Overall Summary

Working out in the community, the Outreach and Eligibility Worker, determines the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; maintains current knowledge of program regulations and procedures necessary for multi-program caseload administration; initiates and processes casework through an automated system; identifies needs and makes appropriate referrals for health, social, and/or employment services. Serves as a liaison between BACH and community groups as well as other non-profit agencies. Assists in follow-up with patients who are eligible for health care programs at BACH. Develops, implements, and translates bi-lingual health education materials. Conducts bi-lingual presentations on BACH programs and services to community agencies.

Under the general direction of the Outreach Supervisor, the Health Services Advocate performs a variety of complex, professional, analytical, and confidential Outreach services. Duties include:

• Working out in the community, determines the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; maintains current knowledge of program regulations and procedures necessary for multi-program caseload administer Heation; initiates and processes casework through an automated system; identifies needs and makes appropriate referrals for health, social, and/or employment services. Assists in follow-up patients who are eligible for health care programs at BACH.
• Provides outreach activities at BACH by assisting current and potential patients to gain access to health care coverage and BACH services provided by the clinic, including health screenings, immunization and parent education.
• Serves as a liaison between BACH and community groups as well as other non-profit agencies.
• Demonstrates commitment to, and understanding of, BACH’s Behaviors for Success and GUEST (Customer Service Model), by modeling customer service excellence in all internal and external relationships and in the performance of all duties and responsibilities.
• Develops, implements, and translates bi-lingual health education materials.
• Conducts bi-lingual presentations on BACH programs and services to community agencies, as needed.
• Collaborates with other departments and providers in all aspects that contribute to marketing, outreach, and education of BACH’s services.
• Maintains accurate records and submit program reports as required.
• Prepares informational and marketing materials for BACH.
• Participates in health fairs, presentations and community outreach events.
• Assists in the development and implementing of outreach strategies.
• Assists in development of grant/contract resources to support expanded health care programs.
• Conduct all work activities in compliance with applicable laws, regulations, statutes, and all BACH policies and procedures; immediately reporting all observed or suspected non-compliant behavior to your Supervisor/Manager, the Compliance Manager, and/or the confidential reporting hotline.
• Works flexible schedule Monday through Sunday to include day and evening hours.

Secondary Responsibilities:

• Attends workshops, training and meetings as needed, and as requested.
• Other related duties as assigned by supervisor

Qualifications:

Required education, experience, training

• High school diploma or equivalent education and experience.
• Six months customer service experience with the demonstrated ability to work with people of diverse backgrounds with respect to race, ethnicity, class, sexual orientation and disability.
• Experience conducting outreach activities and presentations.
• Bilingual; Mandarin, Spanish, Punjabi.
• Self-starter, able to work independently.
• Demonstrated ability to show non-judgmental attitude and maintain client confidentiality.
• Access to reliable transportation.
• Ability to work flexible schedule seven days a week including evening hours.
• Proficient in Microsoft and Internet

Preferred education, experience, training

• Current knowledge of Medi-Cal, Healthy Families, Alameda County Health PAC and other health care coverage programs.
• Six months medical eligibility experience, experience related to the duties and responsibilities.
• One-year experience in health or human service agency.
• Knowledge of California Health Plans, County Programs, and the Affordable Care Act (ACA)
• Certified Enrollment Counselor (CEC) Certification for Covered California
• Experience with Electronic Health Records (EHR)

Critical Success Factors in this role include

• The ability to work and act independently, and to make and carry out decisions with minimal supervision.
• The ability to communicate effectively, both orally and in writing.
• Strong interpersonal skills with the ability to lead teams and projects, and work collaboratively.
• Maintaining confidentiality and HIPAA compliance.
• Excellent organizational, time management and multi-tasking skills with attention to detail.
• Excellent customer service and client services philosophy in all interactions.
• Successfully manage multiple projects at the same time.
• Appreciation and respect for working with and serving a diverse population.
• Proficiency in Microsoft Office and the internet.
• The ability to investigate and analyze information, draw conclusions and problem solve.
• The ability to gather data, compile information, and prepare reports.

Work Conditions:

Travel locally to visit other sites, may require a day or overnight trip to attend events; workload may be demanding at times; require professionalism and confidentiality.

Physical Demands:

This position requires:

• Sitting, walking, and standing associated with a normal medical/clinical office environment.
• Regular bending and stretching; and lifting.
• Manual dexterity used to include, but not limited to, standard office equipment, and computer keyboard.
• Traveling to work sites including some exposure to outside elements.
• Presenting information in front of a group.
• Reading and writing in order to review records for accuracy.

Supervises:

None