Enabling Services Associate

6 days ago


Tyler, United States Tyler Family Circle of Full time
Job DescriptionJob Description

Summary

Responsible for assisting patients with coverage options and applications including but not limited to Medicaid, Medicare, and Affordable Care Act Plans. Acts as liaison for patients who are referred into and out of FCC clinics to help ensure adherence to treatment plans. Assists patients with access into social workers, referral providers, labs, and other health care entities.

Essential Duties and Patient Centered Responsibilities include the following. Other duties may be assigned.

Communicate cross culturally to educate clients/community members on health issues, increase knowledge of preventative health care, and increase knowledge and utilization of available health care resources.

Provide a link between clinic, individual client, and the community network of service providers to increase collaboration and use of resources.

Verify eligibility for programs, previous enrollment history, demographics and current health status of each member.

Provide assistance to clients to enroll for services, including completion of forms/applications required to receive needed services, including but not limited to Medicaid, Insurance Marketplace, CHIP, TANF, SNAP and My Chart.

Provide information and assist with referrals to appropriate community agencies and resources and serve as patient advocate to help clients navigate the medical system and access needed follow-up care.

Assist clients with arranging/ensuring follow-up medical appointments, including transportation when necessary.

Provide education for patients and their families individually.

Organize and conduct health education/outreach activities and screenings to increase patient enrollment.

Know, understand, and adhere to FCC policy related to the patient’s rights for confidential care.

Maintain appropriate documentation within protocols and guidelines.

Have ability to work flexible hours, including possible evenings and weekends.

Participates in CPI program. Maintains compliance, is knowledgeable, and utilizes the guidelines of all state and federal laws and regulations as they pertain to the position including, but not limited to; Health Insurance Portability Accountability Act (HIPAA), Scope of Practice, Accreditation Standards, Occupational Safety and Health Administration (OSHA), Bureau of Primary Health Care/ Health Resources and Services Administration (BPHC/HRSA), National Committee for Quality Assurance/Patient Centered Medical Home (NCQA-PCMH), Centers for Medicare and Medicaid Services (CMS), Clinical Laboratory Improvement Amendment (CLIA), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and other HRSA related regulatory functions and/or agencies that Family Circle of Care participates in.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.

Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.

Diversity - Shows respect and sensitivity for cultural differences.

Ethics - Treats people with respect; inspires the trust of others; works with integrity and principles; upholds organizational values.

Personal Appearance - Dresses appropriately for position; keeps self well groomed.

Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.

Safety and Security - Observes safety and security procedures; reports potentially unsafe conditions; uses equipment and materials properly.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

High School Diploma or GED required.

Two years of health/clinical experience or equivalent health-related education required.

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Word Processing software; Microsoft Excel Spreadsheet software and Electronic Medical Record System Database software experience, EPIC preferred.

Language

Verbal and written bilingual skills (English/Spanish) strongly preferred.

Certificates, Licenses, Registrations and Other

Community Health Worker Certification from the Texas Department of State Health Services preferred. If not certified, must obtain certification within 6 months of the date of hire. Must have reliable transportation, a valid TXDL, and ability to produce a copy of current auto insurance certificate. Current CPR Certification and all required renewals preferred.

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to talk and hear. The employee is frequently required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to sit. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee may be exposed to airborne particles, infectious disease, biohazardous waste, blood, and bodily fluids. Employee is required to follow all established blood born pathogen and hand washing procedures. The noise level in the work environment is moderate.

This position functions within the community and will include travel within the immediate counties which Family Circle of Care serves and driving between cities.




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