Community Connector - Candidate must reside in the Des Moines, IA area.
Company: Molina Healthcare
Location: Des Moines
Posted on: January 25, 2023
Job Description:
JOB DESCRIPTION Candidate must reside in the Des Moines, IA
Area. - Infield/Remote opportunity. Job Summary Molina Healthcare
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 progress 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 advocate 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 outreach to locate and/or provide support for
disconnected members with special needs.
- Conducts research with available data to locate members Molina
Healthcare has been unable to contact (e.g., reviewing internal
databases, contacting member providers or caregivers, or travel to
last known address or community resource locations such as homeless
shelters, etc.)
- Participates in ongoing or project-based activities that may
require extensive member outreach (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 within applicable
state or locality with reliable transportation. --- For Ohio and
Florida only -- Active and unrestricted - Community Health Worker
(CHW) Certification. PREFERRED EDUCATION: Associate's Degree in a
health care related 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:
--- Current Community Health Worker (CHW) Certification preferred
(for states other than Ohio and Florida, where it is required). ---
Active and unrestricted Medical Assistant Certification STATE
SPECIFIC REQUIREMENTS: OHIO --- MHO Care Guide serves as a single
point of contact for care coordination when 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 point of contact at Molina for care coordination when 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
related to Molina requirements , services and benefits . - - ---
Knowledge of internal MCO processes and procedures related to Care
Guide responsibilities required To all current Molina employees: If
you are interested in applying for this position, please apply
through the intranet job listing. Molina Healthcare offers a
competitive benefits and compensation package. Molina Healthcare is
an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $15.58 -
$30.37 -an hour* *Actual compensation may vary from posting based
on geographic location, work experience, education and/or skill
level.
Keywords: Molina Healthcare, Des Moines , Community Connector - Candidate must reside in the Des Moines, IA area., Other , Des Moines, Iowa
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