Insurance Navigator, Recovery

At RS EDEN, our mission is to create thriving, just communities where healing occurs, and new beginnings are possible. Our values are Compassion, Innovation, Community, Hope, Respect and Inclusion, Accountability and Integrity, and Safety.

SUMMARY

The Benefits/Insurance Navigator is responsible for coordinating all aspects of application for benefits, specifically insurance and general assistance, in the RS EDEN Recovery Services programs. Flexibility, effective time management practices, and sound organizational skills are necessary. Must have strong customer services skills, empathy, ability to work through crisis situations in a professional, therapeutic and positive manner. This position includes light lifting and sitting for long periods of time.  This position is classified as a category 3 driving position.

RESPONSIBILITIES

• Understand insurance navigation, benefit application, county systems, and the behavioral health fund
• Maintain professionalism with county relationships and current participants
• Utilize empathy to support clients throughout the benefit application process
• Complete and maintain training needed to become a CAC insurance navigator through the county
• Maintain up to date information related to eligibility for insurance and various county and state benefits
• Understand all relevant program policies and procedures and how they interact with participant insurance and other benefits
• Assess new client immediate needs upon admission with regards to benefits and communicate this to relevant staff
• Ability to accurate assist participants in filling out all submission forms needed to obtain benefits
• Maintain current information regarding applications for
• Participate in staff meetings and training as required or directed
• Manage the processing and procurement of funding for all admissions and the collection of documents for incorporation into client files
• Understand and follow vulnerable adult, incident/accident policy and reporting procedures
• Safeguard personally identifiable health information (PHI) in accordance with duties and current agency HIPAA an 42CFR notification statement and standards
• Support the Admissions Supervisor in meeting department goals for census and service delivery
• Performs other duties as required

QUALIFICATIONS/REQUIREMENTS

Required:

• 2-yr. degree in social services or related field, or equivalent training and experience preferred
• Experience with insurance, general assistance, SNAP, and other county and state benefits
• Experience with the behavioral health fund
• Current Mantoux test. (Annual requirement thereafter)
• Must be able to pass applicable favorable criminal history/background check
• One year off correctional supervision

Preferred:

• CPR/First Aid training
• Excellent communication and time management skills
• Strong computer skills
• Familiarity with Procentive or other EHR systems

• Ability to convey a positive, courteous and professional image

• Ability to relate to people from diverse backgrounds with multiple individual and systemic barriers to success

Join a team whose innovative work addresses the complex and intersecting challenges of addiction, homelessness, disability, poverty, and criminal justice involvement. RS EDEN promotes recovery and resilience in our clients as they build new beginnings through these person-centered programs, including residential and outpatient substance abuse treatment for men, women, and women with children; reentry halfway houses and community supervision for men and women; and supportive housing and housing stability services programs. Our team provides creative solutions that support individual and community safety as well as holistic wellness and recovery.

RS EDEN requires all new hire candidates for this position to successfully undergo and pass a criminal history background check, and driver record screen (DMV check).

We offer competitive compensation and benefits package including:

Health, Dental, and Vision. Life and Long-Term disability insurance.
Retirement plan with company contribution
Generous paid time off
12 annual holidays
Tuition Reimbursement

Note:  This job description is not intended to be an inclusive list of responsibilities, but a guide to basic areas of job function and responsibility. Other tasks may be assigned from time-to-time by the supervisor and the position may become specialized in focus, all of which would also be considered a part of this job description. All job descriptions are subject to periodic review and any changes will be addressed with both the employee and supervisor.

AA/EEO