Community Connector

Molina Healthcare; Heath (OH); On-site; USD 23,000 - 44,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a community-based Member Advocate to engage and assist vulnerable members in navigating health care needs.

You will serve as a local resource, often traveling to homes, shelters, and provider sites to support benefits access and care coordination. Responsibilities include outreach, scheduling, transportation coordination, and linkage to social services, with 50-80% local travel as required by state contracts.

Qualifications

• 1 year health care experience with underserved populations or equivalent.
• CHW certification may be required for certain states.
• Valid driver's license, reliable transportation, and auto insurance for travel.
• Ability to multi-task while speaking with members.
• Excellent customer service skills.
• Organizational and time-management skills.
• Willingness to learn other programs and software systems.
• Excellent verbal and written communication.
• Microsoft Office proficiency.

Responsibilities

• Advocate for members and support management of health care needs.
• Work with health care services team performing non-clinical duties in the field.
• Help navigate benefits, schedule appointments, arrange transportation, and follow up on missed visits.
• Assist members in accessing social services and community resources.
• Provide outreach to locate disconnected members with special needs.
• Conduct research to locate hard-to-reach members using databases and field outreach.
• Participate in ongoing or project-based member outreach efforts.
• Guide members to maintain Medicaid eligibility and other financial resources.

Skills

Customer service

Communication

Multitasking

Time management

Verbal communication

Written communication

Tools

Microsoft Office

Job description

JOB DESCRIPTION Job Summary

Provides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Engages with members as an advocate and resource to support management of health care needs.
• Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
• Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care 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 that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.)
• Participates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
• 50-80% local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 1 year of health care experience, preferably working with underserved or special needs populations with varied health, economic and educational circumstances, or equivalent combination of relevant education and experience.
• Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to multi-task applications while speaking with members.
• Excellent customer service skills.
• Organizational and time-management skills.
• Ability and willingness to learn other lines of business, programs and relevant software systems/applications.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Community Health Worker (CHW) certification (for states other than Ohio, and California, where it is required).
• Certified Medical Assistant (CMA).
• Bilingual based on community need.
• Familiarity with health care systems.
• Knowledge of community-specific culture.
• Experience with/or knowledge of health care systems, community resources, social services, and/or health education.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $16.4 - $31.97 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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