Certified Counselor

Overview

About NYREACH

NYREACH (New York Research, Education and Community Health) is an independent 501(c)(3) nonprofit dedicated to advancing health equity through education, community-based programs, and direct service delivery for some of the Bronx's most vulnerable and underserved residents.

For over five years, NYREACH has been a trusted resource in Bronx County. Through the New York State Social Care Network, our team has conducted health-related social needs (HRSN) screenings and provided services through home-delivered meals and community programs. We deliver every service in a culturally competent, linguistically appropriate, and disability-accessible manner, with Spanish-fluent staff embedded in the communities we serve.

Our team of full-time staff and active community volunteers — including International Medical Graduates and community health workers — partners with local clinics and community organizations to meet residents where they are. We're looking for talented, motivated individuals to join our growing team and help keep Bronx families continuously covered and connected to care.

This position is ideal for individuals who want to make a meaningful impact by keeping vulnerable New Yorkers continuously insured. You'll be part of a community-rooted nonprofit with a proven track record of serving the Bronx, working alongside a team committed to health equity, with real opportunities to grow.

Position Title: Certified Application Counselor

Department: Medicaid Recertification & Coverage Continuity

Position Summary: The Certified Application Counselor – Medicaid Recertification Specialist serves as a healthcare professional responsible for comprehensive care coordination combined with a specialized focus on Medicaid recertification and continuity of coverage. This role is a vital link between patients and their health insurance, ensuring that Medicaid-eligible and enrolled patients complete timely renewals, maintain uninterrupted coverage, and meet evolving eligibility requirements.

The Counselor manages both the clinical-adjacent and administrative aspects of enrollment across NYREACH's community-based programs and clinical partner sites in the Bronx, with particular attention to patients navigating six-month renewal cycles and community engagement documentation requirements.

Key Responsibilities – Specialized Function:
Medicaid Recertification & Coverage Continuity

• Recertification & renewal assistance:
  Conduct Medicaid recertification and renewal assistance for enrolled and transitioning patients, proactively guiding them through renewal cycles — including six-month renewal requirements under H.R. 1 (effective January 2027) — to prevent avoidable gaps in coverage.
• Eligibility screening & outreach:
  Perform insurance status screening; identify eligibility gaps, program mismatches, and patients approaching renewal deadlines; and conduct outbound outreach to at-risk patients before coverage lapses.
• Application & renewal processing:
  Complete and submit new applications and renewals through the NY State of Health (NYSOH) enrollment portal, collecting, organizing, and uploading all required documentation at the time of application to ensure complete, high-quality submissions.
• Coverage counseling:
  Counsel patients on the differences between Medicaid, Essential Plan, and Qualified Health Plans (QHPs), as well as out-of-pocket costs, metal tiers, tax credits (APTC), and the appeals/complaint process — acting as a neutral party in health plan selection.
• Community Engagement documentation:
  Support patients in meeting and documenting H.R. 1 Community Engagement requirements (the 80-hour annual work/volunteer requirement), and identify and document applicable…