Case Management, Communication Skills, Community Health, Community and Social Services, Compensation and Benefits, Cross-Functional, Customer Support/Service, Detail Oriented, Documentation, Employee Assistance Plan, English Language, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Healthcare, High School Diploma, Interpersonal Skills, Medicaid, Microsoft Office, Multitasking, Needs Assessment, Nonprofit, Organizational Skills, Physical Demands, Privacy Controls, Problem Solving Skills, Public Health, Regulations, SNAP, Social Work, Spanish Language
Position Summary
The BHAP Outreach Worker assists eligible members of targeted immigrant communities in accessing public benefits and healthcare coverage programs in the District of Columbia. The primary purpose of this position is to increase enrollment and retention in public benefit programs by providing outreach, education, application assistance, and recertification support to individuals who may face language, cultural, or other barriers to accessing services.
Programs supported include DC Medicaid, DC Alliance, the Immigrant Children Program (ICP), the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and the DC Pharmacy Benefits Program (formerly known as DC ADAP).
Reportability
This position will report directly to the Entiltlement Manager.
Essential Duties and Responsibilities
To perform this position successfully, an individual must be able to satisfactorily perform the following essential functions:
- Educate and inform participants about available District of Columbia health insurance programs, including Medicaid, DC Alliance, and the Immigrant Children Program (ICP), DC Pharmacy Benefits Program (formerly known as DC ADAP), as well as public assistance programs such as the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF).
- Assist participants with enrollment, recertification, and renewal processes for medical coverage and entitlement programs.
- Provide participants with a list of required documents needed to process applications and assist them in gathering and organizing the necessary information.
- Translate, copy, and prepare documentation required for the completion of applications and eligibility determinations.
- Identify and resolve participant issues, monitor application status, and conduct follow-up activities to ensure applications are processed within the 45-day timeframe established by the Economic Security Administration (ESA) and the Department of Human Services (DHS).
- Provide participants with appropriate internal and external referrals based on identified needs.
- Complete accurate case notes and documentation in the eClinicalWorks (eCW) system within 24 hours of each participant interaction.
- Attend Entitlement and Operations Department staff meetings, training, and other required organizational meetings as scheduled.
- Maintain participant confidentiality and comply with all applicable privacy and security regulations, including HIPAA requirements.
- Perform other duties as assigned by the Entitlement Manager and the Regional Director of Operations
Qualifications
The qualifications listed below are representative of the knowledge, skills, and abilities required to perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform these functions.
Education and Experience
- High School Diploma or GED required.
- Associate or bachelor’s degree in social work, Human Services, Public Health, or a related field preferred.
- Minimum of two (2) years of experience assisting individuals with health insurance enrollment, public benefits, or entitlement programs.
- Experience working in a community health center, nonprofit organization, or social service agency preferred.
Knowledge, Skills, and Abilities
- Knowledge of Medicaid, DC Alliance, SNAP, TANF, and other public assistance programs.
- Understanding of eligibility requirements, enrollment processes, and recertification procedures for public benefit programs.
- Strong customer service and interpersonal skills with the ability to interact respectfully and effectively with diverse populations.
- Ability to maintain confidentiality and comply with HIPAA regulations and organizational policies.
- Strong organizational skills, attention to detail, and ability to manage multiple priorities.
- Ability to work independently while contributing effectively as part of a multidisciplinary team.
- Proficiency in Microsoft Office applications and electronic case management systems.
Language Requirement – Must have the ability to communicate effectively in English and Spanish as used by the target community.
Physical Demands – Regularly required to sit; frequently required to reach with hands and arms, walk, stoop, kneel, crouch, talk or hear; must be able to lift objects up to twenty-five (25) pounds.
Work Environment – Work is primarily performed in a professional office or healthcare clinic setting. The work environment is generally quiet to moderately noisy.
The Benefits:
- Health Insurance: medical, dental & vision – plus retirement options through 403(b) contribution and investment opportunities
- 25 days of paid leave annually (in addition to paid holidays), plus 5 educational days
- Tuition reimbursement of $2000/year towards education assistance and professional development
- Transportation subsidy via metro & bus
- Employee Assistance Program (EAP)
M
Marys Center for Maternal and Child Care