Health Advocate
2 weeks ago
**ESSENTIAL JOB DUTIES AND RESPONSIBILITIES**:
- Support and implement the organization’s vision, mission and values
- Determines priorities and method of completing daily workload to complete responsibilities in a timely manner.
- Maintain expertise in eligibility, enrollment and program specifics for all county and state programs such as, Covered CA and Medi-Cal and all programs accessible to our community.
- Provide information in a fair, accurate and impartial manner.
- Develop and maintain updated information to help understand the composition of the communities in the service area, including the primary languages spoken.
- For Covered CA, the Certified Enrollment Counselor (CEC) must wear the Covered CA assigned badge when enrolling or disseminating information regarding Covered CA.
- Fosters and promotes a culture of service excellence and accountability.
- Conduct client to perform intakes by phone and in person to determine their immediate healthcare needs and connected them to the proper resources.
- Provide support and education to assist families when a problem with health coverage arises. May act as family liaison with various health coverage programs.
- Provide education and information to families about utilization of health coverage, plan benefits, and maintaining coverage.
- Promote awareness and access to healthcare through no-cost/low-cost health coverage programs
- Maintain CEC certification to access the CALHEERS and Covered CA web sites for enrollment purposes
- Assist with health education and outreach opportunities in the community such as health fairs, presentations, and special events as needed.
- Demonstrate ability and flexibility to work in other areas and/or locations of the organization as needed.
- Contact families at the time their annual renewal is due to offer re-enrollment assistance.
- Contact potential leads identified at Outreach Events (Health Fairs, Resource Fairs, etc.) to schedule enrollment appointments
- Conduct in-reach by contacting families associated with QueensCare Health Centers as needed.
- Refer families to appropriate community programs according to each family's needs.
- Attend monthly training meetings, and other periodic trainings to retain the most current understanding of enrollment programs.
- Maintain the most current and up-to-date knowledge of Health Plans, Health Insurance(s), Program Eligibility, Medi-Cal updates, Medi-Care updates, Federal/State/County programs updates and all other health programs available to current and prospective patients of QHC.
- Complete data tracking, monthly reports and client file-related paperwork on a routine basis.
- Perform outbound calls to members aging into Medi-Care
- Perform outbound calls to members due for redetermination of health coverage.
- Assist patients with MyChart registration.
- Complies with organizational policies and procedures.
- Must be willing and able to work at all locations as needed to meet patient care needs.
- Must be willing and able to work all business hours including evenings and weekends.
- Perform all other duties as assigned.
- Must be willing and able to work at all locations as needed to meet patient care needs.
- Must be willing and able to work all business hours including evenings and weekends.
**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 ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION/EXPERIENCE:
- High School diploma or equivalency certificate required.
- Ability to learn about and understand state and county programs such as Medi-Cal, Covered CA (Affordable Care act) and other health insurance programs required.
- A valid CEC certification, requiring annual renewal (QHC will sponsor upon hiring)
- Successfully pass the Live Scan background check for a CEC.
- Sales/Marketing and public speaking and presentation experience preferred.
LANGUAGE SKILLS:
Ability to read and interpret documents, such as policies and procedures, benefits information, benefit surveys, board minutes, routine mail, simple contracts, and procedure manuals. Ability to compose routine reports and correspondence. Ability to speak effectively with employees, visitors and management.
MATHEMATICAL SKILLS:
Ability to calculate figures and basic math.
REASONING ABILITY:
OTHER SKILLS AND ABILITIES:
- Exercise good judgment.
- Ability to identify and access appropriate community resources and work with of community leaders.
- Familiarity with multicultural settings and sensitivity to multicultural issues.
- Self-starter, able to take initiative and provide input for decision-making.
- Computer literate.
**PHYSICAL DEMANDS**:
The physical demands described here are representative of those that must be met by an employee to successfully perform the
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