Health Justice Program Support
Pisgah Legal Services is a community-based non-profit corporation governed by a local Board of Directors. PLS has an annual budget of $8 million from a multitude of funding sources. Located in the Blue Ridge Mountains of Western North Carolina, Pisgah Legal Services (PLS) provides free civil legal assistance to low-income people in western North Carolina. PLS has offices in Asheville, Burnsville, Hendersonville, Rutherfordton, Brevard, Highlands/Cashiers and Marshall. With a dedicated staff of ninety-six, including thirty-four attorneys plus supporting staff, and an active pro bono panel of 300 private attorneys, the program provides free services to more than 20,000 people per year to meet their basic needs, primarily in the poverty law areas of housing, public benefits, domestic violence prevention, health care, immigration, and consumer law.
Summary: Multiple positions are available to provide administrative support to the Health Justice Program. Positions include managing Health Justice Program hotline to assure that callers are responded to quickly and provided information and are scheduled appointments for enrollment. Positions also include direct enrollment assistance as a Navigator/Certified Application Counselor (CAC) and maintaining information in the appointment database called the Connector. Multiple office locations available throughout WNC.
Essential Duties and Responsibilities:
- Must successfully complete and pass the certification to become a Certified Application Counselor/Navigator provided by the Centers for Medicare & Medicaid Services (CMS) upon hiring.
- Manage the 404 hotline by taking calls, entering call information into a spreadsheet, provide information and referrals to consumers who call, schedule and cancel appointments, and follow-up with callers who are referred by other sources;
- Develop and maintain tracking system for consumer who need follow-up based upon their enrollment needs, resolution of marketplace/insurance issues, or complicated issues requiring escalation appointments Follow up with these consumers as appropriate and on a timely basis.
- Identify and contact consumers who may have a “good story” when requests come from media;
- Keep Navigator/CAC/consumer folders and Navigator/CAC manuals current by photocopying, restocking, and updating information as needed;
- Perform data entry of Navigator/CAC forms and quality assurance in a timely manner
- Make consumer phone calls to schedule appointments and follow-up on a regular basis
- Provide all information and services in a manner that is culturally and linguistically appropriate and ensure accessibility for individuals with disabilities;
- Provide ongoing support and assistance to the Health Justice Team members and the Director.
- Support volunteers with consumer appts as needed, including providing assistance regarding consumers’ situations and enrollment issues. May include contacting them either prior to or after appointments if appropriate.
- Train staff/volunteers to help with administrative assistant duties;
- Keep track of Connector appointments and schedule;
- Communicate with Coordinator and Director on program needs;
- Assist in tracking and managing program equipment, computer hardware, etc.;
- May be required to travel to PLS counties outside of Buncombe
- Have demonstrated ability and/or experience working with the public;
- Possess strong computer skills and the ability to navigate the healthcare website;
- Must be free from conflicts of interests, including payments and incentives from brokers, insurers or insurance industry; must not accept, directly or indirectly compensation from issuers related to enrollment in Qualified Health Plans or Non-Qualified Health Plans;
- Possess socio-economic and cultural sensitivity and interpersonal skills necessary to communicate with people who may be angry, upset, or ill
As a Navigator/Certified Application Counselor (CAC), must be able to:
- Take 20 hours of initial web-based training and successfully complete and pass the Certification Training to be provided by Center for Consumer Information and Insurance Options and the Centers for Medicaid Services (CMS);
- Attend NC specific trainings as appropriate and maintain competency in state-specific enrollment topics;
- Must be recertified annually;
- Work with individuals in one-on-one appointments in Pisgah Legal Services office or satellite locations in Western North Carolina;
- Attend staff meetings and other meetings relevant to Health Justice issues as indicated;
- Understand the needs of underserved and vulnerable populations; eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs and privacy and security standards;
- Conduct education and outreach to uninsured individuals, including tax preparation locations during the tax season;
Share information regarding the Federally-facilitated Marketplace, including:
- Eligibility requirements for federal tax subsidies and cost-sharing subsidies
- Eligibility for Qualified Health Plans on the FFM, Medicaid and North Carolina’s Health Choice and how to enroll in qualified health plans, Medicaid, and Health Choice on the marketplace website and/or ePass
- Meet with individuals and facilitate plan selection based on the needs of the individual/family or the small business seeking health insurance coverage, assess tax implications and premium and cost-sharing requirements, application submission, renewal, and disenrollment processes;
- Help people understand how premium tax credits work and their potential financial impact;
- Facilitate eligibility determinations for QHP, Medicaid, Health Choice, and SHOP and premium tax subsidies;
- Provide referrals to appropriate agencies, including the North Carolina Department of Insurance for applicants and enrollees with grievances, complaints, questions, or need for other social services;
- Provide all information and services in a manner that is culturally and linguistically appropriate and ensure accessibility for individuals with disabilities
Salary ranges from $31,120 - $48,339 depending on experience. Excellent fringe benefits, including 401(k) retirement plan, as well as life, health, and disability insurance.
- Passion for and commitment to PLS’ mission, values and vision.
- Bachelor’s Degree or equivalent experience in areas such as in social work, public health, public policy or a related field
- Available to work Monday to Friday, 8:30am-5:00pm, with flexibility for some evening and weekend shifts especially during ACA open enrollment periods.
- Demonstrated skills at socio-economic and cultural sensitivity and the ability to work with someone who is angry, upset, or ill.
- Excellent written and verbal communication skills, with attention to detail.
- Strong interpersonal skills and the ability to work well with teams and independently.
- Fluency in Spanish would be an asset.
E-mail resumé and cover letter describing relevant experience to firstname.lastname@example.org. PLS invites all applicants to include in their cover letter a statement about how your unique background and/or experiences might contribute to the diversity, cultural vitality, and perspective of our staff and legal services practice.
Pisgah Legal Services is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status