGHT

Client Services

Resource Navigator Supervisor Job Description

Philadelphia FIGHT was initially founded in 1990 as a comprehensive AIDS service organization. Today we are a Federally Qualified Health Center (FQHC) with clinical sites that provide state-of-the-art culturally competent primary care, advocacy, social services, consumer education and outreach for patients in need regardless of HIV or insurance status.

The patients and staff at Philadelphia FIGHT are diverse and represent a broad spectrum of race, religion, gender identity, sexual orientation, HIV status, and physical ability. All staff are required to consistently demonstrate sensitivity to the diverse nature of our community. Successful FIGHT staff are professional, innovative, emotionally intelligent, intellectually curious, hard-working, reliable, and committed to a trauma-informed, patient-centered approach in all interactions with patients and their families.

Summary

The Resource Navigator Supervisor position will work in an interdisciplinary team setting based out of Philadelphia FIGHT's John Bell Health Center. The Resource Navigator Supervisor will provide supervision support, guidance, and training to Resource Navigators within the Medical Case Management Department. The Resource Navigator is responsible for raising awareness of affordable insurance options and providing eligibility and enrollment assistance to uninsured patients of Philadelphia FIGHT's Jonathan Lax Treatment Center, John Bell Health Clinic, YHEP/Peds Health Clinic and Dental Clinic. This includes enrolling patients in PA public benefits, including Medicaid, MAWD, Emergency Medical Assistance, CHIP, WIC, Medicare Extra Help/Medicare Savings Program, SNAP, LIHEAP, CAP/CRP. This position includes assessing patient's eligibility for Philadelphia FIGHT's sliding fee scale. This position is in collaboration with the Office of Community Empowerment and Opportunity, BenePhilly and the William Penn Foundation.

Qualifications: To perform this job successfully, the individual in this position must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the minimum knowledge, skills and ability required.

• Bachelor's degree required. Master's degree preferred.
• Experience supervising individuals highly desired.
• Familiarity with and understanding of insurance enrollment and Pennsylvania County Assistance benefits applications.
• Knowledge and familiarity with local social services resources including public benefits.
• Experience and proficiency with Microsoft Office required. Additional experience with online benefit application databases and Electronic Medical Record programs preferred.
• Ability and desire to work productively with highly stigmatized and diverse populations using a strength-based framework.
• Excellent interpersonal skills and ability to work collaboratively with patients and families.
• Experience working with people living with HIV/AIDS and other chronic health conditions highly desired.
• Candidates must possess strong communication skills, the ability to multi-task and excellent attention to detail and follow-up skills.
• Bilingual (Spanish/English) is desired.

Required Screenings:

• Must complete Philadelphia FIGHT Credentialing and Privileging to provide direct services with Federally Qualified Health Centers.
• Philadelphia FIGHT requires proof of completed COVID-19 vaccination series for all new employees hired. Medical and religious exemptions will be honored consistent with EEOC regulation.

Essential Duties: Essential job duties for this position include the following items. Other duties must be performed as assigned or required.

Supervisory Responsibilities:

• Provide direct supervision to Resource Navigators.
• Maintain consistent workflow between clients, Resource Navigators, Medical Case Managers, Director, and external funders for public benefits enrollment.
• Develop a comprehensive understanding of PA public benefits including Medicaid, Medicare, Medicare Advantage Plans, CHIP, SNAP, and other benefits. Ability to train staff on how to problem solve benefit enrollment issues.
• Manage daily operations for Resource Navigators including coverage when staff are out. Addressing any client obstacles including client de-escalation and grievances in conjunction with Director of MCM.
• Collect and maintain a record of unit logs, timesheets, and chart supervision logs for supervised Resource Navigators.
• Assist in the supervision of charts and reporting for external funders for public benefits.
• Ensures Resource Navigators are providing quality services to clients and client needs are being met utilizing resources available.
• Complete 90-day performance reviews for newly hired Resource Navigators under supervision and annual performance reviews with established Resource Navigators under supervision.
• Document and report performance issues for Resource Navigator staff who are not performing at the required standard. Create and implement Performance Improvement Plans and Corrective Action Plans for MCMs who are not performing at the required standard.
• Review and approve/deny requests for vacations and trainings for staff.
• Organize and maintain workstations for supervisees.
• Identify appropriate resources and external support systems to address client and staff needs including advocating and negotiating linkages to resources.
• Coordinate and maintain relationships with collaborating agencies.

Clinical Responsibilities:

• Assess uninsured patients' potential eligibility for PA Medicaid, CHIP and/or affordable insurance coverage. Complete applications via COMPASS. Support patient applications by following up and advocating with the CAO.
• Assess patients for Philadelphia FIGHT's sliding fee scale and review Philadelphia FIGHT's policy regarding sliding fee scale.
• Collect income verification for all patients. Document and upload verifications in EMR.
• Follow up and track verification documents for public benefit enrollments and sliding fee scale applications.
• Assess all patient's potential eligibility for all other benefits offered through the BenePhilly and the William Penn Foundation and offer assistance in obtaining these benefits.
• Assist patients receiving an insurance plan for their specific needs and to receive optimal coverage.
• Maintain accurate and timely documentation of all patient's contacts (using D.A.P. format), forms, and applications in EHR software.
• Maintain communication with clinical administrative and case management staff to follow up on the status of patient applications.
• Complete and comply with all BenePhilly and William Penn Foundation meeting, reporting, and training mandates.
• Refer patients to other resources and case management as needed.
• Participate in daily staff huddles and weekly case conferences to collaborate with other professionals across clinics.

Other Responsibilities:

• Contribute as a team member and share in the responsibilities required to maintain operations and serve the mission of Philadelphia FIGHT. This includes, but is not limited to, obtaining training, participating in events, flexibility in scheduling, covering the commitments of coworkers when they are unable, and other duties as assigned.
• Attend weekly meetings with Director of Medical Case Management.
• Attend department meetings and individual supervision regularly. Comply with all charting requirements.
• Work on Quality Improvement Projects assigned by Director of Medical Case Management.
• Agree to serve patients' best interests and maintain confidentiality standards in accordance with applicable laws and regulations, specifically including the Health Insurance Portability and Accountability Act (HIPAA) and the Confidentiality of HIV Related Information Act (Act 148).

Physical and Mental Requirements: Ability to work under pressure and be creative and analytical. Ability to continuously stand, walk or sit. Ability to work at a computer screen for long periods of time.

Other: Initial probationary period is three months. Generally, works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting. Noise - Moderate noise (example: business office with computers and printers, light traffic).

Salary range: $60,000 - $65,000. Competitive employee benefits; medical, dental & vision insurance begins on first day of employment.

Work Hours: 40 Hours/Week, Exempt

Philadelphia FIGHT requires proof of completed COVID-19 vaccination series for all new employees hired. Medical and religious exemptions will be honored consistent with EEOC regulation.

FIGHT is an EEO, Affirmative Action, LGBTQ, people living with HIV/AIDS, and protected veterans' institution.

We recognize that an inclusive workforce with a variety of views, perspectives, and backgrounds is an integral part in our organizational success. We encourage and embrace a diverse workforce that provides us with unlimited ideas and innovative solutions. We are dedicated to recruiting, hiring, and retaining employees from many backgrounds.

To apply: https://www.fight.org/careers/