Outreach & Enrollment Specialist (Community Health Worker)

Description

Job Summary: Perform community outreach and marketing. Increase the number of residents, especially those who are homeless or at risk of becoming homeless, who have access to primary and preventative health care services by identifying those eligible for publicly-sponsored insurance programs and other social services and assisting persons identified to navigate the enrollment process to secure needed services. Ensure that newly enrolled members of publicly-funded insurance programs understand how their insurance plan works and have a functional relationship with an appropriate primary care provider.

• Serve as a central resource for community questions and referrals for both consumers and providers.
• Builds relationships with community resources, public health, schools, churches, and other social service organizations to identify, refer and develop resources that remove consumer barriers to accessing needed health and social services.
• Identify individuals who are homeless through direct outreach activities and through reports/referrals from community partners, churches, schools, and others.
• Connect with homeless individuals to inform them about SCHS’ services and related community resources and assist identified persons in accessing needed care that facilitates individual and family health, care coordination, continuity of care, and case management.
• Assist eligible clients to apply for publicly sponsored health care insurance plans, providing necessary follow-up, tracking and data collection to assure continuous enrollment.
• Develop and maintain a tracking and follow-up system for Medicaid and other social service applications to ensure that all aspects of the process, from application through post-enrollment have been completed and that the client is able to receive appropriate services.
• Maintain statistics/data on contacts; identify needs, problems and service gaps. Trace and tabulate contacts, application submission and post-enrollment follow-up.
• Initiate post-enrollment support activities with Medicaid eligible clients, completing and recording the information required for monthly SCHS reports.
• Attend appropriate community or networking meetings to facilitate outreach and gather of information to increase consumer access to a permanent medical home.
• Work with local schools, churches, community partners, and key employers to train, coordinate and problem-solve so they can make appropriate referrals to SCHS or appropriately support enrollment in or use of services through the Medicaid program.
• Develop with the marketing firm and the Director of Administration educational flyers/handouts to distribute through local community-based groups.
• Participate in community coalitions and related committees convened to prevent and reduce homelessness.
• Support and contribute to effective safety and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities.
• Other related duties as assigned that support organizational goals and objectives and patient centered care.
• Attend school functions/meetings to educate school personnel, parents, guardians and students regarding the value and availability of primary and preventive health care services.
• Gather information regarding health care needs of students, recommend and implement plans to increase student access to a permanent medical home.
• Assist with necessary paperwork for vision and dental screenings, dental sealant clinics, immunization clinics, and sport physicals.
• Enter data from all school outreach activities into EHS; make appropriate referrals for dental or vision resources as indicated by supervisor.
• Provides patients with general information about the clinic, directions to the clinic, etc.
• Interacts professionally with physicians, patients/families and healthcare staff.
• Maintains a good working relationship within the department and with other departments.
• Communicates with staff clearly and appropriately through Clinical Event Manager (CEM) phone call tools, and directly contact staff as deemed necessary.
• Accepts other responsibilities as directed.
  
  

Requirements

Professional Requirements:

• Fully participates and cooperates with SCHS’ compliance program.
• Meets dress code standards; appearance is neat and clean.
• Maintains regulatory requirements.
• Completes annual educational requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled; excellent attendance record.
• Wears identification when on duty; uses the computerized punch time system correctly.
• Completes off site inservices as required and returns in a timely fashion.
• Attends annual review and departmental inservices, as scheduled.
• Attends scheduled staff meetings; reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the facility.
  
  

Regulatory Requirements

• High school graduate or equivalent.
• Minimum two years working in a primary care facility.
• BA/BS in health or social services or other related field preferable.
• Work as a community health outreach worker or enrollment specialist highly desirable.
  
  

Language Skills

• Able to communicate in English, both verbally and in writing.
• Additional languages preferred.
  
  

Skills

• Basic computer knowledge, data entry and/or word processing.
  
  

Physical Demands

• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
  
  

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.