Kern Family Health Care

Community Engagement Navigator I Bilingual I - Temporary (BAKERSFIELD)

Kern Family Health Care  •  Bakersfield, CA (Onsite)  •  3 hours ago
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Job Description

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).

This is a full-time temporary position. If selected, onboarding will be completed through a staffing agency.

**This position is Bilingual Required, and is Facility Based working out of 2 Local Locations**

About us

Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.

About the role

Under the direction of the Community Engagement Supervisor, the Community Engagement Navigator I will provide support and guidance with the Redetermination of Eligibility (RE) application process to keep KFHC's membership enrolled into health coverage. Upon the request of KFHC members, the Member Navigator will help complete the RE application, document any reported contact changes, help prepare and submit the documentation required for eligibility maintenance, and other assigned Eligibility-related duties.

This classification will have daily and extensive contact with KFHC members at an assigned site and over the phone to assist members to help resolve RE application issues, explain the Medi-Ca renewal process, respond to requests for service and solve problems to retain their health coverage. This includes maintaining a close relationship with the Kern County Department of Human Services.

Essential Functions

  • Strive to live and practice KFHC’ Mission, Vision and Values (MVV) every day, and strongly commit to advance the organization’s strategic plan.
  • Develop a thorough understanding of the Medi-Cal eligibility process and resources offered by state, county, and KFHC, including BenefitsCal.com and reporting tools.
  • Provide the best customer service and member advocacy that reflects KFHC’ MVV members.
  • Serves as a liaison with Kern Family Health Care and the public concerning enrollment, understanding, and visibility of the health care services program.
  • Possess excellent communication skills to relate with diverse populations and community organizations.
  • Assist members to accurately complete their Medi-Cal Redetermination of Eligibility application and successfully enroll/re-enroll into government sponsored health insurance program.
  • Schedule and meet one-on-one with members to assist them in enrolling and retainment of their Medi-Cal Coverage.
  • Ensure proper follow-up in a timely manner to ensure enrollment process is complete.
  • Demonstrate the ability to manage databases and spreadsheets to documents notes, demographic updates, and encounters.
  • Demonstrated ability to work effectively with government and community partners.
  • Identifies, investigates, resolves, and reports member issues to management.
  • Skilled in the use of related software applications (MS Word, Excel, PPT, etc.).
  • Support KFHC Community outreach strategies.
  • Responsible for assisting with training new Community Enrollment Navigators as they are hired.
  • Effective time management, and weekly activity tracking reporting including month-end summaries of projects and enrollment results analysis, to determine the impact of application assistance.
  • Always maintain confidentiality and security.
  • Provide input to supervisor regarding site related issues and suggestions for improvement.
  • Occasionally must be able to work flexible hours including weekends or evenings.
  • Adheres to all company policies and procedures relative to employment and job responsibilities.
  • Performs other duties as assigned.

Employment Standards:

  • High School Diploma from an accredited school or equivalent.
  • 2 or more years of recent experience in a customer service organization or related field with a high degree of problem solving and decision making.

Certifications:

Typing skills of 30+ NWPM; required.

Bilingual (Spanish) certification Tier I required.

Other Requirements: Travel required: 60 %.

Pay Rate: 22.00/hr

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.

Kern Family Health Care

About Kern Family Health Care

Kern Health Systems, known as Kern Family Health Care, was established in 1993 as a managed care health plan, and is the largest health plan in Kern County. Kern Health Systems is committed to providing quality health care to our members. It is important to ensure good health through continuity of care by connecting each member to a provider of their choice within our provider network. Our extensive provider network includes the Traditional and Safety-Net Providers that historically delivered care to Medi-Cal recipients and private providers throughout Kern County and some parts of Los Angeles County. We believe good patient/physician relationships and effective preventive care are true indicators of our success. We also offer a continuum of care that extends beyond doctor visits. With a full range of health education classes and Care/Disease Management programs, we provide quality educational and preventive services to the population we serve. We are able to achieve this through partnerships with our providers and community-based organizations within Kern County. The difference is clear: We hold the standard high when it comes to quality health care for our members.

Our Mission:

Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.

As Kern Health Systems continues to move forward, we will continue to uphold our mission of being dedicated to improving the health status of our members through an integrated managed healthcare delivery system. As the healthcare landscape has been transformed, we will pursue tomorrow with community and provider innovation, enhanced member access, and strengthened member health and wellbeing...Together.

Industry
Finance & Insurance
Company Size
201-500 employees
Headquarters
Bakersfield, California
Year Founded
1993
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