The ADAP Patient Navigator (APN) will provide outreach and education to clients identified as: out of care for at least six months, with eligibility assessments about to respire, or are newly diagnosed/new to care. The APN will be provided a list of eligible clients that have been out of care for at least six months with no future appointment scheduled. They will work with the multidisciplinary team to make outreach efforts to bring the client back into care. Once they are connected to the client, they will complete a barrier assessment and assist them with overcoming any barrier to care such as transportation, insurance, and homelessness by offering incentives, education and referrals. The ADAP Patient Navigator will be provided a monthly list of eligible clients whose ADAP enrollment is about to expire. The APN will make outreach efforts with those clients and education them on completing a new ADAP application. The APN will also look into their medical record to see if they have a follow up appointment and if they are linked to case management. The staff will educate the client on documentation needed and guide them to complete the application with the benefits counselors or with their assigned case manager. Finally, the APN will provide outreach to newly diagnosed and new to care clients to provide them education surrounding the ADAP program to ensure that they have coverage and understand all documents needed to submit the application for proper coverage with the ultimate goal of viral suppression and medication adherence.
Enter all necessary data and paperwork in a timely manner.
Maintain confidential records of clients served, and submitting mandatory reporting requirements.
Document all client and client-related services in Provide and agency EMR.
Adhere to Social Services Documentation Policy of all Patient Encounters and Forms, including entering information into the Patient Electronic Medical Record.
Attempt outreach to all clients that are not enrolled in case management when their ADAP is about to expire to educate and link them to completing the eligibility application.
Provide education around the ADAP program to ensure that they have coverage and understand all documents needed.
Complete a barrier assessment and assist clients in overcoming any barriers to care and barriers to complete application.
Link clients to resources such as health education, case management, and benefits to encourage adherence.
Provide incentives for clients as needed.
Participate in Social Services Continuous Quality Improvement Efforts as outlined within social services and throughout the CORE Center.
Maintain client files in accordance with CORE Center policies.
Enhance Professional Development and Maintain an Area of Specialization by attending trainings specific to areas of interest and maintaining professional competencies.
Participate in all CORE Center mandatory trainings and meetings.
Provide Excellent Customer Service and Professionals when interacting with clients and internal and external customers, including responding to phone calls, emails, and faxes and pages in accordance to the CORE policies.
Perform other duties as assigned by supervisor.
QUALIFICATIONS - Knowledge/Skills/Experience
Minimal Formal Education Required: High School Diplomma or GED.
Minimal Length & Nature of Experience Required:At least 2-3 years of direct service experience working in the field of HIV service provision. Computer proficiency is required as well as the ability to relate to people of diverse backgrounds, cultures, races, sexual orientation and gender identities or expression. Experience working in a hospital or out-patient setting required. Experience working with clients with multiple needs. Comfortable working with high volumes of clients in a fast paced environment preferred. Knowledge of ADAP and benefits are preferred. Special Knowledge and Skills Required and Preferred: Bilingual preferred. Ability to function autonomously as a worker and as a team member on a multidisciplinary team, excellent oral and written communication skills, problem solving and conflict resolution skills. Knowledge of HIV/AIDS and family issues, commitment to confidentiality, ethics, and a culturally sensitive approach to counseling are required. Experience working in primary care medical settings desirable.