Erie Family Health Centers

Call Center Representative

• Handle an average of 70 calls per day for appointment scheduling
• Answer inquiries about daily appointment scheduling and provider availability
• Attend required trainings including Electronic Health Records (EHR) training
• Schedule appointments in accordance with site-based guidelines
• Update patient demographic and insurance information
• Verify Individual Health Coverage eligibility
• Handle administrative, clinical, and informational calls
• Manage voicemails and send messages accurately

Customer Support

• Processes and manages referral requests through Erie’s electronic health record (EHR).
• Verifies patient’s financial status and verifies appropriate internal and external referral resources according to Erie’s referral guidelines.
• Ensures all needed information is in the referral through Erie’s electronic health record including patient diagnosis and reason for referral; communicate with providers if any clinical information is missing.
• Verifies patient insurance prior to processing referral using payor platforms.
• Processes referral with the correct hospital contact information and scheduling instructions.
• Sends referrals via Fax or Care Everywhere Referral Management (CERM) to the hospital partner for care coordination.

Referral Support Specialist

Educator

• Screen individuals and families for social drivers of health needs and connect them with appropriate resources.
• Provide referrals and linkage to community services including food, transportation, financial assistance, and other support programs.
• Assist with enrollment in eligible benefits, programs, and services.
• Support outreach activities and follow-up with individuals regarding resource needs.
• Provide digital navigation assistance and help individuals access available services.
• Complete documentation, data entry, and program tracking activities.

Health Educator, SDOH

• Deliver health education and wellness programming to high school students.
• Provide one-on-one nutrition and health coaching support.
• Coordinate student access to vision and dental services.
• Plan and facilitate health promotion events and outreach activities.
• Support youth engagement initiatives and advisory boards.
• Participate in community outreach and resource navigation activities.

Health Educator – AmeriCorps

• Provide one-on-one health education and self-management support to patients
• Participate in community events, training, and AmeriCorps service activities
• Support Lending Hands for Life HIV programming and re-engagement efforts
• Conduct outreach and engagement for patients requiring additional support
• Document patient interactions and coordinate follow-up care activities
• Facilitate health education groups and recruit participants for programs

Health Educator

Financial Planning and Analysis

• Perform a variety of technical and analytical functions in the areas of budgetary analysis, forecasting & financial management.
• Conduct financial, statistical, and analytical assessments, including financial modeling, revenue/cost forecasting, and risk/return analysis; and prepare and assist in the preparation and reporting of financial reports.
• Responsible for designing and generating various company reports and financial analytics that focus on cost, utilization, membership, trends, and ad hoc requirements.
• Analyze revenue streams and contractual adjustments, bad debt and any changes to bad debt and contractual reserves.
• Contribute to preparation of financial reporting (e.g., board reports, departmental reports, scorecards and regulatory reports such as UDS and 990).

Senior Financial Analyst

Navigator

• Screen Clients for needs around social drivers of health and connect to internal and external resources
• Take on short-term agency initiatives related to population health outreach, as they arise
• Link to and/or enroll patients in services, benefits, and programs for which they are eligible (pharmaceutical programs, LINK, financial applications for hospital referrals, etc.)
• Assist patients in digital navigation, including MyChart enrollment, setting up telehealth capabilities, and other digital assistance related to health
• Conduct health outreach activities, through a variety of methods including campaign texting, appointment recalls, 1on1 patient phone calls, bulk referral ordering, and MyChart, as well as others
• Support patients with scheduling specialty referrals with outside hospital partners
• Provide linkage to services such as emergency financial assistance, transportation, food assistance, etc.

Population Health Navigator

Manager

• Manage a caseload of higher-need, high-complexity HIV+ clients
• Provide medical case management services including coordination of medical services, service advocacy, resource finding referral, and benefits enrollment and assistance to HIV+ clients, their families and those at risk of infection
• Link clients’ health care, psychosocial needs, and other services
• Coordinate and follow-up on medical treatments
• Ensure timely, coordinated access to medically appropriate levels of health and support services
• Refer and link clients to appropriate services within the system of care that promote positive health outcomes, treatment adherence, and greater self-sufficiency
• Monitor the client’s follow-through with these services
• Provide access to Emergency Financial Assistance (EFA) as needed to promote and maintain positive health outcomes

HIV Medical Case Manager

Compliance

• Provide support around compliance, risk, and privacy for all of Erie
• Facilitate annual compliance training
• Training compliance reporting and follow-up
• Stakeholder reporting for compliance training attestation
• Audit training plans for learner enrollment and module assignment
• Maintain policies and other documents in the document management system
• Facilitate timely review, updates, and approval of policies and other compliance documents
• Support scheduling and review process of policies to go before the board of directors
• Promote awareness of reporting any outside audit, site visit, or data request to compliance
• Tracking and reporting of audits, site visits, and outside data requests
• Provide support as needed for audits, site visits, and outside data requests
• Prepare 340B pharmacy dispense data for upload to external vendors (340B ESP, Truzo, Beacon, etc.) and upload data on a timely basis
• If any claims are flagged as non-conforming or the integrity of the file is questionable, promptly report any issues to the Senior Pharmacy Business Data Analyst
• Follow a frequently evolving standard operating procedure (SOP) for data submission
• Track claims data from submission reports to rebate submission files, and ultimately to whether a 340B rebate is received or denied

Compliance and 340B Analyst

Community Manager

• Develop and execute a community engagement plan for Erie in Garfield Park
• Identify key community stakeholders and collaborate with Erie colleagues
• Identify and develop relationships with staff from peer service providers
• Plan and manage outreach events in West Side communities
• Utilize technology and tools to track engagement efforts
• Represent Erie externally at meetings and events
• Perform other duties as assigned

Community Engagement Coordinator

• Provides services including coordination of primary care (prenatal, post-partum, and/or pediatric care) and social services
• Outreach and face-to-face follow-ups
• Completes risk assessments, referrals, and home visitation as needed
• Track clients’ appointments failures
• Collaborates with fellow Birthing Families Navigators to provide constant floor coverage
• Familiarizes with care plans of clients and facilitates referrals and follow-up process
• Completes monthly reports as assigned

Birthing Families Navigator

Consultant

• Provide PCP-initiated consultation services that may include differential diagnosis, screenings, psychoeducation, brief intervention, and referral for further treatment
• Maintain a case load, providing individualized mental health assessments, treatment, and counseling, as appropriate
• Conduct Behavioral health consultations with patients, including functional and strength-based assessment and diagnosis
• Provide consultation to and coordinate care of patients with health center primary care staff
• Be immediately available to the health center staff during working hours in the event of a psychiatric emergency
• Complete all EMR charting within 48 hrs. as needed and required by contacted funding sources

Behavioral Health Consultant

• Provide PCP-initiated consultation services that may include differential diagnosis, screenings, psychoeducation, brief intervention, and referral for further treatment
• Maintain a case load, providing individualized mental health assessments, treatment, and counseling, as appropriate
• Provide consultation to and coordinate care of patients with health center primary care staff
• Consult with PCPs to enhance understanding of the patient, provide decision support for treatment planning and assist in the implementation and monitoring of biopsychosocial treatment plans
• Be immediately available to the health center staff during working hours in the event of a psychiatric emergency