Job description

Looking for a way to influence the health and healthcare of many?

If so, we’d love to hear from you! Our mission-driven organization is focused on the “*Triple Aim*” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.

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UNITE *HERE* HEALTH* serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

Key Attributes:

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Integrity* – Must be trustworthy and principled when faced with complex situations

• Ability to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships required
• Communication – Ability to generate concise, compelling, objective and data-driven reports
• Teamwork – Working well with others is required in the Fund’s collaborative environment
• Diversity – Must be capable of working in a culturally diverse environment
• Continuous Learning – Must be open to learning and skill development. As the Fund’s needs evolve, must be proactive about developing new areas of expertise
• Lives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)

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UNITE *HERE* HEALTH* is seeking a Healthcare Navigator I to be a resource for participants, the unions, and employers who are seeking assistance with navigating and understanding the complex health system and participants’ benefits, claims and eligibility. This position will collaborate closely with the Fund’s Member Services, Employer Services (Contributions & Enrollment) and New Membership teams to direct stakeholders on where to get answers to their questions, to resolve complex/escalated participant issues and to staff new employer and annual open enrollment events. In addition, this position will engage participants about the plans’ health and benefit education initiatives through proactive telephonic outreach and worksite visits, and will provide program administrative support.

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ESSENTIAL JOB FUNCTIONS AND DUTIES*

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Conducts proactive education and advocacy via phone, email, text and in person around health education priorities of the region and the optimal way to access care (e.g. having a PCP, staying in network, connecting with Case Management, using Urgent Care Center instead of Emergency Room, etc.)

• Educates participants encountered during telephonic or worksite visits on how to get questions answered related to claims, eligibility, and benefits
• Collaborates with the Fund’s Member Services and Employer Services (Contributions & Enrollment) teams to resolve escalated participant issues encountered during engagement
• Attends enrollment and benefit education events at worksites
• Provides program and administrative support including but not limited to researching healthcare and social service resources in the community, entering data into CarMa, arranging logistics for group workshops
• Assists with the identification of participants requiring follow-up by Health Promoters or Nurses
• Works on special projects as necessary, such as helping participants navigate benefit changes or transitions to new networks
• Documents work and outcomes in CarMa
• May facilitates group self-management workshops
• Provides input to management regarding concerns identified through interactions with participants
• Drives on Fund Business and/or authorized to drive a Fund-owned or leased vehicle
• Sets goals and achieves measurable results
• Contributes ideas to plans and achieving department goals
• Diversity, Equity, and Inclusion; supports, contributes to, and partners with the Participant Engagement Department on creating a resilient, high-performing, inclusive culture of diversity and equitable opportunity for employee success and career growth
• Exemplifies the Fund’s BETTER Values in leading and fostering a respectful, trusting, and engaged culture of diversity and inclusion
• Performs other duties as assigned within the scope of responsibilities and requirements of the job
• Performs Essential Job Functions and Duties with or without reasonable accommodation

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ESSENTIAL QUALIFICATIONS*

• **Must be vaccinated for COVID-19*

Years of Experience and Knowledge

• 1 ~ 2 years of related experience minimum
• Working knowledge and experience in health care, customer service, community education, and/or service sector labor unions

Education, Licenses, and Certifications

• Associate's degree or equivalent work experience required
• Valid driver’s license, car, auto insurance, and/or ability to use public transportation (depending on region)

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Skills and Abilities*

• Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)
• Beginner level Microsoft Excel skills with demonstrated ability to learn
• Strongly Preferred fluency (speak and write) in Spanish or another language common in the region (Cantonese, French, Haitian Creole, Cape Verdian Creole)
• 10% ~ 15% travel
• Active listening skills
• Strong communication skills (written and verbal)
• Customer service skills
• Relationship building skills; ability to connect with others on a personal level

Job Type: Full-time

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