Paid Staff Counselor and Regional Director Agreement

SHINE PROGRAM

Paid Staff Counselor and Regional Director Agreement

In keeping with the spirit of service and respect for those needing help with health insurance issues, we recognize that the partners in the SHINE Program, the SHINE Counselor and the Regional Program Director have rights and responsibilities key to the success of the program. Acknowledging this, every paid staff member who is a certified SHINE counselor, her/his supervisor, and the Regional Director are asked to sign this agreement:

As a SHINE counselor I agree to the following:

·  To attend monthly Counselor Meetings as scheduled by the Regional Program Director.

·  To document all client contacts using client contact forms or telephone log for counseling sessions lasting less than ten minutes.

·  To submit monthly reports in a timely manner.

·  To provide health insurance counseling services without conflict of interest and in compliance with SHINE confidentiality guidelines.

·  To conduct individual health insurance counseling sessions.

·  To mentor at least 6 hours with experiences counselor or Regional Director.

·  To adhere to SHINE Program Procedures.

·  To assess client’s need for information and/or assistance regarding health insurance and benefit options.

·  I understand that failure to adhere to this agreement may result in my de-certification as a SHINE counselor.

As the Supervisor of a staff person who is a certified SHINE counselor, I agree to do the following:

·  Permit the staff person who has signed below to attend monthly counselor meetings as scheduled by the Regional Director.

·  Permit her/him to take the time to document client contacts in the manner required by the SHINE program.

·  Permit her/him to take the time necessary to complete and submit required reports monthly.

·  Permit her/him to mentor at least 6 hours with an experienced SHINE counselor.

·  Permit her/him to take the time necessary to provide counseling to clients on behalf of the SHINE Program.

·  Support adherence to all SHINE procedures and guidelines.

As the Regional Program Director, I accept the responsibility to ensure that counselors have the support needed to do their work. I recognize and agree to the following:

·  To respect the staff member’s contribution of time and skills.

·  To provide initial and ongoing training to the SHINE Counselor.

·  To provide assistance and supervision to the Counselor by maintaining regular communications through in-person contact, periodic meetings, phone calls and letters.

·  To be available to answer questions and assist with resolution of specific problems.

·  To provide materials necessary to do the job, including forms, supplies, etc.

·  To encourage Counselors to offer suggestions for improving the program.

·  To coordinate local SHINE publicity, outreach activities and marketing services.

·  To assist in the coordination of and engage in public education and information presentations and workshops.

Please sign and date:

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Counselor’s Signature Date

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Supervisor’s Signature Date

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Regional Director’s Signature Date

Revised 1/14