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Community Connector

2 months ago

Dallas, United States Molina Healthcare Full time

These positions will be making outbound calls to our pregnant and postpartum members to engage and provide any additional resources if needed. You may also be receiving inbound calls in which you would be engaging members as well.
Schedule will be Monday through Friday from 8am - 5pm.

**Preferred Experience**:
Must have phone customer service experience.

Solid work history

Healthcare customer service experience preferred. Insurance or Managed Care experience Highly Preferred Any type of experience with the Maternity population Highly Preferred

Must have intermediate or above computer skills (Typing, MS Office Suite, Etc.).

Willingness to learn, go above and beyond, have and use critical thinking skills.

Bilingual a plus, but not required.

KNOWLEDGE/SKILLS/ABILITIES

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.

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 to include speaking with members and connecting them to resources.

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.

LI-TR1

**REQUIRED EDUCATION**: HS Diploma/GED
**PREFERRED EDUCATION**: Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).

**REQUIRED EXPERIENCE**: Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.

**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.

**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.

**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

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

**Key Words**: Phone Customer Service, CSR, CS, Star, Star Plus, Community Connector, Nonclinical Case Manager, Care Manager, Community Engagement, Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community health advisor, family advocate, advocacy, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter, public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, calls, inbound, outbound, call center, housing counselor, human service worker, Navigator, Assistor, Connecter, care, MCO, member, market, screening, education, educating, Medicare, Medicaid, Marketplace, Insurance, Healthcare, Health Insurance, Bilingual, Spanish Speaking,
**Pay Range**: $14.76 - $31.97 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.