Community Health Worker/Enrollment Navigator

Choice Consulting is a Collective, Holistic, Outreach, Inclusive, Community Empowerment organization designed to address Social Determinants of Health with evidence-based approaches to service delivery.

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Position Title: Community Health Worker (CHW)/Enrollment Assister

Position Summary: The Community Health Worker (CHW)/Enrollment Assister is responsible for performing a variety of tasks to support community health and enrollment services. This position will provide comprehensive, fair, impartial, and accurate enrollment assistance and information to individuals and families regarding health insurance options available through the Pennsylvania Health Insurance Marketplace, Pennie. This includes Qualified Health Plans, Medical Assistance (MA) Medicaid, the Children’s Health Insurance Program (CHIP), and Medical Assistance for Workers with Disabilities (MAWD).

The CHW/Enrollment Assister will work both independently and as part of a team to support families and individuals struggling to overcome challenges and social determinants of health.

Responsibilities:

• Educating and assisting uninsured or underinsured individuals in understanding health insurance options.
• Assessing eligibility and assisting with applications for Medicaid, CHIP, and Pennie.
• Explaining the benefits of enrolling children in low-cost insurance programs available through Pennsylvania.
• Engaging with community-based organizations (CBOs), Federally Qualified Health Centers (FQHCs), and regional providers.
• Facilitating connections and referrals to address Social Determinants of Health (SDOH) needs.
• Identifying and communicating local and regional SDOH needs.
• Providing courteous, professional, and confidential assistance to all consumers.
• Serving as a resource for understanding the Marketplace, health insurance, and healthcare options.
• Conducting marketing and outreach activities about health insurance options.
• Working independently and traveling to provide enrollment services.
• Complying with confidentiality policies and laws.
• Ensuring follow-up and data entry for consumer referrals and outcomes.
• Achieving performance targets by collaborating with CHWs, Enrollment Assisters, and community partners.
• Complying with continuing education and recertification requirements.

Required Skills:

• Decision-Making: Ability to perform duties requiring constant supervision or detailed guidelines.
• Problem-Solving: Identifies issues, evaluates possible solutions using training and assessment tools, and selects the best course of action based on assessment results, considering various factors and potential outcomes.
• Expertise and Knowledge: Applies CHW and Enrollment Assister knowledge, training, and skills to assist members in overcoming social determinants of health.
• Adaptability: Adapts service approach based on the specific circumstances and needs of each member, crucial for handling complex or unique scenarios.
• Responsibility: Accountable for decisions and their outcomes, highlighting the importance of judgment in the role.

Qualifications:

• Bilingual (English/Spanish): Required.
• Education: Bachelor’s Degree preferred or 2-4 years of relevant experience.
• Healthcare Experience: Previous experience in the healthcare industry, including Medicaid and managed care for physical and behavioral health.
• Policy and Ethics: Knowledge of healthcare policy, ethics compliance, and patients’ rights.
• Communication Skills: Strong and effective communication abilities.
• Interpersonal Skills: Team player with strong interpersonal skills, able to work cooperatively with staff and community partners.
• Cultural Competence: Respects diversity and applies principles of cultural competence.
• Multitasking and Initiative: Capable of handling multiple assignments and taking initiative to plan and complete projects effectively.
• Presentation and Organization: Strong presentation and organizational skills.
• Flexibility: Ability to work flexible hours, including evenings and weekends.
• HIPAA Compliance: Knowledge of HIPAA standards and requirements, ensuring the protection and security of personal and confidential information.
• Technical Proficiency: Proficient in MS Office (Word, Excel, Outlook), Internet applications, and electronic documentation programs.

License/Certification:

• Community Health Worker Certification: Required (we will help you acquire it).
• Enrollment Assister License: Required (we will help you acquire it).
• CPR Certification: Required (we will help you acquire it).

Physical Requirements:

· Must be able to remain in a stationary position 50% of the time.

· Constantly operates a computer and other office machinery such as a calculator, copy machine and printer.

· This position requires frequent communication with customers, community-based organizations, coworkers and members. Must be able to exchange accurate information in these situations by phone and in person.

· The ability to see details at close range,

· Ability to travel to provide assistance and resources to community and plan members.

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This job description is not intended to be a comprehensive listing of all duties and responsibilities that are required of this position. Choice Consulting, LLC job descriptions, and daily responsibilities may change at any time with or without notice.

Job Type: Full-time

Pay: $50,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid jury duty
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Evenings as needed
• Monday to Friday
• Weekends as needed

Work Location: Remote

Salary : $50,000 - $55,000