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Job ID: 952607
Facility: Access East, Inc
Location: Greenville, NC
Date Posted: Nov 23, 2021
About Vidant Health
Vidant Health is a regional health system serving 29 counties in eastern North Carolina. We are working every day to improve the health of the 1.4 million people we serve. Vidant Health is made up of 8 hospitals, physician practices, home health, hospice, wellness centers and other health care services. Vidant Medical Center is affiliated with the Brody School of Medicine at East Carolina University. As a major resource for health services and education, Vidant Health strives to support local medical communities and to work with providers throughout the region to deliver quality care. Our goal is to enhance services that are available locally and to eliminate barriers involving time, distance and lack of awareness that sometimes prevent patients from receiving the care they need.
Responsible for screening and identifying Access Care Network patients who are utilizing the Emergency Room inappropriately.
Responsible for coordinating individual and group Access Care Network participant enrollments.
Responsible for determining the eligibility of person utilizing the Emergency Room for care navigation/care coordination services.
Responsible for maintaining a database of Access Care Network enrollees and community medical homes.
Responsible for acting as an advocate for Access Care Network enrollees with Emergency Room and Community Medical Home Staff.
High School plus 2 years or more of formal training/education required. Prefer degree in business, health care, or related.
1 - 3 years relevant experience in healthcare required. Prefer experience in the areas of case management, patient/client relations, insurance, medical office, business office.
An additional two years of education in healthcare or business may be substituted for the required experience.
3-5 years of relevant experience may be substituted for additional 2 years of formal education.
ACA Navigator Experience Preferred.
This position will serve as a Benefits Advocate for ACA Navigators at Access East in Eastern North Carolina. This position is a 3 year, grant funded by CMS. Will include some nights and weekends. Candidate must have experience in the Health Insurance Marketplace and health insurance plans.
This will be a hybrid position - on-site and remote.
It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.