Healthcare - Managed Care Community Connector

Job Description: o Fully remote
o United States, preferably Central Standard Time but open to all time zones
o Monday - Friday 8a-5p CST
o Utilize necessary platforms/systems to identify specific members that fall within the parameters
o Conducts telephone visits with members to assist in setting up provider appointments and closing gaps in care
o Promotes integration of services for members including behavioral health
o Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
o Collaborates with licensed care managers/leadership as needed or required.
What additional IT equipment is required outside of a laptop/headset/mouse/keyboard (i.e., dual monitor & docking station or single monitor & connecting cables – note these will be billed back to Molina at cost):
Dual monitors and docking station, connecting cables
Headset
Mouse
Keyboard
Is there potential for this to extend past 6 months and/or convert to an FTE?:
Yes, there is potential for this to extend past 6 months and/or convert to an FTE



POSITION OVERVIEW
Community Connectors 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. 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.

ESSENTIAL POSITION RESPONSIBILITIES
• 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 the company has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers • 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.

POSITION QUALIFICATIONS
• HS Diploma/GED • Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.