Community Connector

Molina Healthcare•Lima, OH

9d•$16 - $32

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 health care needs. Contributes to the overarching strategy of providing quality and cost-effective member care. The role includes non-clinical paraprofessional field support for the health care services team, outreach to members in settings such as homes, nursing homes, shelters, and provider offices, and assistance navigating health plan benefits and accessing community resources. Local travel of 50–80% may be required, based on state and contractual requirements.

Requirements

At least 1 year of health care experience, preferably 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 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

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 field duties, including meeting members in homes, nursing homes, shelters, and provider offices.
Helps members navigate and maximize health plan benefits, including scheduling provider appointments, arranging transportation for health care visits, helping fill prescriptions, and following up after missed appointments.
Assists members in accessing social services and community resources for housing, food, employment, and other needs.
Provides outreach to locate and support disconnected members with special needs.
Researches available data to locate members Molina has been unable to contact, including reviewing internal databases, contacting providers or caregivers, and traveling to last known addresses or community resource locations.
Participates in ongoing or project-based activities requiring extensive telephonic and/or face-to-face member outreach.
Guides members in maintaining Medicaid eligibility and accessing other financial resources as appropriate.
May perform 50–80% local travel, based on state and contractual requirements.