Community Connector (CHW Preferred) Hybrid Field Work in Wayne Co and Surrounding

Molina Healthcare•Long Beach, MI

3d•Hybrid

About The Position

Molina Healthcare of Michigan is hiring a Community Connector, preferably in Wayne County. This role will also involve travel to see members in Oakland and Macomb counties. Candidates in the Detroit Metro area are preferred. The Community Connector provides support for community-based member advocacy activities, serving as a local member advocate and resource. They use knowledge of the community and available resources to engage and assist vulnerable members in managing their healthcare needs, contributing to the overall strategy of providing quality and cost-effective member care. This role involves empowering members by helping them navigate and maximize their health plan benefits, which may include scheduling appointments, arranging transportation, assisting with prescriptions, and following up on missed appointments. Additionally, the Community Connector assists members in accessing social services such as community-based resources for housing, food, and employment. They also provide outreach to locate and support disconnected members with special needs and conduct research to locate members Molina has been unable to contact. Participation in ongoing or project-based activities requiring extensive member outreach (telephonic and/or face-to-face) is expected. The role also guides members in maintaining Medicaid eligibility and accessing other financial resources as appropriate. Significant local travel may be required.

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 equivalent combination of relevant education and experience.
Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements).
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
Ability to multi-task 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/applications.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

Certified Community Health Worker (CHW)
SDOH background (Previous experience at other health plans, social service agencies)
Knowledge of local community resources
Field/home visit experience strongly preferred
Medicaid experience (MDHHS/State of MI strongly preferred, especially redetermination)
Ability to work independently in a hybrid setting, previous remote work experience preferred
Ability to navigate technology, Microsoft systems
Community Health Worker (CHW) certification (for states other than Ohio, Florida and California, where it is required).
Certified Medical Assistant (CMA).
Bilingual 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

Provides support for community-based member advocacy activities.
Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs.
Contributes to overarching strategy to provide quality and cost-effective member care.
Engages with members as an advocate and resource to support management of health care needs.
Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care 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 that Molina 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 (telephonic and/or face-to-face).
Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.