Community Connector

Molina Healthcare•Long Beach, OH

About The Position

Provides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and available resources to engage and assist vulnerable members in managing their health care needs. Contributes to the overarching strategy to provide quality and cost-effective member care. The role includes non-clinical paraprofessional fieldwork and member outreach, including visits to members in homes, nursing homes, shelters, provider offices, and other locations. Local travel may be required for 50–80% of the role, depending on state and contractual requirements.

Requirements

At least 1 year of health care experience, preferably working with underserved or special-needs populations with varied health, economic, and educational circumstances, or an equivalent combination of relevant education and experience.
Community Health Worker (CHW) certification may be required in certain states, depending on contractual requirements.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Ability to multitask across applications while speaking with members.
Excellent customer service skills.
Organizational and time-management skills.
Ability and willingness to learn other lines of business, programs, and relevant software systems or applications.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office suite and/or applicable software programs.

Nice To Haves

Community Health Worker (CHW) certification for states other than Ohio and California, where it is required.
Certified Medical Assistant (CMA).
Bilingual ability based on community need.
Familiarity with health care systems.
Knowledge of community-specific culture.
Experience with or knowledge of health care systems, community resources, social services, and/or health education.

Responsibilities

Engage with members as an advocate and resource to support management of their health care needs.
Collaborate with and support the health care services team by performing non-clinical paraprofessional duties in the field, including meeting members in homes, nursing homes, shelters, and provider offices.
Help members navigate and maximize their health plan benefits, including scheduling provider appointments, arranging transportation to health care visits, helping get prescriptions filled, and following up on missed appointments.
Assist members in accessing social services and community resources, including housing, food, and employment resources.
Conduct outreach to locate and/or support disconnected members with special needs.
Research available data to locate members Molina has been unable to contact, including reviewing internal databases and contacting providers or caregivers, or visiting last known addresses and community resource locations such as homeless shelters.
Participate in ongoing or project-based activities that may require extensive telephonic and/or face-to-face member outreach.
Guide members in maintaining Medicaid eligibility and accessing other financial resources as appropriate.
Travel locally as required; 50–80% local travel may be required based on state and contractual requirements.