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Community Connector - Grand Rapids, United States - Molina Healthcare
Description
JOB DESCRIPTIONFor this position we are seeking a Community Connector to provide support for the Medicaid population for the Michigan Health Plan. Excellent computer skills (Microsoft Office) and attention to detail are very important.Working on multiple databases toggling back and forth talk with members on the phone and enter accurate contact notes. This is a fast-paced position and productivity is important. Experience with community resources within Kent County and working with members within the community within the field.
Schedule: Monday thru Friday 8:30AM to 5:00PM
This is a Remote position, home office with internet connectivity of high speed required.
Travel Required up to 50% (Kent and Surrounding Counties - Muskegon, Ottawa, Kent, Ionia, Newaygo) - Mileage Reimbursement
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
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 onlyActive and unrestrictedCommunity 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 needsare 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 needsare 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.
Pay Range: $ $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 03/29/2024
