Community Connector
3 weeks ago
JOB DESCRIPTION
Candidate must reside in the State of New Mexico
Job Summary
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.
KNOWLEDGE/SKILLS/ABILITIES
- 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 (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 (telephonically and/or face-to-face).
- Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
- 50-80% local travel may be required. Reliable transportation required.
JOB QUALIFICATIONS
REQUIRED EDUCATION:
HS Diploma/GED
REQUIRED EXPERIENCE:
• Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
• Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
• For Ohio and Florida only -- Active and unrestricted Community Health Worker (CHW) Certification.
PREFERRED EDUCATION:
Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).
PREFERRED EXPERIENCE:
• 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.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
• Current Community Health Worker (CHW) Certification preferred (for states other than Ohio and Florida, where it is required).
• Active and unrestricted Medical Assistant Certification
STATE SPECIFIC REQUIREMENTS: OHIO
• MHO Care Guide serves as a single point of contact for care coordination when there is no CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified MHO Care Guide Plus serves as a single point of contact at Molina for care coordination when there is CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified.
• Assures completion of a health risk assessment, assisting members to remediate immediate and acute gaps in care and access. Assist members with filing grievances and appeals.
• Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the members needs indicate a higher level of coordination. Provide information to members related to Molina requirements , services and benefits .
• Knowledge of internal MCO processes and procedures related to Care Guide responsibilities required
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO2
#LI-AC1
Pay Range: $14.76 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
-
Community Connector
2 weeks ago
Austin, TX, United States Molina Healthcare Full timeJOB DESCRIPTION Job Summary 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...
-
Community Connector
3 weeks ago
Farmington, United States Molina Healthcare Full timeJOB DESCRIPTION Candidate must reside in the State of New Mexico Job Summary 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. ...
-
Assembly Technician
1 week ago
Rochester, NY, United States SKYWAVE COMMUNICATIONS, INC. Full timeSkywave Communications, Inc., a Rochester, NY based Public Safety Communications company and Motorola Solutions Service Elite Specialist, is seeking customer focused and quality driven candidates to join our team. Job Duties/Responsibilities: Ability to perform precision rack assembly work by aligning, configuring, and properly installing communications...
-
Engineer, Design II
3 weeks ago
Farmington, United States Motherson Full timeJob Description RESPONSIBILITIES Gather necessary design requirements and specifications from internal and external customers, and record using the technical assumptions, requirements and specifications (TARS) process. Execute the Component Engineering deliverables (e.g. concepts, CAD models, drawings, engineering analysis, engineering documents, etc.) at...
-
Community Connector
2 weeks ago
Lincoln, NE, United States Molina Healthcare Full timeJOB DESCRIPTION Job Summary 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...
-
Railroad Systems
1 week ago
Oceanside, CA, United States Summit dck Full timeThe Railroad Systems and Communication Technician performs complex and varied duties in the installation, maintenance, and repair of various signaling, operational, rail safety systems, hardware and network devices, and other electrical equipment; and performs related work as assigned to support the high-quality delivery of commuter, freight, and hybrid rail...
-
Identify & Access Management Specialist
2 weeks ago
United, United States First Commonwealth Bank Full timeThe Identity and Access Management Specialist will be responsible for implementation and administration of the SailPoint IdentityIQ solution, including dependent systems and applications. This will consist of developing processes for onboarding applications, creating workflows for user lifecycle management, and building report mechanisms for identity and...
-
Identify & Access Management Specialist
5 days ago
United, United States First Commonwealth Bank Full timeThe Identity and Access Management Specialist will be responsible for implementation and administration of the SailPoint IdentityIQ solution, including dependent systems and applications. This will consist of developing processes for onboarding applications, creating workflows for user lifecycle management, and building report mechanisms for identity and...
-
Senior Financial Software Engineer
1 month ago
, TX, United States Fannie Mae Full timeJob Description As a valued colleague on our team, you will collaborate with team in designing, producing, testing, or implementing moderately complex software, technology, or processes, as well as create and maintain IT architecture, large scale data stores, and cloud-based systems. THE IMPACT YOU WILL MAKE The Senior Financial Software Engineer role...
-
AWS DevOps Engineer
2 weeks ago
United, United States Syntricate Technologies Full timeResponsibilities: Highly skilled AWS Sr. DevOps Engineer with experience with Okta Security product configuration and capabilities. Strong experience in CI/CD (i.e., plan, develop, release) Global Authentication Services (i.e., OKTA SSO, MFA, Federations, 2-Factor Authentication etc) Implement and deploy Business and Vendor applications using Okta OIN,...
-
Tier 2 Audio Visual Field Technician
5 days ago
Chicago, IL, United States EOS Full timeWHO WE ARE:EOS IT Solutions is a Global Technology and Logistics company, providing Collaboration and Business IT Support services to some of the world's largest industry leaders, delivering forward-thinking solutions based on multi-domain architecture. Customer satisfaction and commitment to superior quality of service are our top business priorities, along...
-
Tier 2 Audio Visual Field Technician
5 days ago
Seattle, WA, United States EOS Full timeWHO WE ARE:EOS IT Solutions is a Global Technology and Logistics company, providing Collaboration and Business IT Support services to some of the world's largest industry leaders, delivering forward-thinking solutions based on multi-domain architecture. Customer satisfaction and commitment to superior quality of service are our top business priorities, along...
-
Battery Room Attendant
2 days ago
Mount Olive, NC, United States Butterball Full timeButterball, LLC, one of America’s most iconic brands, helps consumers celebrate Thanksgiving and every day in between. Located in the thriving Raleigh-Durham, North Carolina area, our goal is to provide a diverse array of career opportunities and paths which include our farms, processing facilities and support offices. We are the largest producer of turkey...
-
Battery Room Attendant
4 days ago
Mount Olive, NC, United States Butterball Full timeButterball, LLC, one of America’s most iconic brands, helps consumers celebrate Thanksgiving and every day in between. Located in the thriving Raleigh-Durham, North Carolina area, our goal is to provide a diverse array of career opportunities and paths which include our farms, processing facilities and support offices. We are the largest producer of turkey...
-
Senior Microsoft Dynamics Developer
2 weeks ago
St. Louis, MO, United States Swank Motion Pictures Full timeCandidates must reside in the Metro St. Louis, MO area. USA.Role Overview:We are seeking a seasoned Senior Microsoft Dynamics Developer to join our Information Technologies Department. This role is pivotal to our operations, focusing on the development, maintenance, and enhancement of our Microsoft Dynamics CRM and other related systems.Key...
-
Tier 2 Audio Visual Field Technician
5 days ago
Los Angeles, CA, United States EOS Full timeWHO WE ARE:EOS IT Solutions is a Global Technology and Logistics company, providing Collaboration and Business IT Support services to some of the world's largest industry leaders, delivering forward-thinking solutions based on multi-domain architecture. Customer satisfaction and commitment to superior quality of service are our top business priorities, along...
-
Trial Attorney
4 weeks ago
Conley, GA, United States State Farm Full timeOverviewWe are not just offering a job but a meaningful career! Come join our passionate team!As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inclusion to ensure a workforce that is engaged, builds on the strengths and talents of...
-
Trial Attorney
4 weeks ago
Decatur, GA, United States State Farm Full timeOverviewWe are not just offering a job but a meaningful career! Come join our passionate team!As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inclusion to ensure a workforce that is engaged, builds on the strengths and talents of...
-
Trial Attorney
4 weeks ago
Smyrna, GA, United States State Farm Full timeOverviewWe are not just offering a job but a meaningful career! Come join our passionate team!As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inclusion to ensure a workforce that is engaged, builds on the strengths and talents of...
-
Trial Attorney
1 month ago
Tucker, GA, United States State Farm Full timeOverviewWe are not just offering a job but a meaningful career! Come join our passionate team!As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inclusion to ensure a workforce that is engaged, builds on the strengths and talents of...