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Un'ina Navigator

Department: Health Systems Management

Program: Health Systems

Reports To: Medical Social Worker Supervisor

Employment Status: Full Time

FLSA Status: Non-Exempt

Schedule: 40 hours/52 weeks

Preference: TERO Ordinance 2017-01, P.L. 93-638

Revision Date: 2/18/2025

Job Summary

The Un'ina Navigator is responsible for registering un'ina (patients) in all Electronic Health Records (EHRs) across all Health Systems Departments. The Un'ina Navigator will gather all un'ina demographic information, insurance information, and be responsible for obtaining acceptable proof of eligibility for services at Dena'ina Wellness Center (DWC). The Un'ina Navigator is responsible for conducting Family Health Resource (FHR) screenings for un'ina within the Health Systems Department to determine un'ina eligibility for coverage of services at DWC. The Un'ina Navigator assists with applications for alternate resources to include but not limited to Medicare, Medicaid, and Tribal Sponsored Health Insurance Program (TSHIP). The Un'ina Navigator will proactively reach out to un'ina, adhering to established policies and procedures, to complete alternate resource screenings in a timely manner. The Un'ina Navigator works closely with multiple departments as FHR screenings are a determining factor in the Purchase Referred Care (PRC) process.

Essential Functions

• Assists un'ina and families with applying and renewing applications for alternate resources to pay for medical care
• Accurately registers all un'ina into all Health Systems Departments EHRs by collecting un'ina demographic information, insurance information, obtaining acceptable proof of eligibility for services at DWC, and un'ina registration forms
• Collaborates with the Medical Social Worker Supervisor and Health Systems Manager to evaluate and verify acceptable proof of eligibility for services at DWC
• Reviews Health Systems providers schedules to complete FHR screenings prior to un'ina appointments to ensure FHR screenings are completed for all un'ina annually Be the point of contact for un'ina and their families, answering questions regarding alternative resources
• Accurately document all un'ina (patient) screening results and related communication within the un'ina (patient's) Electronic Health Record (EHR) and case management system
• Works closely with the department to complete FHR screening in a timely manner for un'ina which is required for a PRC eligibility decision
• Participates in Purchase Referred Care Workgroup on an as needed basis as directed by supervisor
• Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

• Sedentary work Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Physical Requirements

• Stand or Sit (Stationary position)
• Walk (Move, Traverse)
• Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
• Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)
• See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)
• Repetitive Motion

OSHA Categories

• Category III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid

Equipment and Tools

(Complete with information required to perform essential functions of the job)

List Equipment used for job: Printer, Scanner, Desktop

List Tools: N/A

Drives KIT or Personal Vehicle: N/A

Qualifications

Education

• High School Diploma or General Education Degree (GED)

Experience

• One (1) year of experience in a medical office completing patient registration
• One (1) year of experience working with Medicare, Medicaid, Denali Kid Care
• Experience with Electronic Health Records (EHR)

License/Certification

• Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy, or obtain within 90 days of hire, or, with approval of the hiring manager, sign a *Memorandum of Understanding (MOU) in lieu of having a driver's license to perform the required duties of the position
• Basic Life Support (BLS) certification required, or obtain within 90 days of hire

Preferred

• Knowledge and experience working with cultural diversities

Special Skills

• Possesses a high level of attention to detail, strong interpersonal and technical skills, and effective problem-solving abilities
• Familiar with alternative payment resource options
• Communicate clearly and effectively with co-workers, health professionals, and un'ina
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
• Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers, and others
• Ability to multi-task, work independently, and meet deadlines
• Proficiency with Microsoft Suite, or obtain training within 90 days of hire

This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.