Gender Services Care Navigator

The Gender Services Care Navigator will work collaboratively with Gender Services Consultant supporting members experiencing gender dysphoria to navigate the health care system, to identify where their needs are, and match resources to help remove barriers to accessing care. They will be responsible for aiding members in finding community, financial and provider resources across multiple states and lines of business (e.g., problem solving, resource education and applicable program referrals). The Gender Services Care Navigator is a critical member of the Gender Services Care Management team.

• Receives referrals, researches inquiries, and performs member intake while utilizing content expertise to advocate for member needs.
• Coordinates and collaborates as an important member of the case management team to facilitate member touchpoints and enhance the overall operation of the division.
• Engages with clinical team to address patient questions or concerns and transfer/refer members to a clinical resource when appropriate.
• Independently assess member's needs, gather accurate and comprehensive member information, and research resources and assistance programs that may be available to members in multiple states and across all lines of business. Match these resources as appropriate to support needs of members.
• Identify resource gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as appropriate.
• Conducts outreach to and engages members in Gender Services programs throughout the continuum of care.
• Proactively provide information and education to members, as appropriate, about a variety of health, financial, and self-service programs.
• Serves as a member advocate by identifying underlying needs and facilitates referrals to external resources and services in the health care system, as appropriate.
• Represents members needs internally to account managers (e.g., Clinical Account Managers), clinicians and health support coordinators within Care Management, Customer service, and providers.
• Maintain a strict standard of confidentiality to ensure that our members protected health information (PHI) is secure.
• Display compassion, respect, and self-confidence when conversing with members to ensure outstanding level of service.

• 3+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• General understanding of medical terminology, health insurance, and social determinants of health
• Ability to quickly gain member trust and confidence.
• Demonstrated skills as an empathetic and compassionate communicator.
• Outstanding communication and customer service skills.
• Outstanding analytical thinking skills.
• Outstanding task facilitation skills.
• Strong computer application skills.
• Accurate record-keeping abilities.
• Demonstrate leadership ability.
• Consistently meet all performance measures.
• Demonstrated ability to enhance or develop new skills in response to changing expectations.
• Self-motivated, capable of working independently as well as cooperatively in a team setting.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

• Strong independent research capabilities.
• Bachelor's degree in Social Work, Human Services, Psychology, Health Sciences, or another related field
• 2+ years experience working with populations experiencing gender dysphoria
• Experience supporting the navigation of managed care and other health care organizations.

Compensation and Benefits:

Pay Range: $26.57 - $33.21 - $39.85 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.