Community Connector - Hybrid (Must reside in Northern Michigan area) - Military Veterans
at Molina Healthcare
JOB DESCRIPTION
Ideal Candidate must reside in either of following counties in Michigan.
Emmet, Charlevoix, Antrim, Leelanau, Benzie, Grand Traverse, Kalkaska, Manistee, Wexford, Missaukee
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 drivers license with good driving record and be able to drive within 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 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, Florida and California, 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.
#PJHPO
Pay Range: $14.76 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Interlochen, MI
Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.