Job Details

Title: Patient Outreach and Enrollment Specialist

Job Summary: Under the supervision of the Director of Clinical Effectiveness (DOCE), the Patient Outreach and Enrollment Specialist (POES) of Omni Family Health provides health care enrollment assistance and patient navigation services to a growing network of state-of-the-art health centers serving California's Central Valley. As a member of the organization's Medical Department, the POES is responsible for promoting the organizations healthcare and health programs through outreach opportunities for community residents, offering enrollment and applicant assistance, encouraging annual wellness visits, and addressing gaps in care.

Job Duties:

* Supports and promotes the organizations outreach and enrollment initiatives, including promoting healthcare participation, scheduling of appointments, outreach for care gap closures, and providing informative and educational support.

* Attends and may assist with the development of community outreach events, such as health fairs, in order to provide healthcare and health insurance options and promote the mission and services of the organization.

* Collaborates with various local organizations to form referral partnerships and build awareness of healthcare coverage options to patients and community members in an effort to increase enrollment and access quality medical, dental, and behavioral care.

* Collects, creates, and distributes outreach, enrollment, and educational materials to patients, community members, and partnering healthcare organizations.

* Provides enrollment assistance, including, but not limited to, completing application, collecting required documentations, scheduling appointments, troubleshooting issues, and follow-up assistance.

* Develops and maintains tracking and follow-up systems for the various service applications to ensure that all aspects of the process, from applying through post-enrollment, have been completed and appropriate services are accessible to the member.

* Ensures seamless scheduling, rescheduling, and follow-up for all necessary appointments related to outreach initiatives.

* Conducts data entry of participants and helps maintain multiple databases for accuracy. Prepares and submits daily/weekly productivity reports.

* Assist in assessing the community to identify availability of competing services, programs and organizations and institutions.

* Attends and successfully completes all required training programs. May participate in ongoing conference calls, webinars, and other professional development opportunities to maintain working knowledge.

* Participate in planning discussions and meetings. Assist in developing tactical plans to support outreach and patient or payment goals.

* Attend appropriate community or networking meetings to facilitate outreach and gathering of information to increase consumer access to a permanent medical home.

* Support and contribute to effective safety and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities.

* Adheres to and complies with all laws, rules, regulations, policies, and procedures.

* Understands and complies with monthly and yearly end goals and objectives in the various grant contracts.

* Ensures the department provides cohesive support to the mission, vision, and core values while delivering superior customer service.

* Works closely with all corporate branches, divisions, and/or departments in accordance with Omni's policies and procedures.

* Other duties and/or responsibilities as the POES may be assigned from time to time.

* Must be able to travel and work at various outreach and enrollment sites/events.

Additional Duties:

* Health Insurance Portability and Accountability Act (HIPAA) Compliance: Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements.

* Compliance: Ensures compliance with all local, state, and federal regulations.

* Quality Assurance/Quality Improvement (QA/QI): Participates as required in QA/QI activities and contribute towards the overall quality improvement initiative of the organization.

* Information Technology (IT): May be required to learn and use the electronic health record and its components as required by the job functions and highlighted in the policies and procedures. These components include NextGen, Practice Management System (PMS), Quality Systems Inc. (QSI), and other electronic features as they are developed and implemented, as applicable to work environment.

* Patient Centered Medical Home (PCMH): All employees will participate in PMCH at Omni Family Health.

* Audits: Contributes to required Health Resources and Services Administration (HRSA), Operational Site Visit (OSV), The Joint Commission (JC), and other audit events.

Qualifications, Education, and Experience:

* High School Diploma or GED Certificate.

* One (1) year of experience in health education, public health, community outreach, or other health related field, preferably in a Federally Qualified Health Center (FQHC) setting.

* Bilingual in English and Spanish preferred.

* Possess a valid CA Driver's License, along with proof of insurance.

Skills/Competencies:

* Communicates well (written and verbal), delivers presentations, has good listening skills.

* Builds strong relationships, is flexible/adaptable, works well with others, solicits feedback.

* Understands facets of job, aware of duties and responsibilities, keeps job knowledge current.

* Information organized and accessible, maintains efficient work space, manages time well.

* Strives to understand contributing factors, works to resolve complex situations.

* Monitors status of projects, thoroughly deals with project details, holds project owners accountable, delivers clear, accurate depiction of status.

Service Commitments:

* Must be alert and respect confidentiality of information of all types "general personnel, and/or patient related information."

* Promotes and believe in Omni's mission statement.

* Ability to relate to the public regardless of race, ethnicity, religion, age, sex, disability, or economic status.

Responsible To: Director of Clinical Effectiveness

Classification: Non-Exempt