Quality and Outreach Specialist

VIACARE COMMUNITY HEALTH CENTERLos Angeles, CA
$25 - $28Onsite

About The Position

This role involves providing enrollment assistance for uninsured adults to access health insurance programs, educating patients on health coverage, distributing outreach materials, and developing community awareness. The specialist will collaborate with local organizations, attend training, and provide reporting on goal achievement and client satisfaction. Additionally, the role supports organizational quality initiatives, including data management, report preparation, and audit assistance. Key functions include managing quality documentation, coordinating communication for data submission, and performing clerical duties. The position also involves specific reporting on senior wellness exams, supplemental data, managed care initiatives, HEDIS, and community engagement events.

Requirements

  • Two years’ related experience within human services and/or public health.
  • Excellent reading and comprehension skills.
  • Ability to work efficiently in a very fast-paced environment.
  • Must adhere to the agency’s non-discrimination policies.
  • Experience in community organizing.
  • Experience working in underserved communities such as undocumented workers, unaccompanied minors, LGBT populations, communities of color, youth/adolescents, and those experiencing homelessness, substance abuse, and/or mental illness.
  • Bilingual English/Spanish required (read, write, speak).
  • Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Nice To Haves

  • Other duties may be assigned or may be modified as business needs dictate.

Responsibilities

  • Provide enrollment assistance, including completing coverage applications, gathering documentation, and troubleshooting the enrollment process for uninsured adults to access subsidized, low-cost, and free health insurance programs.
  • Provide structured patient education on health coverage, engage in follow-up conversations, and offer renewal assistance for enrolled individuals.
  • Distribute outreach materials to patients, community members, partner organizations, and businesses to build awareness of coverage options.
  • Develop, discover, and attend community events to promote coverage options and the organization's mission and services.
  • Collaborate with various local organizations to build awareness of coverage options, spur enrollment, and build referral linkages.
  • Attend and successfully complete all required training programs, participate in ongoing conference calls, webinars, and other professional development opportunities.
  • Accurately provide required reporting to track goal achievement and client satisfaction.
  • Recruit and utilize volunteers to increase program capacity.
  • Assist in the development and implementation of organizational outreach and enrollment initiatives.
  • Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to all policies and agreements regarding confidentiality, privacy, and security.
  • Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
  • Assist with translation when necessary.
  • Assist when necessary with back-office functions.
  • Conduct classes, trainings, and meetings in the community, as requested.
  • Support Closing the Organizational Quality Gap (Cozeva, Innovacer,...), Senior Care quality tracking, and support and empanelment improvement.
  • Maintain and organize quality-related documentation, reports, and records.
  • Input, update, and retrieve data from quality management databases or tracking systems.
  • Assist in preparing quality performance reports, presentations, and summaries.
  • Support audits, surveys, and inspections by regulatory agencies.
  • Schedule quality meetings, prepare meeting minutes, and follow up on action items.
  • Maintain confidentiality of sensitive patient and organizational information.
  • Assist in disseminating policies, procedures, and training materials related to quality standards.
  • Coordinate communication between departments to ensure timely data submission and compliance.
  • Perform other clerical duties such as filing, photocopying, and correspondence as needed.
  • Provide biweekly summary reports on senior annual wellness appointments, including completion rates and any relevant Medicare health plan changes, patient drops.
  • Receive Cozeva supplemental data uploads biweekly and cross-reference completion by IPA.
  • Provide biweekly report on specific inventive-based outreach initiatives, detailing progress, barriers, performance metrics, and any follow-up actions needed.
  • Attend IPA/health plan meetings as needed.
  • Provide biweekly HEDIS completion reports by IPA and health plan, and biweekly summaries of all supplemental data uploads to Cozeva.
  • Participate in senior community events and Live Well with Via Care workshops (field and in-person).

Benefits

  • Equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, international origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.
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