Member Connections Representative I - Various, United States - Managed Health Services IN

Description

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team.

Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:
Assist the health plan in establishing a presence in the community through home visits and community outreach. Applicants must live within driving distance of Evansville, IN.

• Educate members on health care benefits through home visits and outreach
• Assist members with activities related to accessing care
• Document information and activities in applicable systems
• Deliver Connections Plus cell phones, teach and answer questions related to cell phone use and navigation
• Coordinate and implement community events, including Start Smart Baby showers and Birthday Parties, school events, healthy life style events and various community initiatives
• Schedule and complete home visits for noncompliance, benefits information, ED and readmission diversion and other high risk issues
• Conduct targeted phone calls for compliance, HEDIS initiatives and health risk assessments
• Follow-up with appropriate parties on status of high risk member referrals
• Assist in finding and connecting members to community social services and agencies
• Ability to travel throughout designated regionEducation/Experience: High school diploma or equivalent experience. Bilingual ability preferred. 2+ years of social services, community outreach, or education experience.

License/Certification:
Valid driver's license and automobile insurance. Some locations may require Community Health Worker certification, CPR certification, and/or bi-lingual.

For SilverSummit only:
SilverSummit values diversity in its workplace and provides health plan benefits to culturally diverse individuals. As such, SilverSummit employees are expected to understand, communicate with, and effectively interact with people across cultures. Experience working with low income and/or multi-cultural and multilingual populations is preferred.

For MHS-Indiana only:

MHS only: Member feedback is critical to the implementation and success of many of the programs and initiatives at MHS.

Your main priority will be to get the voice of the member and collaborate with other departments to initiate change and/or develop new programs.

Ability to lift up to forty pounds required. Community Health Worker Certification required. Bi-lingual in Spanish and/BurmeseBi-lingual in Spanish required for some of the positions. MHS values diversity in its workplace and provides health plan benefits to culturally diverse individuals. As such, MHS employees are expected to understand, communicate with, and effectively interact with people across cultures. Experience working with low income and/or multi-cultural and multilingual populations is preferred.

Our Comprehensive Benefits Package:

Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.