Community Resource Advocate

Kintegra Health; Lincolnton (NC); On-site; USD 21,000 - 30,000; Full time

Job summary

Kintegra Health seeks a Community Resource Advocate to assist patients with enrollment in Medicaid Expansion, ACA plans, and related programs. You will coordinate outreach events, educate patients, and connect them with community resources through MAC, SHIIP, and other platforms.

This role requires strong communication, bilingual ability (preferred), and a commitment to patient advocacy. The position emphasizes collaboration with the outreach team and community partners in a dynamic healthcare

Qualifications

• Experience in a medical office setting required.
• Bilingual English/Spanish preferred but not required.
• Excellent verbal communication and organizational skills.
• Maintain patient confidentiality at all times.
• Ability to plan and facilitate community outreach events.

Responsibilities

• Provide excellent customer service to community members, patients, fellow employees, and community agency staff.
• Using motivational interviewing, assess individuals’ current needs and resources.
• Educate about program requirements and assist with enrollment and/or referrals.
• Uphold guidelines for Medicaid Expansion, MAC, MAP, Medicare, ACA insurance, and related programs.
• Participate in quality initiatives to improve processes and minimize errors.
• Collaborate with staff to maintain efficient workflow.
• Use data systems to update referrals and expedite patient processing.
• Adhere to reporting and certification requirements for applicable programs.
• Recruit volunteers to expand SHIIP and SOAR services.
• Document activities in MAC, Connector, TPC, and related tools.
• Maintain positive relationships with community members and partners.
• Develop outreach and engagement with community agencies and officials.
• Handle physical setup for enrollment events as needed.
• Perform other duties as assigned.

Skills

Medical office experience

Bilingual English/Spanish

Verbal communication

Organizational skills

Confidentiality

Problem solving

Critical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Epic

NC Tracks

Marketplace Assister Community (MAC)

ACA software

Connector

SHIIP software

The Pharmacy Connection

Microsoft Office

Job description

Job Information

Title

Community Resource Advocate

Department

Community Outreach and Resource Development

Status

Hourly

Position Classification/Category

Non-Exempt

Location

All

Reports To

Community Outreach and Advocacy Manager

Summary Of Position

This position is responsible for providing patients with assistance in meeting their healthcare needs including enrollment in Medicaid Expansion application assistance, pharmaceutical charity programs, Medicare, ACA Health Insurance, preparing disability applications for patients through the SOAR program, providing education and completing paperwork for sliding scale and new uninsured patients, Medicaid Expansion application assistance, and referring patients to other community resources based on their expressed needs. Address all patient referrals through the Provider Referral Work Que. Coordinate outreach/in reach events during National Health Center Week and beyond, create and maintain relationships with community agencies and elected officials. Equitably serve the organization’s patient population through patient advocacy, community, outreach, and engagement.

Minimum Qualifications

The following qualifications are the minimum necessary to adequately perform this job. However, any equivalent combination of experience, education, and training which provides the necessary knowledge, skills, and abilities would be acceptable, subject to any legal and/or regulatory requirements; Must be able to sit, stand and walk for long periods of time; Ability to read and understand the English language; Ability to effectively maintain confidentiality of records and communicate with all levels of personnel.

• Experience : Experience in a medical office setting required.
• Bilingual (English/Spanish) : Preferred but not required.
• Additional Required Skills : Knowledge of medical office software and comfort in using computers in daily work activity. Must have excellent verbal communication skills. Excellent organizational skills. Must be able to problem solve and have critical thinking skills. Understand and maintain patient confidentiality.
• Additional Requirements : Maintain active membership status in the respective Continuum of Care Program and possess the ability to plan and facilitate community outreach events.
• Additional Preferred Skills: Basic medical terminology. Proficient in use of all computer software utilized in the organization, including Epic, NC Tracks, Marketplace Assister Community (MAC), ACA software, Connector utilization, SHIIP software, The Pharmacy Connection, and Microsoft Office Products.

Education

High School Diploma or GED certificate required; bachelor's degree preferred

Certification(s)

SHIIP Counselor, Affordable Care Act (navigator or certified application counselor), SOAR Counselor, ACA Navigator, completion of TPC training, Community Health Worker Certification

K ey Responsibilities

• Provide excellent customer service to all constituencies – community members, patients, fellow employees, community agency staff.
• Utilizing motivational interviewing techniques, ascertain individuals’ current needs and resources.
• Based on information provided by the individual served, provide education about requirements for programs as well as program enrollment and/or referral.
• In both internal and external interactions, uphold Medicaid Expansion, MAC, MAP, Medicare, disability, ACA insurance, FQHC, and community agency enrollment and program guidelines, policies, and procedures.
• Participate in QI initiatives to improve processes and minimize errors and variation.
• Collaborate well with all appropriate staff to maintain efficient workflow.
• Utilize data systems to update and communicate with staff to receive appropriate referrals and expedite patient processing.
• Adhere to all reporting, training, and certification requirements of Community Health Worker Level - 1, Medicaid Expansion, MAC, SOAR, SHIIP, ACA, FQHC, and other community programs.
• Recruit additional volunteers to increase capacity to provide SHIIP and SOAR services.
• Document activities in Marketplace Assister Community (MAC), The Connector, TPC and other means as requested by team leads and/or program manager.
• Maintain positive relationships with community members, healthcare providers and community partners.
• Develop and maintain positive relationships with community members and agencies through community outreach and engagement.
• Physical demands may include transportation of event supplies, set up and breakdown of tables, chairs, booths, and IT equipment at enrollment events.
• Perform other duties as assigned.

Kintegra Health Core Requirements

• Patient First - An approach to care that holds primary, the well-being and desires of the patient.
• Build not Blame - Focusing first on finding fault with the process rather than the person.
• Integrity and Honesty - F ostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers.
• Cooperation and Flexibility - Related to an internal belief that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description.
• Culturally Sensitive - Always working toward increasing one’s ability to understand, communicate with, effectively interact, and care for people across cultures, while having an acute awareness of one’s own culture.

Kintegra Health is a is a community sponsored, family-centered provider of health care, health education and preventive care services without regard to the ability to pay. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so we need staff committed to this mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve.

Our Goals Are

• To provide continuing comprehensive and accessible primary care services to individuals and families of all economic levels throughout our service area.
• To provide primary care services to meet the physical as well as social health needs of individuals and families, promoting health maintenance, providing timely diagnostics, treatment, and referral services.
• To emphasize preventive care through patient and community education to help individuals become aware and responsible for their own health behaviors.
• To employ an interdisciplinary team approach in collaboration with other community providers to provide a continuum of appropriate patient/family-oriented care in a cost-effective manner.