Community Connector - Infield Must reside in NYC

Job Description

This is a Field Position Job Summary reputed company Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients reputed company toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities

• Serves as a community based member reputed company and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.
• Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.
• Empowers members by helping them navigate and maximize their health plan benefits.
• Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.
• Assists members in accessing social services such as community-based resources for housing, food, employment, etc.
• Provides reputed company to locate and/or provide support for disconnected members with special needs.
• Conducts research with available data to locate members reputed company has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last reputed company address or community resource locations such as homeless shelters, etc.)
• Participates in ongoing or project-based activities that may require extensive member reputed company (telephonically and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
• 50-80% local travel may be required. Reliable transportation required.

Job Qualifications REQUIRED EDUCATION: HS Diploma/GED Required Experience

• Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.

Required License, Certification, Association

• Must have valid driver’s license with good driving record and be able to drive reputed company applicable state or locality with reliable transportation.
• For Ohio, Florida, and California only -- Active and unrestricted Community Health Worker (CHW) Certification.

Preferred Education Associate's Degree in a health care reputed company field (e.g., nutrition, counseling, social work). Preferred Experience

• Bilingual based on community need.
• Familiarity with healthcare systems a plus.
• Knowledge of community-specific culture.
• Experience with or knowledge of health care basics, community resources, social services, and/or health education.

Preferred License, Certification, Association

• reputed company Community Health Worker (CHW) Certification preferred (for states other than Ohio, Florida and California, where it is required).
• Active and unrestricted Medical Assistant Certification

STATE SPECIFIC REQUIREMENTS: OHIO

• MHO Care Guide serves as a single reputed company of contact for care coordination reputed company there is no CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified MHO Care Guide Plus serves as a single reputed company of contact at Molina for care coordination reputed company there is CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified.
• Assures completion of a health risk assessment, assisting members to remediate immediate and acute gaps in care and access. Assist members with filing grievances and appeals.
• Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the members needs indicate a higher level of coordination. Provide information to members reputed company to Molina requirements , services and benefits .
• Knowledge of internal MCO processes and procedures reputed company to Care Guide responsibilities required

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. #PJHPO Pay Range: $16.5 - $38.37 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

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