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Eligibility Specialist -  Boynton Beach, FL 

About Us

Be a part of a growing and reputable Team that is making an impact in their community! FoundCare, Inc. is a non-profit health care provider with convenient locations in Palm Beach County. FoundCare's mission is to fulfill unmet healthcare and social service needs of individuals and families in Palm Beach County. In order to accomplish this mission, FoundCare operates a Federally Qualified Health Center that offers pediatric and adult primary care, chronic disease management, infusions, behavioral health counseling, laboratory work, X-rays and dentistry, as well as an on-site pharmacy.

Primary Purpose

Complete management of serving the clients’ psychosocial and health related needs in a caring and compassionate manner. Provide assessment, referral, linkage and support services to HIV/AIDS clients. Assist individuals in enrolling in health insurance programs, including Medicaid/Medicare/Medicaid Waiver (PAC) and Palm Beach County District Cares so that they can see health professionals regularly. Ensure that clients maintain medical appointments and adherence to medication regimen.

Essential Job Functions

  • Compiles, records, and evaluates personal and financial date in order to verify completeness and accuracy, and to determine eligibility status
  • Conducts Re-Determinations every six (6) months
  • Completes written intake and initial assessment of service needs
  • Enrolls clients in Affordable Care Act (ACA) at open enrollment and as needed
  • Develops comprehensive individualized Actions Plans at least every six (6) months and document progress toward meeting its goals
  • Maintains monthly contact with clients and a face-to-face contact at least every three (3) months
  • Obtains client’s CD4 and Viral Load at least every six (6) months and monitors Viral Load suppression
  • Assists clients in negotiating federal, state and local eligibility guidelines for social service/entitlement programs
  • Initiates procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance
  • Documents all care provided, directly or indirectly by others (i.e. referrals, services, consults, etc.) within time frames
  • Maintains detailed case documentation as well as updates, evaluations, outcomes, reassessments, revisions or changes in plan with regard to agency standards of care and procedures
  • Intervenes to execute plan of care directly or indirectly through subordinates or consulting professionals and agencies
  • Provides treatment adherence counseling and monitors medical adherence as well as educating client on safe sex practices
  • Coordination and follow up of client’s medical treatment through ongoing assessment and reassessment
  • Performs case coordinating and case conferencing
  • Answers phone calls and respond to messages and email correspondence within one (1) working day
  • Conducts continuous client monitoring
  • Maintains client and familial confidentiality
  • Attends FoundCare staff meetings, trainings, and other meetings in the community, as assigned
  • Keeps abreast of emerging professional information and incorporates into case management services
  • Researches local community resources
  • Complies with all of FoundCare’s program policies and procedures
  • Assists with agency fundraising activities as requested, including promoting events, selling tickets, soliciting donations and other task to support events
  • Other duties as assigned

Knowledge, Skills & Abilities

  • Knowledge of Social Work
  • Ability to communicate effectively with others, with or without the use of an interpreter
  • Ability to communicate effectively, in writing, using the English language, with or without the use of auxiliary aids or services
  • Ability to type a minimum of 30 words per minute and basic proficiency in computer skills, including proficient use of Outlook, MS Word, and Excel
  • Clear understanding that FoundCare provides information on educating individuals about safer sex practices which could include, but not limited to, exposure to explicit language, explicit printed material, and descriptions of explicit sexual activities, as part of the agency’s mission in the prevention and transmission of HIV disease

Minimum Qualifications

  • Cultural sensitivity to diverse populations including the diversity of those infected with HIV and/or at risk for infection
  • Excellent written and verbal communication skills
  • Valid driver’s license, automobile insurance and a reliable automobile
  • PC proficient
  • Knowledge of community service organizations serving persons with HIV-Spectrum disease and their families

Physical Requirements

  • Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties
  • Transport self to other FoundCare departments, conference rooms, and on occasion, to off-site FoundCare locations to accomplish job responsibilities, attend meetings, workshops, seminars, etc.
  • Accomplish job duties using various types of equipment/supplies furnished by FoundCare e.g. pens, pencils, calculator, computer keyboard, telephone, copier/fax/scanner, etc.
  • Ability to lift and carry objects weighing 25 pounds or less over periods of 100 yards

FoundCare offers an excellent compensation package including

  • Competitive base salary
  • Full Suite of benefits
  • Generous Paid Time Off
  • Company-Paid Holidays
  • Support and empower professional growth
  • Career advancement
  • Great work environment - we have the BEST employees

FoundCare, Inc. is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

For consideration, please email your resume and enter the position in the subject line. Thank you for your interest in FoundCare!

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