Medicaid Enrollment & Navigation Specialist

JOB SUMMARY

Responsible for providing intake, enrollment and assessments to individuals and families utilizing the REACH Center; includes needs assessment, service plan development, monitoring, support, advocacy and referral. Responsible for enabling clients to receive a full range of appropriate services in a planned, coordinated, efficient and effective manner. The work is performed under the general supervision of a supervisor; however, the employee is expected to exercise initiative, creativity and good judgment in carrying out duties.

The employee must be available for flexible work hours. Responsible for adhering to strict confidentiality guidelines.

• Supports and upholds Couleecap’s mission to fight poverty and promote self-sufficiency for individuals by helping to identify needs, mobilize resources, and provide quality services.
• Recruit and enroll program participants. Determine eligibility via interview and verifications. Process referral documentation.
• Provides assessment/individual service planning and ongoing follow‑up for clients.
• Develops individual strategic plans with clients to achieve goals, establishing short‑ and long‑term goals.
• Provides housing navigation supports to clients, including searches for housing, completing housing applications, facilitating contact with potential landlords, and helping clients to understand their lease requirements.
• Provide information of community resources that would benefit households in their needs.
• Acts as advocate for clients receiving case management services; making referrals to other services as appropriate, which may include arranging transportation, scheduling appointments, encouraging follow up care.
• Maintain up to date information on referral sources and caseload capacities.
• Communicate with case managers and other services providers to establish ongoing supports.
• Attends meetings and trainings.
• Keeps records and prepares reports.
• Works as a member of a team to provide effective, quality services.
• Assist in evaluation of programs. Assist in development of programs and services.
• Ability to understand, appreciate, and interact with people from all cultures or belief systems.

None.

EDUCATION and/or

EXPERIENCE:

Requires completion of a baccalaureate degree in a college or university or 1 to 2 years’ previous experience; or equivalent combination of education and experience. Education in Human Services related field preferred.

LANGUAGE

SKILLS:

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL

SKILLS:

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area circumference, and volume. Ability to apply concepts of basic algebra and geometry.

REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

CERTIFICATES, LICENSES, REGISTRATIONS: Access to reliable, licensed, insured driver and transportation.

OTHER

SKILLS and ABILITIES:

Good knowledge of the available services in the current service system. Ability to establish and maintain good working relationships with clients, family members, professional staff and the community is essential. Computer experience. Residency in the service area is preferred.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to stand and walk. The employee is occasionally required to reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Specific vision abilities required by this job include close vision.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The work environment includes office space and community work within client homes. Visiting client homes can include unforeseen hazards and staff should demonstrate appropriate caution. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.