Grade 15
Full Time - 37.5 Hours Per Week / 52 Weeks Per Year
Monday through Friday 8:30 am - 4:30 pm
JOB SUMMARY :
Manages the smooth daily operation of the IPA/Navigator Program, Maintains positive relationships with NYSDOH Contract Management staff, and acts as working leader to other navigator staff. Collects information and facilitates enrollment in the New York State of Health Insurance Marketplace. Coordinates outreach activities in the community and participates in community functions to provide educational information regarding programs for recruiting purposes.
JOB DUTIES AND RESPONSIBILITIES :
Program Management:
- Provides direct supervision and performance management for IPA Navigators; Encourages staff to maintain the highest regard to consumer confidentiality during all their activities.
- Manages subcontractor requirements and performance; facilitates setting up contracts and seeing through completion.
- Facilitates monthly staff meetings and regular communication with the team.
- Provides routine feedback, coaching and direction to Navigators & sub-contractor as needed, alerts coordinator of concerns.
- Participates in interviews, hiring, and training of new staff; Provides ongoing training and assistance to sub-contractor and Navigators; Completes yearly staff appraisals.
- Assists Coordinator with development of policies and procedures and provides input to ensure quality client services.
- Works independently on all program, operations and staffing matters; engages the Coordinator for assistance when needed.
- Manages, tracks, and approves Time Sheets, PTO, sick time and other leave time.
- Participates in CQI (continuous quality improvement) by assessing needs to make job and program successful; makes and implements recommendations for improvement.
- Coordinates monthly outreach events schedule and tracks staff visits to community organizations, HCP’s, etc.
- Assess needs and effectiveness of community sites; modifies and adds new sites as necessary.
- Coordinates and participates in community outreach functions to raise awareness of the New York State of Health Marketplace.
- Participates in meetings, related community workgroups and training opportunities for skill enhancement.
- Monitors client data entry as required by NYSDOH.
- Promotes customer satisfaction, effective advocacy and ensures timely service to clients.
- Performs other duties and special projects as assigned within the scope of responsibility and skill required for the job.
- Serves as the conduit to resolve difficult cases between Navigators and NYS of Health Marketplace and/or DSS.
- Completes agency required reporting, including logic models and manages data entry as required for agency client database.
Grant Management:
- Serves as the point of contact between the program and funder including the submission of required reports.
- Completes and submits required reporting for NYSDOH.
- Knowledgeable in grant and program requirements, applicable regulations.
- Assists with preparation and development of continued funding applications for IPA/N services.
- Complete QA/QI activities to ensure quality of service, accuracy of data entry, and completion of required program outcomes/objectives.
- Works with Coordinator to meet budgetary requirements.
- Acts as the NYS Oversight Manager for the Program, to ensure all consumers are assisted during the absence of their Navigator.
- Participates in and coordinates staff attendance in scheduled calls, webinars, and in person training required by NYSDOH. Completes and attests to staff completion of annual mandatory recertification requirements.
Navigator:
- Provides advocacy for clients to NYS of Health and various other organizations
- Monitors timely notification of eligibility determinations; ensures follow up on open applications.
- Establishes positive working relationships with DSS, insurance carriers and related service providers; works independently and exercises sound judgment to get results.
- Screens families to ensure eligibility for Child Health Plus, Medicaid, Essential Plan or NYS of Health Marketplace qualified health plans.
- Collects information and assists families in completing and processing the application; explains documentation requirements and assists with obtaining documentation, to ensure program eligibility.
- Educates family on all aspects of each available health plan option; Facilitates plan enrollment; encourages identification of and consistent use of an appropriate primary care provider to address health issues.
- Works a flexible schedule to meet the needs of clients; meets with clients at times and locations convenient for their needs.
JOB REQUIREMENTS :
- Must have skills in interviewing and communicating to provide/acquire information and elicit cooperation from clients.
- Must be familiar with Program/Agency policies and procedures; must possess and demonstrate effective leadership qualities.
- Must have the ability to be involved in a variety of changing activities; position requires constant multi-tasking.
- Must be able to provide leadership in a professional and effective manner and ensure non-judgmental delivery of services.
- Must have a commitment to client services; instill a sense of the program mission to all staff.
- Must display tact and courtesy and be able to work well with staff, clients, other agencies and the public.
- Must be able to attend to detail and accuracy.
- Must be organized, have good time management skills, and able to carry out tasks efficiently and accurately.
- Must have ability to complete and maintain client records and to complete reports to NYSDOH and other correspondence.
- Must exhibit professionalism, good judgment, flexibility, courtesy, and integrity; must maintain client confidentiality.
- Must have excellent communication skills; be able to follow complex guidelines and have good organizational skills.
- Must be motivated, be a positive role model to staff and clients and work collaboratively with others.
- Must have a valid NYS Driver's License with a good record and have access to a reliable vehicle for county-wide travel.
- Must have good knowledge of Oswego County
- Must be able to be flexible with work schedule as required by the Program.
- Must have the physical ability to carry out the responsibilities of position including lifting 25 lbs regularly.
- Must have keyboarding skills and basic knowledge of word processing and database programs.
MINIMUM QUALIFICATIONS :
- Associates Degree or equivalent in Health or Human Services related field; and
- 1- 3 years related experience in human services and outreach with leadership and/or supervisory experience; or
- Equivalent combination of education, experience, and training.
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Oswego County Opportunities, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, creed, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, marital status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.