Eligibility Outreach Worker

Kalihi Palama Mental Health; Honolulu (HI); On-site; USD 42,000 - 56,000; Full time

Job summary

Kalihi-Palama Health Center in Honolulu, HI seeks a program support specialist to assist uninsured/underinsured clients with eligibility for Quest, TANF, Medicaid/CHIP, and other DHHS programs. You will help enroll clients and monitor applications, provide follow-up, and refer to sliding scale or free care where appropriate.

The role includes documenting outreach, reporting outcomes, and coordinating with 211/Ask Aloha United Way referrals.

Qualifications

• High School Diploma or GED required.
• Post-secondary education or Bachelor's Degree preferred.
• Knowledge of community resources and social services.

Responsibilities

• Assist uninsured/underinsured clients with eligibility for Quest, TANF, Medicaid/QUEST and CHIP, and other DHHS programs.
• Provide accurate enrollment assistance and follow-up for eligible programs.
• Screen and refer clients to community social services based on SDOH.
• Refer clients to providers offering sliding fee scales or free care when appropriate.
• Report timely outcomes and outreach activities to supervisor/HPCA.

Skills

Knowledge in Community Resource

Education

High School Diploma or GED

Bachelor's Degree preferred

Job description

Primary Purpose

Assist uninsured and/or underinsured clients in determining eligibility for Quest, Temporary Assistance for Needy Families (TANF) and other Department of Health and Human Services (DHHS) or federal programs; facilitate the enrollment process to ensure that all eligible clients are given the opportunity to apply and all applications are monitored in a timely manner.

• Provide accurate information, competent enrollment assistance, and follow-up assistance for each of the following medical insurance programs
• TANF (Temporary Assistance to Needy Families)
• Food Stamps
• Medicaid and QUEST (including the State's Children's Health Insurance Program (CHIPS))
• QMB/SLMB (assistance to the elderly who are qualified for Medicare supplemental programs)
• Renewal applications for any and all of the above programs as required.
• Provide accurate information, competent enrollment assistance, and follow-up assistance for each of the following financial assistance programs
• General Assistance (GA) with the Department of Human Services (DHS)
• Social Security Income (SSI) / Social Security Disability Income (SSDI) with Social Security Administration (SSA)
• Screen and Refer client to appropriate community social services programs based on identified Social Determinants of Health (SDOH) screening
• Refer client to appropriate providers and additional services, where necessary, including referral to health care providers that offers sliding fee scale discounts or free care to low income clients not qualified for public health insurance or assistance.
• Participate in any Hawaii Primary Care Association (HPCA)- sponsored training and update event related to this program.
• Ensure timely reporting that includes:
• Number and types of application completed
• Number and types of renewal forms completed
• Demographic stratification of individuals served including client ethnicity, gender, age, poverty level, language assistance rendered, if any, and, for immigrants, country of origin
• Outcomes of application and renewal determinations
• Types of outreach activities engaged in and actual or estimated number of people reached
• Other referrals and/or enabling services provided
• Notes on other accomplishments or problems encountered
• Make outreach and enrollment services available during non-traditional hours ie: available outside the hours of 8:00am to 4:30pm., Monday through Friday, as appropriate for the population served.
• Serve pregnant women, children, families, immigrants/migrants, people who are homeless, the elderly, and any appropriate special populations.
• Ensure that outreach and enrollment services are linguistically and culturally appropriate. Clients who do not speak English as a native language or who have hearing impairments must appropriately be accommodated.
• Cooperate with referrals from 211/Ask Aloha United Way within the Kalihi-Palama Area

Primary Purpose

Assist uninsured and/or underinsured clients in determining eligibility for Quest, Temporary Assistance for Needy Families (TANF) and other Department of Health and Human Services (DHHS) or federal programs; facilitate the enrollment process to ensure that all eligible clients are given the opportunity to apply and all applications are monitored in a timely manner.

Essential Duties

• Provide accurate information, competent enrollment assistance, and follow-up assistance for each of the following medical insurance programs
• Federal Market Place
• TANF (Temporary Assistance to Needy Families)
• Subsidized Housing
• Food Stamps
• Medicaid and QUEST (including the State's Children's Health Insurance Program (CHIPS))
• QMB/SLMB (assistance to the elderly who are qualified for Medicare supplemental programs)
• Renewal applications for any and all of the above programs as required.
• Provide accurate information, competent enrollment assistance, and follow-up assistance for each of the following financial assistance programs
• General Assistance (GA) with the Department of Human Services (DHS)
• Social Security Income (SSI) / Social Security Disability Income (SSDI) with Social Security Administration (SSA)
• Screen and Refer client to appropriate community social services programs based on identified Social Determinants of Health (SDOH) screening
• Refer client to appropriate providers and additional services, where necessary, including referral to health care providers that offers sliding fee scale discounts or free care to low income clients not qualified for public health insurance or assistance.
• Participate in any Hawaii Primary Care Association (HPCA)- sponsored training and update event related to this program.
• Ensure timely reporting that includes:
• Number and types of application completed
• Number and types of renewal forms completed
• Demographic stratification of individuals served including client ethnicity, gender, age, poverty level, language assistance rendered, if any, and, for immigrants, country of origin
• Outcomes of application and renewal determinations
• Types of outreach activities engaged in and actual or estimated number of people reached
• Other referrals and/or enabling services provided
• Notes on other accomplishments or problems encountered
• Make outreach and enrollment services available during non-traditional hours ie: available outside the hours of 8:00am to 4:30pm., Monday through Friday, as appropriate for the population served.
• Serve pregnant women, children, families, immigrants/migrants, people who are homeless, the elderly, and any appropriate special populations.
• Ensure that outreach and enrollment services are linguistically and culturally appropriate. Clients who do not speak English as a native language or who have hearing impairments must appropriately be accommodated.
• Cooperate with referrals from 211/Ask Aloha United Way within the Kalihi-Palama Area

Finds and develops resources to assist patient care.

• Share ideas about program improvement, complaints, questions, or other matters with supervisor and HPCA on a timely basis.
• Assist clients who may not otherwise be clients of Kalihi-Palama Health Center
• Comply with all applicable local, state, and federal laws and regulations.

Regular and reliable on-site attendance is required.

Other Duties

Perform other related duties as assigned

Observe safety and security procedures; determine appropriate actions beyond guidelines; report potentially unsafe conditions; use equipment and materials properly.

Education

• High School Diploma or GED required.
• Post-secondary education or Bachelor's Degree preferred

Experience

Knowledge in Community Resource