Job Description
Job Description
ABOUT US :
Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.
As a private, non-profit 501(C) (3) community health organization, we serve over 350k medical, dental, and behavioral health visits from more than 77k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.
We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.
ROLE OVERVIEW :
The Outreach and Enrollment Specialist will perform outreach and engagement for potential patients to determine eligibility and complete enrollment assessments for the Neighborhood Healthcare Enhanced Care Management (ECM) Program. This role will collaborate with other care team to ensure patients are accessing needed resources.
- Please note, this is a hybrid position with a typical schedule of 2 on-site days and 3 remote workdays per week. On-site expectations may vary and are dependent on performance.
RESPONSIBILITIES :
Provides ongoing monitoring of the Targeted Engagement List (TEL)Reaches out to potentially eligible Neighborhood patients for program engagement and completes program eligibility and enrollment assessments per ECM program protocolAssigns patients to the appropriate ECM care team members based on risk category and available clinical data for ECM engagement activitiesSupports other ECM care team members with completing delegated tasks to achieve monthly patient service goalsDocuments program enrollments, assessments, updated activity / progress notes, and any other forms necessary in managed care plans and ECM portalUses evidence-based approaches to engage with patients, such as Motivational and relationship-based InterviewingPromotes collaboration between the members and their medical / behavioral team to increase the member's sense of control over their healthAssists with coordinating medical and behavioral health access issues with primary care provider offices, specialists, and ancillary servicesAudit managed care plans and ECM portal to ensure documentation is completed and ready for monthly ECM billingCollaborates on patient care issues and systematic case reviews with other ECM care team members to help patients prioritize healthcare needs, remove barriers to accessing care, and make healthcare related decisionsConsults with other ECM care team members and NHC providers / staff to provide recommendations to support improved health-related outcomesAssists with arranging transportation and completion of durable medical equipment requestsVerifies insurance eligibility and submission of treatment authorizationsCoordinates with ECM patients in the most easily accessible setting, such as providers, Neighborhood sites / clinics, or other settingsImpacts patient experience by demonstrating values of courteous and helpful behavior and a commitment to accuracyQuality Management & Record Keeping :
Contributes to the success of the organization by participating in quality improvement activitiesDocuments in eClinicalWorks all care coordination and other services or teachings provided in a timely mannerPrioritizes activities according to intensity, need, and required follow-upProvides accurate and timely reports to supervisor and site staff, as neededEDUCATION / EXPERIENCE :
High school / GED requiredValid CA driver's license and proof of car insurance requiredTwo years’ experience documenting customer activities required; healthcare experience preferredExperience with community outreach and behavioral health with high-risk populations preferredBilingual (English / Spanish) strongly preferredADDITIONAL QUALIFICATIONS (Knowledge, Skills, and Abilities) :
Excellent verbal and written communication skills, including superior composition, typing, telephone, and proofreading skillsAbility to interpret a variety of instructions in written, oral, diagram, or schedule formAbility to interact with diverse clinic personnel, patients, and community-based organizationsKnowledgeable about and experience with medical terminologyKnowledgeable about and experience with evidence-based communication, such as motivational interviewing or empathy-based communication strategiesKnowledgeable about and experience with multicultural communities, mental health conditions, and addictive disordersAbility to address unmitigated bias and judgement impact on healthKnowledgeable and experience with spreadsheets, databases, data entry, scanning, printing, and faxingAbility to work with patients who are considered vulnerable, challenging to engage, or those who suffer from mental health and / or substance abuse concernsAbility to use Microsoft Office applicationsAbility to successfully manage multiple tasks simultaneouslyExcellent planning and organizational abilityAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPay Range : $22.40 -$27.38 per hour, depending on experience
Compensation Disclosure : The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to : the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.
