Community Connector (Northern Nebraska)

Molina Healthcare • O'Neill, NE

256d • $14 - $31

About The Position

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.

Requirements

• HS Diploma/GED
• Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.
• Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Nice To Haves

• Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).
• 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.
• 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.

Responsibilities

• 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.
• 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.

Benefits

• Competitive benefits and compensation package.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED