Job Profile Summary
Position Purpose: Perform duties to assist in activities related to care management, care coordination, post-partum follow up, and wavier programs as assigned: i.e. Planning for Healthy Babies or Post-partum Wavier.
Education/Experience: High school diploma or equivalent required. Associate degree in related field preferred. 2+ years of experience working with community agency providing services encompassing the basic competency areas of health care, managed care, member outreach (community resources, communication skills, individual and family advocacy, health education, services skills and responsibilities).
Responsibilities
Provide education to P4HB members on plan services and benefits to encourage healthy behaviors, including healthy eating choices and smoking cessation.
Complete intakes based interviews with P4HB participants and supporting to identify the needs of the members.
Identify and document member needs and provide to clinical management to develop plan of care.
Coordinate and implement the delivery of member care and social services within the community.
Assist participants in locating and utilizing community resources including legal, medical, financial assistance, and other referral services.
Coordinate services to assist participants with attending primary care medical appointments.
Serve as the liaison between participants and family members, significant others, nurses, physicians, and organizational components to facilitate communication, linkage and continuity of service.
Document status of appointments, enrollment and participation in planned services and benefits.
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
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Responsibilities
Provide education to P4HB members on plan services and benefits to encourage healthy behaviors, including healthy eating choices and smoking cessation.
Complete intakes based interviews with P4HB participants and supporting to identify the needs of the members.
Identify and document member needs and provide to clinical management to develop plan of care.
Coordinate and implement the delivery of member care and social services within the community.
Assist participants in locating and utilizing community resources including legal, medical, financial assistance, and other referral services.
Coordinate services to assist participants with attending primary care medical appointments.
Serve as the liaison between participants and family members, significant others, nurses, physicians, and organizational components to facilitate communication, linkage and continuity of service.
Document status of appointments, enrollment and participation in planned services and benefits.
Story Behind the Need
- What is the purpose of this team?
- What is driving this need? (ex. Backfill for FTE or CW, new project, business growth)
- Describe the surrounding team (team culture, work environment, etc.) & key projects.
- Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
Backfill- This position is responsible for providing Resource Mother services in the metro Atlanta region. According to the state contract all P4HB enrollees require a minimum of two unannounced home visits during the first 90 days of enrollment and additional face-to-face visits once an active case has been created. This position covers a high volume area for the P4HB program. Failing to secure an FTE for the area would place considerable strain on other team members to include increased caseload for P4HB and postpartum outreach. Lack of the ability to fill this position will result in non-compliance of our contractual agreements as well as jeopardize the quality of care that can be provided to our members by a short staffed team.
Open and collaborative team and space.
Typical Day in the Role
- Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
- What are performance expectations/metrics?
- What makes this role unique?
Resource Mother's are responsible for outreach, support, mentoring, education, community linkages etc. of women who have delivered Very Low Birth Weight babies and are participating in the Planning for Healthy Babies program. The RM is also responsible for educating and supporting members throughout their 12-month postpartum period. Resource Mothers play a significant role in improving the Plans postpartum visit HEDIS measure as well as carrying out the contractual requirements of the Planning for Health Babies Program
Outreach metrics: Ensuring this is completed in a timely manner: SOP’s that are in line with the processes as well as the metrics that are aligned with the processes.
Candidate Requirements
Education/Certification
Required: High school diploma or equivalent required. 2+ years of experience working with community agency providing services encompassing the basic competency areas of health care, managed care, member outreach (community resources, communication skills, individual and family advocacy, health education, services skills and responsibilities).
Preferred: Associate degree in related field preferred.
Licensure
Required: N/A- just driver’s license
Preferred:
Years of experience required: 2+ years’ experience (reference Education req info above)
Disqualifiers: Outside of contract work; no job-hopping and short tenure positions (
MUST NOTE IF CONTRACT POSITIONS ON RESUME)
Additional qualities to look for:
Home visits experience
- Top 3 must-have hard skills stack-ranked by importance
1
Great communication skills
2
Great time management
3
Candidate Review & Selection
- Shortlisting process
- Candidate review & selection
- Interview information
- Onboard process and expectations
Projected Manager Candidate Review Date:
1-2 days post shortlisting
Type of Interviews:
Teams, phone, etc.
Required Testing or Assessment (by Vendor):
Typing test, basic computers skills test, etc: Yes, please provide an assessment (computer skills test)- 85% or higher; typing test 50 wpm minimum
Next Steps
