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Job title | HEDIS HEALTH NAVIGATOR |
Reports to | Executive Director |
Department: | Administration |
Status: | Non-exempt |
Operation Samahan Mission
Building Healthier and Happier Communities Together
Operation Samahan Inc. (OSI) is a federally qualified community health center that emerged over forty years ago. The agency serves low-income families and individuals in the County of San Diego in two (2) strategic areas with a high density population of Filipinos/Asian and other low-income, uninsured individuals — National City (Southern San Diego County) and Mira Mesa (North Central San Diego).
JOB PURPOSE |
The Health Navigator coordinates with different health plans to ensure compliance issues based on the value of each health plan. Prepares reports on HEDIS measures and communicates the results to the different stakeholders. Visits each clinic to thread with other Patient Care Coordinators as needed. Monitors projects funded by the health plans.
ESSENTIAL DUTIES AND RESPONSBILITIES |
Health Navigator will work with Operation Samahan to identify a sustainment plan if the intervention of placing a health navigator works for their Blue Shield Promise membership in terms of HEDIS rate improvements. Efforts for improvement by health navigator will be focused but not limited to Well Child and Well Women measures. Assigned CPM will have weekly meetings with the Operation Samahan team and the health navigator to review detailed reports of the health navigator’s productivity and impact on Blue Shield Promise membership and rates.
The Health Navigator is responsible for member engagement and brining members in for health screening to close gaps in care. The goal is to improve member relationships and preventative care outcomes through face-to-face member engagement by the Health Navigator.
HEDIS HEALTH NAVIGATOR POSITION
ESSENTIAL DUTIES AND RESPONSIBILITIES: Other duties may be assigned
REQUIRED:
Quality Management:
Customer Relations:
Safety:
HIPAA/Compliance:
QUALIFICATIONS |
Knowledge, Skills, and Abilities:
Education and Experience:
Annual Requirements, Licensure, and Certifications
PHYSICAL DEMANDS |
WORKING RELATIONSHIPS |
Reports to: Executive Director
FLSA Status: Non-exempt
Full Time
$88k-109k (estimate)
04/20/2023
06/05/2024