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Enabling Services Manager

4 months ago

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

Job Summary:

The right candidate will be responsible for development, implementation, monitoring and reporting on initiatives that support Enabling Services, benefit counseling or eligibility assistance, health education, interpretation, outreach, transportation, and education of patients and the community regarding the availability and appropriate use of health services. In addition, is responsible for the management, training, and coordination of all program activities and staff for the enrollment into the federally run exchange marketplace plans, state Medicaid programs.

Key Responsibilities:

  • Oversees and manages all activities of Enabling Services teams.
  • Oversees Enabling Service functions such as benefit counseling or eligibility assistance, health education and interpretation, outreach, transportation, and education of patients and the community regarding the availability and appropriate use of health services.
  • Formulate and implement operational strategies and initiatives in the Enabling Services department.
  • Provide targeted services through assessment of patient and client needs, ensure resource alignment, and update appropriate stakeholders on strategies, initiatives, outcomes, and issues.
  • Provide targeted patient enabling services through assessment of patient needs and make appropriate social services referrals to outside agencies as indicated.
  • Assists in planning, developing, implementing, and maintaining policies and procedures for operation of the Enabling Services program, ensuring adherence to established federal, state, and local laws, rules, regulations, policies, and procedures.
  • Develops Community Health Workers and patient enabling services team members, providing them with training, and ensuring they are versed in how to use customer relationship strategies.
  • Oversees the determination of eligibility for new applicants and continual eligibility for clients for Enabling Services program, reviewing and verifying data on applications, and ensuring adherence to regulations, policies, and procedures.
  • Oversees the interview applicant process to determine eligibility, inquiring as to financial status, living arrangements, medical conditions, etc., and contacts various human services agencies, financial institutions, credit bureaus, landlords, etc., to confirm information received.
  • Establishes relationships with community organizations throughout the service area and coordinates dissemination of health/ insurance enrollment information.
  • Works with external partners to plan and implement collaborative population health strategies. Coordinates outreach for Center programs and services.
  • Performs other duties as assigned by supervisor.

Qualifications:

  • Bachelor’s degree in business, management, or a related field preferred.
  • Graduation from an accredited high school or equivalent.
  • 3+ years supervisory experience required.
  • 3+ years of progressively responsible healthcare management experience preferred.
  • One year’s program management, health maintenance program development or related experience preferred.
  • Knowledge of general office procedures, insurance plans; and various federal and state programs.
  • Bilingual in Spanish preferred.
  • Customer Service Oriented.
  • Excellent written and verbal communication skills.
  • Excellent Computer Skills MS Office.

This job description is intended to be a tool to describe the primary purpose of the job and the key duties and responsibilities. The position description may not be inclusive of all duties and job assignments. Job duties and responsibilities may be added, deleted, and/or revised at the discretion of management. This is a description of the way this position currently performs the job functions and does not address the potential for accommodation, which would be addressed on a case-by-case basis.