Spanish Speaking Care Coordinator/ Navigator - Worcester, United States - Fallon Health

Fallon Health Worcester, United States

2 weeks ago

Description

Overview:

About us:

Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nations top health plans for member experience, service, and clinical quality.

Fallon Healths NaviCare is a program for people age 65 and older, who live in our service area, and who have MassHealth Standard, and may have Medicare. It combines MassHealth (Medicaid) and Medicare benefits, including prescription drug coverage. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.

Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programsincluding Medicare, Medicaid, and PACE in the region. Learn more at or follow us on Facebook, Twitter and LinkedIn.

Brief Summary of Purpose:

The Care Coordinator or Navigator partners with Fallon Health Care Team staff and other providers to communicate at all times what is occurring with the member and their status. The Care Coordinator or Navigator seeks to establish telephonic and face to face (depending upon product and circumstance) relationships with the member/caregiver(s) and provider partners to better ensure ongoing service provision and care coordination, consistent with the member specific care plan. In order to effectively advocate for member needs, the Care Coordinator or Navigator may make in home or facility visits (depending upon the product and circumstances) with or without other Care Team members to fully understand a members care needs.

Responsibilities:

Responsibilities Include But Are Not Limited To:

Coordinating care and community-based services for members of the NaviCare program
Central point of contact for member and providers, facilitating to meet member needs and transitions
Conducting telephonic assessments and may conduct face to face member visits to assess members utilizing TruCare Assessment Tools
Maintaining member records- including but not limited to adhering to CMS regulatory requirements, documentation, outreaching to members to educate and coordinate clinical/preventative screenings
Establishing and developing effective working relationships with community partners such as housing staff, adult day health care staff, assisted living staff, group adult foster and adult foster care staff, rest home staff, long term care facilities and other providers including primary care providers with the goal to facilitate member specific communication, represent Fallon Health in a positive and effective manner, and work to grow membership in the various Fallon Health products as applicable

Qualifications:

Education:

College degree (BA/BS in Health Services or Social Work) preferred

License/Certifications:

Current MA Drivers License and reliable transportation. No certifications are required.?

Other:

Satisfactory Criminal Offender Record Information (CORI) results.

Experience:

2+ years job experience in a managed care company, medical related field, or community social service agency required
Understanding of hospitalization experiences and the impacts and needs after facility discharge required
Proficient in Microsoft Office applications
Knowledge of computer-based phone system preferred

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Fallon Health Vaccination Requirements:

To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as Remote require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

#P03

spanish speaking care coordinator/ navigator

2 weeks ago

Fallon Community Health Plan Worcester, MA , USA, United States

Overview · About us: · Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the ...
Spanish Speaking Care Coordinator/ Navigator

3 weeks ago

Fallon Health Worcester, United States

Overview: · About us: · Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among th ...
Spanish Speaking Care Coordinator/ Navigator

2 weeks ago

Fallon Health Worcester, United States

Overview · About us: · Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the ...
Spanish Speaking Care Coordinator/ Navigator

2 weeks ago

Fallon Health Worcester, United States

Overview · About us: · Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the ...
Spanish Speaking Care Coordinator/ Navigator

3 weeks ago

Fallon Health Worcester, United States

**Overview** · **About us:** · Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated a ...
Spanish Speaking Care Coordinator/ Navigator

2 weeks ago

Fallon Health Worcester, United States

Overview: · About us: · Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among th ...
Spanish Speaking Care Coordinator/ Navigator

2 weeks ago

Fallon Community Health Plan Spencer, United States

Overview About us: Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nat ...
Cchp Behavioral Health

1 week ago

Central Community Health Partnership Worcester, United States

Overview: · At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. · Open Sky is on an anti-racist journey, committed to learning, ...
Academic Advisor

2 weeks ago

Quinsigamond Community College Worcester, United States

**Location**:Worcester, MA **Category**:Professional **Posted On**:Sun May · **General Statement** · The Academic Advisor position, which is housed within the Academic Advising Center, is responsible for providing proactive advising to assigned students. The position will ensure ...
Bilingual Case Manager

6 days ago

Organization for Refugee and Immigrant Success Worcester, United States

**About ORIS**:The Organization for Refugee and Immigrant Success (ORIS) is an ethnic community-based nonprofit organization with the mission to aid in the resettlement of refugees and immigrants in Massachusetts and New Hampshire by providing training, assistance, resources, and ...
Account Executive

3 weeks ago

HUB International Worcester, United States

**About Specialty Program Group**: · Our goal is to partner with industry-leading specialty businesses to provide them with the ability to achieve their goals and optimize their businesses. Specialty Program Group offers access to capital and investment, deep carrier relationship ...
Area Coordinator

2 weeks ago

MCPHS Worcester, United States

The Office of Residence Life seeks an Area Coordinator to serve as a live-in professional responsible for the vision and operation of multiple residential areas on the Worcester campus. The Worcester campus is comprised of graduate and professional students participating in year- ...
Doula - 40 Hours, Mixed Shifts

6 days ago

UMass Memorial Health Care Worcester, United States

Schedule Details: · Monday through Friday, On Call - Required · Scheduled Hours: · Varies · Shift: · 4 - Mixed Shift, 8 Hours (United States of America) · Hours: · 40 · This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility duri ...
Doula - 20 Hours Per Week, Mixed Shifts

6 days ago

UMass Memorial Health Care Worcester, United States

Schedule Details: · Monday through Friday, On Call - Required · Scheduled Hours: · Varies · Shift: · 4 - Mixed Shift, 8 Hours (United States of America) · Hours: · 20 · This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility duri ...
Donor and Volunteer Engagement Manager

3 weeks ago

Girls Inc. of Worcester Worcester, United States

**About us** · Girls Inc. of Worcester is a small business in NON_PROFIT_ASSOCIATION in Worcester, MA. We are professional, agile and our goal is to Girls Inc. of Worcester inspires all girls to be strong, smart, and bold. We put our mission into practice through The Girls Inc. E ...
Registration Rep-share

1 week ago

UMass Memorial Health Care Worcester, United States

Schedule Details: · Holidays - Every Other Holiday, Weekends - Every Other Weekend · Scheduled Hours: · 11PM - 7:30AM · Shift: · 3 - Night Shift, 8 Hours (United States of America) · Hours: · 24 · This position may have a signing bonus available a member of the Recruitment Team w ...
Registration Rep

1 week ago

UMass Memorial Health Care Worcester, United States

Exemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Other Holiday, Weekends - Every Other Weekend · Scheduled Hours: · 3pm - 11:30pm · Shift: · 2 - Evening Shift, 8 Hours (United States of America) · Hours: · 32 · Cost Center: · Registration Services Univ · This ...
Insurance Recruiter- New England

3 weeks ago

Unum Worcester, United States

Job Posting End Date: May 24 · When you join the team at Unum, you become part of an organization committed to helping you thrive. · Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's mome ...
24 Night Shift Unv Ed

1 week ago

UMass Memorial Health Care Worcester, United States

Exemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Other Holiday, Weekends - Every Other Weekend · Scheduled Hours: · 11PM - 7:30AM · Shift: · 3 - Night Shift, 8 Hours (United States of America) · Hours: · 24 · Cost Center: · Registration Services Univ · Union: ...
Project Manager, Apprenticeship Degree Initiatives

2 days ago

Quinsigamond Community College Worcester, United States

**Location**:Worcester, MA **Category**:Administrative **Posted On**:Sun Apr · **General Statement** · Responsible for coordinating, developing, and implementing outreach, marketing, and recruitment activities to promote and expand apprenticeship degree pathways. Ensure each pat ...