Benefits Advocate - Part-time - Ahoskie, NC

If you are interested in multiple opportunities, you will need to apply for each position separately.

Apply Now

941189

Vidant Roanoke-Chowan Hospital

Part-Time

Regular

Vidant Health

About Vidant Roanoke-Chowan Hospital

Vidant Roanoke-Chowan Hospital is a 114-bed, not-for-profit hospital located in Ahoskie, NC. The 15-bed ER serves approximately 21,000 patients per year from the local community and surrounding towns. This modern facility provides a wide range of health services to its 39,000 residents in the four-county area.

Ahoskie, NC is ideally located an hour from the Norfolk/Virginia Beach area and two hours from Raleigh, Richmond, Williamsburg, and the beautiful Outer Banks of NC. Ahoskie offers a moderate cost of living, a strong sense of community, and a temperate climate and location to support a variety of year round outdoor activities, such as boating, kayaking, hunting, fishing, hiking, and golf.

Position Summary

1. Responsible for screening and identifying Carolina Access patients who are utilizing the Emergency Room inappropriately.

2. Responsible for determining the eligibility of person utilizing  the Emergency Room for CCPEC case  management services.

3. Responsible for maintaining a database of Carolina Access enrollees and community medical homes.

4. Responsible for acting as an advocate for Carolina Access enrollees with Emergency Room and Community Medical Home Staff.

Responsibilities

Responsible for screening and identifying Carolina Access patients who are utilizing the Emergency Room inappropriately.

Interact with Emergency Room and community medical home staff in a professional and efficient manner.

Maintain open communication with Emergency Room and community medical home staff.

Identify Carolina Access enrollees who are utilizing the Emergency Room.

Screen Carolina Access enrollees who are utilizing the Emergency Room

Keep physician leaders informed of program changes and statistics.

Identify Carolina Access enrollees who have an inpatient admission.

Screen Carolina Access enrollee inpatient admissions for inclusion in Transitional Care Program.  Responsible for determining the eligibility of person utilizing the Emergency Room for CCPEC case management services.

Conduct interviews for Carolina Access enrollees who have received emergency services.

Screen Carolina Access enrollees to determine appropriate medical home.

Process CCPEC case management referrals for eligible enrollees.  Responsible for maintaining a database of Carolina Access enrollees and community medical homes.

Develop expertise in utilizing the Health Span and CMIS programs.

Enter and update patient information in the CMIS  database.

Work closely with CCPEC Project Staff to ensure the efficiency and accuracy of CMIS documentation.  Responsible for acting as an advocate for Carolina Access
enrollees with Emergency Room and Community Medical Home Staff.

Have a working knowledge of community assistance programs and medical services.

Counsel enrollees and explain to them the programs available and make program referrals as appropriate.

Follow-up with enrollees after referrals to assess ongoing case management needs.

Attend staff meetings, program meetings, and in-services.

Keep Program staff informed of enrollee Emergency Room utilization, Community Program, and Case Management referrals.  Responsible for interacting in a professional and efficient manner with program enrollees, staff, and community providers.

Ability to interact in a positive way with people from a variety of cultural backgrounds.

Ability to interact in a positive way with people with a variety of disabilities.

Maintain enrollee confidentiality and a non-judgmental attitude.

Keep physician leaders informed of program changes and statistics.

Develop a good relationship with community medical homes, hospital staff, and community agencies.

Speak to enrollees and community organizations about medical home model of care.

Educate enrollees about significance of their medical home and availability of case management services. Maintains confidentiality of medical records and complies with all applicable state and federal regulations, including, but not limited to, HIPAA and HITECH.

Minimum Requirements

High School plus 2 years or more of formal training/education required.???? Prefer degree in business, health care, or related.

1 - 3 years relevant experience in healthcare required.?? Prefer experience in?? the areas of case management, patient/client relations, insurance, doctors office, business office.

An additional two years of education in healthcare or business may be substituted for the required experience.

3-5 years of relevant experience may be substituted for additional 2 years of formal education

Other Information

This position is 20 hours per week.  Eligible for part-time benefits.

This is a grant funded position.

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Share This: