HIV & Hepatitis Prevention Navigator
$25 - $30 USD hourly
PRIMARY FUNCTIONS: Facilitates routine HIV, hepatitis B (HBV), and hepatitis C (HCV) screening and timely linkage to care and HIV comprehensive prevention services through Neighborhood Health’s Gilead FOCUS program. Works with clinical teams to identify patients due for screening, coordinate follow-up after positive or abnormal results, and assist patients in overcoming barriers to care. Provides culturally responsive patient education and navigation, maintains accurate documentation, and supports data reporting and continuous quality improvement across medical sites. Attends grant meetings with NH and Gilead teams.
DUTIES/ RESPONSIBILITIES: (Essential Functions: Duties and responsibilities noted with bullets are considered to be the essential functions of the job)
- Work with providers and clinical staff to integrate routine, opt-out HIV, HBV, and HCV screening into standard clinic workflows in accordance with Neighborhood Health protocols.
- Use eClinicalWorks, Azara reports, and screening lists to identify patients due for testing and coordinate outreach, appointments, and completion of provider-ordered laboratory testing.
- Monitor designated result and referral tracking lists with clinical teams to ensure prompt provider review of positive or abnormal results and timely patient follow-up under established protocols.
- Coordinate HIV confirmatory testing and follow-up appointments as directed by clinical staff, including HCV RNA testing following a positive HCV antibody result.
- Link patients with newly identified or previously diagnosed HIV, HBV, or HCV to appropriate medical care, including Neighborhood Health’s Ryan White team and specialty providers as applicable.
- Conduct outreach to patients with known HIV or HCV who are out of care and facilitate re-engagement through appointment scheduling, reminders, and coordination with care teams.
- Use standardized assessment tools and provider referrals to identify HIV-negative patients who may benefit from HIV comprehensive prevention services.
- Offer and coordinate linkage to HIV prevention services, including provider evaluation for pre-exposure prophylaxis (PrEP), risk-reduction counseling, and other indicated services.
- Escalate reports of recent exposure promptly to clinical staff.
- Provide patient education on HIV and viral hepatitis screening, follow-up care, prevention, and treatment adherence using approved materials and teach-back techniques.
- Identify and address barriers to care, including transportation, insurance, cost, language, scheduling, and stigma; coordinate interpreter services and referrals to available support resources.
- Follow referrals through completion, confirm attendance at initial care or prevention appointments, and document linkage outcomes and unresolved barriers.
- Document patient contacts, assessments, referrals, follow-up activities, and linkage outcomes accurately and promptly in eClinicalWorks and designated program tracking systems.
- Maintain screening and navigation data for program monitoring and grant reporting, including testing completion, positive results, linkage to care, re-engagement, and HIV prevention referrals and outcomes.
- Assist with data validation, screening dashboards, chart reviews, and quality improvement activities; identify
workflow gaps and share recommendations with program and clinical leadership.
- Participate in provider and staff education, team huddles, program meetings with funder, and relevant local or regional meetings and trainings, as needed.
- Maintain current knowledge relevant to HIV and viral hepatitis screening, patient navigation, and HIV prevention
through ongoing education and training.
- Perform duties within established time frames and meet assigned program performance measures while
maintaining quality, efficiency, and accuracy.
- Maintain patient confidentiality and comply with HIPAA and Neighborhood Health policies when accessing records,
communicating with patients, or sharing information with authorized partners.
- Perform other duties and assignments as requested.
QUALIFICATION/EDUCATION and/or EXPERIENCE REQUIREMENTS:
- Bachelor’s degree in public health, social work, health sciences, or a related field and/or 1 to 3 years of relevant
experience in patient navigation, care coordination, case management, or community health services.
- Experience working with HIV, viral hepatitis, sexual health, or prevention services preferred.
- Excellent interpersonal and cross-cultural communication skills and the ability to work effectively with a diverse workforce and underserved patient populations.
- Ability to use motivational interviewing, provide respectful patient education, and assist patients in overcoming
barriers to care.
- Strong organizational, critical thinking, and problem-solving skills; ability to manage multiple referrals and follow-up tasks across clinical sites.
- Experience with electronic health records, data entry, database maintenance, and reporting; familiarity with
eClinicalWorks and Azara preferred; training provided as needed.
- Ability to collaborate with multidisciplinary teams, follow program protocols, and support implementation of
workflow improvements.
- Fluency in Spanish or Amharic a plus, but not required.
Travel Requirements: Travel between Neighborhood Health medical sites and occasional travel to local or regional agencies for meetings and trainings. Work-related travel is reimbursed in accordance with Neighborhood Health policy.
The statements in this job description are intended to describe the essential/non-essential nature and level of work performed by Neighborhood Health employee assigned to this job. They are not intended to be an exhaustive list of all duties and responsibilities, as other duties and responsibilities may be assigned.