HRSN Eligibility and Referral Specialist (Home Modifications)
About The Position
This is a fixed term position that will end on 6/30/2028. The HealthierHere Community Hub is a community-centered entity that centralizes referrals from across King County to connect people to health-related social needs services and benefits. The Hub brings together community-based, behavioral health, and healthcare organizations to provide culturally responsive care coordination support for community members. The Hub’s benefits and services are free for everyone. The HRSN Eligibility and Referral Specialist- Home Modifications will initially report directly to the Director of Program Operations and is responsible for supporting the HRSN Screening and Referral contract that HealthierHere has with the City of Seattle Aging & Disability Services. The HRSN Eligibility and Referral Specialist will confirm client eligibility for contracted Health Related Social Needs (HRSN) services, perform HRSN assessments with clients over the phone, enter data in two client Management systems (GetCare and Connect2 Coordinator, the HealthierHere Community Hub’s case management platform), authorize and enroll clients in services, refer clients to direct service providers, and manage the process of creating, printing and mailing approval and service denial letters. The HRSN Eligibility & Referral Specialist will also have the responsibility of managing the competitive bidding process to source appropriate vendors for Home Accessibility Modifications and Remediations. The HRSN Eligibility and Referral Specialist will need to develop strong familiarity with the HealthierHere Community Hub and HRSN program technology, functions, workflows, and community resources to be able to optimally support the program and its partners. The ideal candidate brings experience in health or community services and has provided care coordination, health navigation, and client assessments directly to underserved individuals, families, and communities. They understand home modifications and adaptations that help seniors and people with disabilities remain safely in their homes and build authentic, respectful relationships with people from diverse backgrounds.
Requirements
- At least 2 years of combined education and/or professional experience in health, human services, social services or related fields.
- At least 2 years of experience providing care coordination and/or health navigation services directly to underserved patients/clients, families, and community members, including performing assessments.
- Knowledge of home modifications and adaptations to support seniors and people with disabilities to age at home safely.
- Strong customer service skills and a demonstrated ability to connect and engage authentically and respectfully with community members with diverse backgrounds.
- Excellent written and oral communication skills, strong attention to detail, organization, time management, follow-through, administration, and coordination
- Ability to work with creativity and flexibility, both independently and interpersonally
- Demonstrated proficiency using Microsoft Office, Word, Excel, SharePoint, PowerPoint, and other relevant computer programs to develop materials, monitor, and communicate progress.
Nice To Haves
- Experience managing construction bidding processes for seniors and people with disabilities.
- Experience working with Provider One, GetCare and/or Connect2 Coordinator.
- Spanish language proficiency
Responsibilities
- Review and confirm Medicaid status and other criteria to determine client eligibility for Medicaid waiver funded Health Related Social Needs (HRSN) services in the ProviderOne system.
- Enter eligibility data into the Connect2 Coordinator (C2C) system.
- Respond to referrals for HRSN services from Community Hub CBWs and contracted service providers.
- Pre-screen potential HRSN recipients using the HRSN decision tool to determine likely eligibility.
- Complete HRSN assessments with likely eligible clients over the phone while documenting in the GetCare system.
- Enroll eligible clients in HRSN services and completes service authorizations in the GetCare system.
- Manage the competitive bidding process for clients who are authorized to receive a Home Accessibility Modification or Home Remediation service, working with contractors, partners,and ADS staff.
- Participate as a member of the Home Access Review committee.
- Draft, print, and mail approval, denial and termination notices as applicable for all clients screened in the GetCare system.
- Meet as needed with HRSN direct service providers and City of Seattle Aging and Disability Services.
- Support the team with monthly ProviderOne rechecks of all HealthierHere Community Hub and HRSN clients to determine ongoing eligibility for HRSN services.
Benefits
- 100% coverage of employee premiums for select medical, dental, and vision plans
- Up to 6% match on your 403(b)-retirement plan
- Flexible Spending Accounts (FSAs) for healthcare and dependent care
- Group and voluntary life insurance
- Short-term and long-term disability coverage
- Generous paid time off, up to 13 paid holidays, sick leave, and mental health days
- A wellness benefit to support your personal well-being journey
- Professional development allowance to invest in your growth
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
