Outreach and Enrollment Counselor

Neighborhood Healthcare; Valley Center (CA); On-site; USD 37,000 - 52,000; Full time

Benefits offered by this job

Partially company paid benefits

Job summary

Neighborhood Healthcare is seeking an Outreach and Enrollment Counselor in California. You will conduct outreach and in-reach, educate clients, and assist with enrollment in Covered CA, Medi-Cal, and CHIP, plus CalFresh support.

You’ll build community partnerships and help meet grant-driven goals while engaging with diverse populations and coordinating with local health programs. The role requires travel within the community, strong communication skills, and the ability to manage multiple tasks

Qualifications

• High school diploma or GED required.
• Covered California certification within 90 days of employment.
• Experience in government or community program eligibility/screening for Medi-Cal preferred.
• Certified Enrollment Counselor for Covered CA preferred.
• Valid CA driver’s license and proof of auto insurance.
• Bilingual English/Spanish highly preferred.

Responsibilities

• Conduct outreach at schools and community events such as health fairs and local venues.
• Network and develop community relationships and partnerships.
• Track and report monthly and yearly goals per grant contracts.
• Assist in patient retention and new patient growth.
• Educate individuals and families about affordable health insurance options.
• Provide enrollment assistance for Covered CA, Medi-Cal and CHIP as applicable.
• Educate on CalFresh and other community resources.
• Refer applicants to medical homes and other resources.
• Prepare monthly outreach/in-reach activity reports.

Skills

Excellent verbal and written comms

Teamwork & independence

Multitasking

Planning & organization

Bilingual English/Spanish

Education

High school/GED

Covered California certification within 90 days

Experience in Medi-Cal eligibility screening

Certified Enrollment Counselor for Covered CA (preferred)

Valid CA driver’s license & auto insurance

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 500,000 medical, dental, and behavioral health visits from more than 100,000 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.

Since 1969, our employees have been making 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 this sounds like an organization you would like to be a part of, we would love to meet you.

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 500,000 medical, dental, and behavioral health visits from more than 100,000 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.

Since 1969, our employees have been making 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 this sounds like an organization you would like to be a part of, we would love to meet you.

ROLE OVERVIEW And PURPOSE

The Outreach and Enrollment Counselor will conduct outreach and in-reach, educate, and assist clients enrolling in affordable health insurance coverage through Covered CA, Medi-Cal, Medicare, or the Children’s Health Insurance Program as well as non-health insurance programs such as Cal Fresh.

Work schedule: M-F 8am-4:30pm. This position requires availability to work evenings and weekends as needed to support community events/meetings. While the standard schedule for this role is 40 hours per week, flexibility is provided and weekday hours can be adjusted when weekend/evening work is required.

Responsibilities

• Conducts outreach activities and presentations at school and community events such as health fairs, churches, farmers markets, grocery stores, and local businesses; events may be scheduled during weekday, evening or on weekends
• Networks and establishes community relationships and partnerships
• Understands and complies with monthly and yearly end goals and objectives in the various grant contracts and maintains complete data for monthly reporting
• Supports NHC efforts for patient retention as well as increasing new patient growth
• Presents health concepts to individuals and small groups
• Disseminates information about affordable health insurance coverage to families and individuals
• Conduct in-reach phone calls to current patients to offer enrollment assistance
• Provides enrollment assistance in affordable health insurance coverage through Covered CA, Medi-Cal and the Children’s Health Insurance Program as appropriate
• Provides education and enrollment assistance for the CalFresh program
• Provides education on other community resources and assistance programs, such as SDG&E CARE program
• Assists the applicant with questions regarding health insurance, healthcare access and other resources and ensures enrollment process is completed
• Refers applicants to their medical home and other needed resources at time of application completion
• Receives referrals from collaborating and partner agencies
• Performs inter-departmental referrals for patient in need of medical, dental, and behavioral health services or other available services
• Provides coverage updates to clients regarding their affordable health insurance
• Attends meetings and trainings necessary for the position sustainment and growth
• Prepare monthly quantitative and qualitative report on outreach/in-reach and application assistance activities
• Shares feedback from patient experiences to improve access to health care
• Keeps self and others informed of organizational activities and promotes mission and goals
• Conducts patient referrals to assigned Medicare agents as required
• Assists in the efforts to retain patients and support efforts at eliminating patient attrition

Qualifications

Education/Experience

• High school/GED required
• Covered California certification required within 90 days of employment
• One year of experience in government or community program eligibility/screening for Medi-Cal or Medi-Cal for families preferred
• Certified Enrollment Counselor for Covered CA experience preferred
• Valid CA driver’s license and proof of auto insurance required
• Bilingual (English/Spanish) highly preferred

Additional Qualifications (Knowledge, Skills And Abilities)

• Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Knowledgeable about and experience with health care and social service resources in the community preferred
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 50 lbs/weight
• Ability to stand for long periods of time

COMPLIANCE (Safety & HIPAA)

• Follow all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately
• Maintain current knowledge of policies and procedures as they relate to safe work practices
• Follow all safety procedures and report unsafe conditions
• Use appropriate body mechanics to ensure an injury free environment
• Be familiar with location of nearest fire extinguisher and emergency exits
• Follow all infection control procedures including blood-borne pathogen protocols
• Maintain privacy of all patient, employee and volunteer information and access such information only on a need-to-know basis for business purposes
• Comply with all regulations regarding corporate integrity and security obligations
• Report all behavior and/or activity that are unethical, fraudulent, or unlawful

Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

Pay range: $27.21-$38.10 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.