Community Connector (Transitional Resource Specialist) (Central To South Fl)

Molina Healthcare; Jacksonville (FL); On-site; USD 22,000 - 44,000; Full time

Job summary

Molina Healthcare of Florida is hiring a Community Connector, Transition Resource Specialist to support Transition-Aged Youth by coordinating resources, education, and system navigation. You will work with Care Managers, families, and community partners to connect members to healthcare, housing, employment, transportation, and social services, aiming to improve transition readiness and continuity of care.

Responsibilities include conducting outreach, documenting outcomes, and traveling locally

Qualifications

• At least 1 year of healthcare experience with underserved populations.
• CHW certification may be required for certain states.
• Valid and unrestricted driver's license, reliable transportation for travel.
• Ability to multi-task while speaking with members.
• Excellent customer service, organizational and time-management skills.
• Proficiency with Microsoft Office and standard software.

Responsibilities

• Serve as SME for Transition-Aged Youth resources, programs, and best practices.
• Collaborate with Care Managers to support complex transition needs as youth move to adult healthcare.
• Provide education, consultation, and guidance on transition planning and adult responsibilities.
• Identify and connect members to community-based resources (healthcare, education, vocational, social services).
• Assist with system navigation and access to adult services.
• Support transition readiness activities and track outcomes for improvement.
• Engage with members to support health care needs management.
• Collaborate with health care teams with non-clinical field duties (home visits, shelters, etc.).
• Help members maximize health plan benefits and coordinate appointments.
• Assist members in accessing social services (housing, food, employment).
• Provide outreach to locate disconnected members with special needs.
• Conduct research to locate hard-to-contact members via databases, providers, or communities.
• Participate in outreach activities (telephonic or in-person).
• Guide members to maintain Medicaid eligibility and financial resources.
• Travel 50-80% as required.

Skills

Customer service

Multi-tasking

Time management

Verbal and written communication

Microsoft Office

Tools

Microsoft Office

Job description

Molina Healthcare of Florida is hiring for a Community Connector, Transition Resource Specialist

The AOS partners closely with Care Managers, members, families, and community organizations to address barriers to successful transitions and promote positive long-term outcomes. Leveraging expertise in nationally recognized transition frameworks, including GOT Transition and Florida Youth to Adult Transition initiatives, the specialist provides consultation, system navigation support, and resource identification to enhance transition readiness and continuity of care

Highly Qualified Candidates will have the following experience:

• Experience working with members who have complex needs for members ages 18 to 21
• Knowledge of physical and behavior case management resources for those transitioning into adulthood. Ability to work with members and parents along with educating and supporting needs
• Experience with understanding and navigating APD,LTC and guardianship applications, waivers, etc..
• Preference for those who live in or near Central Florida or below

Essential Job Duties

• Serve as the designated subject matter expert for Transition-Aged Youth (TAY) resources, programs, and best practices.
• Collaborate with Care Managers to support members with complex transition needs as they move from pediatric to adult healthcare systems and services.
• Provide education, consultation, and guidance to members, families, and care teams regarding transition planning and adult responsibilities.
• Identify and connect members to community-based, healthcare, educational, vocational, and social support resources.
• Assist with system navigation and help members and families overcome barriers to accessing adult services.
• Support the development and implementation of transition readiness and transition planning activities alongside the CM.
  Monitor, track, and report transition outcomes to evaluate effectiveness and identify opportunities for improvement.
• Engages with members as a 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 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.