HOPE Navigator (Social & Health Equity Navigator) Must Live In FL (Remote)

Molina Healthcare•Long Beach, FL

4d•Remote

About The Position

Provides support for member program initiatives that address social conditions impacting health outcomes. This role educates, assists, and provides resources and best practices to members navigating the healthcare system. The Navigator collaborates with other departments to identify population social determinants of health (SDOH) needs and seeks solutions through partnerships with community organizations and other agencies. The position contributes to the overarching strategy of providing quality and cost-effective member care.

Requirements

At least 2 years experience in public health, social services or similar field, or equivalent combination of relevant education and experience.
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Ability to coalesce diverse entities around a common goal.
Advanced understanding of social determinants of health (SDOH), health disparities, inequities and social risk factors.
Knowledgeable about and respectful of cultural issues on an individual member level.
Strong organizational skills, ability to prioritize and multitask.
Critical thinking skills, including the ability to interpret SDOH data that informs the implementation of targeted interventions to identified populations.
Ability to build strong relationships with key internal and external stakeholders through active participation in community-based initiatives.
Ability to maintain confidentiality and Comply with Health Insurance Portability and Accountability Act (HIPAA).
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

Licensed in social work, counseling or other related field.

Responsibilities

Works directly with members to reduce barriers and social determinants of health (SDOH) issues to improve healthcare access and member quality of life.
Educates members on SDOH and assists with navigating various systems.
Promotes awareness of how SDOH affect member health outcomes.
Conducts SDOH assessments to determine member needs and prioritizes based on member preference.
Participates in interdisciplinary care team (ICT) meetings.
Identifies local and national resources to facilitate staff, business owner, and department understanding of health disparities, inequities, and social risk factors impacting members.
Assists with coordination of SDOH related activities at the health plan.
Works with SDOH innovation team to pilot programs to address SDOH barriers for Molina members.
Collaborates with various departments within the health plan to implement pilot SDOH initiatives and programs.
Collaborates with SDOH innovation team to ensure all SDOH initiatives, processes, and outputs are aligned and standardized as appropriate.
Promotes integration of services including behavioral health care, long-term services and supports (LTSS), and other appropriate services.
Coordinates partnerships with other departments to ensure seamless care for members.