HRSN Eligibility and Referral Specialist (Home Modifications)

Job DetailsJob Location: HEALTHIERHERE - Seattle, WA 98199Position Type: Full TimeSalary Range: $36.00 - $39.00 HourlyJob Shift: DayThis is a fixed term position that will end on 6/30/2028.   Purpose, Vision, and Values Statement   HealthierHere is a nonprofit collaborative that partners with organizations across sectors to advance health equity and improve the health and well-being of people in King County, WA. Guided by our mission, vision, and community’s voices, we work to connect and strengthen our health and social care systems by providing expertise, resources, and robust data and technology solutions.  We don’t provide direct health care or social services to clients. Instead, we engage and support the organizations that do. Our partners include community-based organizations, Tribes, social service agencies, hospitals and health systems, community clinics, behavioral health organizations, government agencies, philanthropy, businesses, and more.  HealthierHere serves as the Accountable Community of Health (ACH) for King County, part of a statewide effort to transform health and social care delivery. We operate under core values of equity, community, partnership, results, and innovation.  We are dedicated to serving all people in our region, focusing on individuals and communities who experience the effects of inequity, racism and discrimination in our health and social systems. Through our shared efforts, we’re working to ensure more individuals, families, and communities in King County will have better access to the whole-person care they need to be healthy and thrive.    Culture Charter   HealthierHere culture is rooted in our five values: Equity, Community, Partnership, Innovation, and Results. Staff at all levels are expected to embody these values in their work and relationships, fostering an environment of respect, collaboration, and continuous learning. These values guide how HealthierHere operates internally and in partnership with others to achieve meaningful, long-term impact.      Commitment to Diversity, Equity, Inclusion, Accessibility, and Belonging  HealthierHere is an equal opportunity employer committed to creating an inclusive, accessible, and multicultural workplace where everyone feels a sense of belonging. We provide equal employment opportunities to all employees and applicants, prohibiting discrimination or harassment based on race, color, sex, religion, marital status, national origin, age, sexual orientation, citizenship, veteran status, or any sensory, mental, or physical disability, in compliance with local, state, and federal laws. We value diversity, strive for a workforce that reflects the communities we serve, and are committed to building a team where staff from all backgrounds feel they belong, can contribute fully, and are supported to thrive.    Company Benefits We believe people do their best work when they feel supported—inside and out. We care for our team, just like we care for our community. Our benefits are built to help you thrive, and support your health, growth, and balance: 100% coverage of employee premiums for select medical, dental, and vision plans Up to 6% match on your 403(b)-retirement plan Flexible Spending Accounts (FSAs) for healthcare and dependent care Group and voluntary life insurance Short-term and long-term disability coverage Generous paid time off, up to 13 paid holidays, sick leave, and mental health days A wellness benefit to support your personal well-being journey Professional development allowance to invest in your growth Hybrid work model    Position Overview  This is a fixed term position that will end on 6/30/2028.   The HealthierHere Community Hub is a community-centered entity that centralizes referrals from across King County to connect people to health-related social needs services and benefits. The Hub brings together community-based, behavioral health, and healthcare organizations to provide culturally responsive care coordination support for community members. The Hub’s benefits and services are free for everyone.  The HRSN Eligibility and Referral Specialist- Home Modifications will initially report directly to the Director of Program Operations and is responsible for supporting the HRSN Screening and Referral contract that HealthierHere has with the City of Seattle Aging & Disability Services.   The HRSN Eligibility and Referral Specialist will confirm client eligibility for contracted Health Related Social Needs (HRSN) services, perform HRSN assessments with clients over the phone, enter data in two client Management systems (GetCare and Connect2 Coordinator, the HealthierHere Community Hub’s case management platform), authorize and enroll clients in services, refer clients to direct service providers, and manage the process of creating, printing and mailing approval and service denial letters. The HRSN Eligibility & Referral Specialist will also have the responsibility of managing the competitive bidding process to source appropriate vendors for Home Accessibility Modifications and Remediations. The HRSN Eligibility and Referral Specialist will need to develop strong familiarity with the HealthierHere Community Hub and HRSN program technology, functions, workflows, and community resources to be able to optimally support the program and its partners.  The ideal candidate brings experience in health or community services and has provided care coordination, health navigation, and client assessments directly to underserved individuals, families, and communities. They understand home modifications and adaptations that help seniors and people with disabilities remain safely in their homes and build authentic, respectful relationships with people from diverse backgrounds.       QualificationsKey Responsibilities  Review and confirm Medicaid status and other criteria to determine client eligibility for Medicaid waiver funded Health Related Social Needs (HRSN) services in the ProviderOne system.  Enter eligibility data into the Connect2 Coordinator (C2C) system.  Respond to referrals for HRSN services from Community Hub CBWs and contracted service providers.  Pre-screen potential HRSN recipients using the HRSN decision tool to determine likely eligibility.   Complete HRSN assessments with likely eligible clients over the phone while documenting in the GetCare system.   Enroll eligible clients in HRSN services and completes service authorizations in the GetCare system.  Manage the competitive bidding process for clients who are authorized to receive a Home Accessibility Modification or Home Remediation service, working with contractors, partners,and ADS staff.   Participate as a member of the Home Access Review committee.  Draft, print, and mail approval, denial and termination notices as applicable for all clients screened in the GetCare system.   Meet as needed with HRSN direct service providers and City of Seattle Aging and Disability Services.   Support the team with monthly ProviderOne rechecks of all HealthierHere Community Hub and HRSN clients to determine ongoing eligibility for HRSN services.    Qualifications  At least 2 years of combined education and/or professional experience in health, human services, social services or related fields.   At least 2 years of experience providing care coordination and/or health navigation services directly to underserved patients/clients, families, and community members, including performing assessments.  Knowledge of home modifications and adaptations to support seniors and people with disabilities to age at home safely.  Strong customer service skills and a demonstrated ability to connect and engage authentically and respectfully with community members with diverse backgrounds.  Excellent written and oral communication skills, strong attention to detail, organization, time management, follow-through, administration, and coordination   Ability to work with creativity and flexibility, both independently and interpersonally  Demonstrated proficiency using Microsoft Office, Word, Excel, SharePoint, PowerPoint, and other relevant computer programs to develop materials, monitor, and communicate progress.    Preferred Qualifications  Experience managing construction bidding processes for seniors and people with disabilities.   Experience working with Provider One, GetCare and/or Connect2 Coordinator.  Spanish language proficiency    Physical Demands  The physical demands of this role include:  Perform prolonged periods of sitting or standing while working on a computer or attending virtual and in-person meetings.  Engage in repetitive motions such as typing, scrolling, and using a mouse or trackpad.  Communicate effectively through verbal and auditory means during video calls, phone calls, and in-person interactions.  Perform occasional physical tasks, such as setting up equipment or handling materials, which may involve lifting or moving items weighing up to 20 pounds.  Travel to the office or other work sites as needed, which may involve driving or using public transportation.  Maintain visual focus and acuity during extended screen time.    Work Schedule  Schedule: Monday-Friday during operating business hours. This position is subject to the organization's required hybrid work model. Work schedules and in-office expectations will be based on the position’s assigned hybrid work tier and organizational policy.   Role Location: Seattle, WA    Equipment: HealthierHere-issued laptop and other equipment as needed to fulfill role and responsibilities.   Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. HealthierHere believes that each employee makes a significant contribution to our success. That contribution should not be limited by the assigned responsibilities. This job description is designed to outline primary duties, qualifications and job scope, but not limit our employees nor the organization to just the work identified. We expect that each employee will offer his/her services wherever and whenever necessary to ensure the success of the company.