- 11-Jul-2014 to 22-Aug-2014 (MST)
- Healthcare Education and Outreach
- Crownpoint, NM, USA
- Full Time
Position is for July 1, 2014 - December 31, 2014 ONLY. Continuation after December 31, 2014 dependent on funding.
Applications will be reviewed on a rolling basis and qualified applicants will be contacted immediately for an interview.
POSITION SUMMARY: Delivers culturally sensitive and relevant outreach, education and in-person assistance to ensure Native people in the New Mexico are able to benefit from new coverage options available through the Affordable Care Act.
Educates consumers on available health coverage options, qualified health plans, tax credits, and cost sharing subsidies.
Assists with the identification, selection of, and enrollment in health coverage options.
Directs customer complaints and/or grievances to appropriate entities.
DUTIES AND RESPONSIBILITIES / ESSENTIAL JOB FUNCTIONS:
- Delivers general outreach and education about the Affordable Care Act and new coverage options available through Medicaid and the New Mexico Health Insurance Exchange (NMHIX).
- Gives group presentations about the Affordable Care Act, benefits of health insurance, coverage options, and in-person consumer assistance available
- Provides in-person consumer assistance as follows:
- Explains affordability programs, Qualified Health Plans, Essential Health Benefits, and rights when using insurance.
- Ensures customers understand their health plan options through NMHIX.
- Assists customers with creating and accessing a Marketplace account using www.healthcare.gov
- Assists customers with applications for Medicaid coverage, premium tax credits and cost-sharing exemptions and reductions available through the Marketplace
- Assists customers with understanding web-based tools to compare and select Qualified Health Plans.
- Explains to customers the requirements for reporting income or other changes and provide assistance in the renewal process.
- Refers customers with appeals, grievances, and complaints to the appropriate agency.
- Makes referrals, as needed, to the NMHIX customer service center, certified brokers, or government and community resources.
- Provides all services in a manner that is culturally and linguistically relevant to the customer.
- Maintains expertise about NMHIX programs and certification.
- Accurately tracks and records activities for reporting to NMHIX
OTHER JOB RESPONSIBILITIES:
- Participates in work groups, committees or other stakeholder activities related to the NMHIX
- Performs all other duties as assigned by the HEO Program Director
- High School diploma or GED
- Ability to be certified as a Healthcare Guide
- Minimum one year experience in community organizing or community-based outreach and education
- Effective Communication – clear and concise verbal and written communication to convey substance/intent
- Customer Orientation – Close to customers, anticipate and meet needs
- Relationship Building – initiate contact readily and devote time to maintain
- Drive/Energy – high level of energy and motivation to sustain over time
- Team Player – Team-oriented, share resources, assist other areas
- Functional/Technical Expertise – knowledge, remain current, serve as resource
- High Standards – Establish and model standards of exceptional quality and necessary attention to detail
- Composure – Maintain emotional control and continue performing steadily and effectively
- Assertiveness - Offer opinions, challenge appropriately, confident
- Results Orientation – motivated by achievement and maintain appropriate focus on outcomes and accomplishments
Specialized or unique knowledge, skills or abilities
- Ability to self-direct
- Computer experience, knowledge of or demonstrated ability to learn database software, Word, Excel, Outlook and web applications
- Attention to detail with ability to accurately handle large volume of administrative work
- Ability to cope with stress and manage multiple priorities
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
- Typical work environment situations include frequent sitting, standing, bending walking, talking, hearing, using hands to grip, type; reaching with hands and arms, occasionally required to stand or walk on uneven surfaces; climb stairs, run. 2-4 hours per day spent in strenuous physical activity, lifting up to 50 lbs. (children) 6-8 times in an 8 hour day.
- The physical environment requires the employee to work primarily inside, in temperature controlled conditions. Some noise and interruptions are present. Additional physical environments include vehicle, private homes and occasionally outside.
Special Working Requirements:
- A functional automobile at his/her disposal; a valid, non-suspended NM driver's license and a current automobile liability policy with continuous coverage
- Must pass a pre-employment background check
- No substantiation or criminal conviction of child abuse or neglect
- No conviction of DUI or other moving violations in the past 3 years which will prevent insurability under NAPPR's liability coverage
- May require need for flexible schedules, including occasional evening and weekend work
- Travel within the state and out-of-state required
- Position will be serving the Crownpoint area. It is a requirement that the candidate speak Navajo fluently in order to best serve our clients in this area.
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