Community Health Peer Support Navigator

AlohaCare; Honolulu (HI); On-site; USD 50,000 - 54,000; Full time

Job summary

AlohaCare is a local, non-profit health plan serving Hawai`i’s low-income residents with free Medicaid and dual Medicare health insurance coverage. The Peer Support Specialist plays an important role in AlohaCare’s care team, supporting and encouraging peer members in recovery and resiliency, developing coping skills and self-monitoring techniques.

This role helps members access services and supports self-reliance in the community.

Qualifications

• High school diploma or equivalent.
• Hawaii Certified Peer Specialist (HCPS) certification through AMHD or the ability to obtain within 12 months of hiring.
• Minimum 5 years of work experience.
• Cultural diversity and experience.
• Achieves results, builds trust, communicate effectively, customer and quality focused.
• Strong, effective, and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations.
• Strong listening skills.
• Professional telephonic etiquette skills.
• Ability to solve problems, analyze, think critically, and make good judgments.
• Strong customer service skills and be able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills.
• Able to work independently with minimal supervision.
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment.
• Possesses excellent time management and organizational skills; dependable, enthusiastic, self-starting, and self-motivated. Uses time effectively, reacts professionally under pressure.
• Quick learner with the ability to absorb and retain detailed information
• Working knowledge of Microsoft programs: Word, Excel, Outlook and PowerPoint.
• Experience in the operation of general office equipment to include PC, fax/copy machine and phone system.
• Possession of a current valid Hawaii driver’s license and access to an insured automobile.
• TB Clearance
• First Aid and CPR Certification

Responsibilities

• Performing initial outreach to conduct education and welcome call as needed.
• Schedule and attend member home visits and provider visits, if needed. Coordinate with the RN or SW Health Coordinators to complete required Initial and annual member reassessments. The Peer Support Specialists will execute planned non-clinical intervention(s) directed by the licensed clinician, which include but are not limited to facilitating timely access to services, ensuring there are no barriers to care and medications, identifying and providing transportation assistance, if needed, etc., on behalf of the member and provider.
• Providing needed member education and assisting with coordinating referrals to appropriate services.
• Documenting in an electronic database assessment information and health coordination activities
• Monitoring assessments and claims to identify any signs of health status changes
• Coordinating and collaborating with interdisciplinary care team members including providers, family members, caregivers and community agencies to support members in maintaining or improving their current health status
• Participating in internal interdisciplinary care team meetings
• Coordinating with appropriate operational departments as required by the members’ needs (e.g., Medical Management, Transition of Care, disease Management, Care Coordination, Service Coordination, Travel, etc.) and network physicians/providers to facilitate timely access to available and authorized services
• Assisting the member with maintaining eligibility and connections with other programs the member may quality for
• Performing member outreach calls in collaboration with Quality Improvement projects and Care Coordination activities related to HEDIS and STAR ratings
• Assisting the member with accessing translation services when needed and requested
• Performing other duties as assigned by supervisor and/or manager
• All other duties assigned
• Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and procedures.
• Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.

Skills

Communication skills

Problem solving

Time management

Multitasking

Customer service

Independent worker

Cultural sensitivity

Telephonic etiquette

Listening skills

Education

HCPS Certification

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

PowerPoint

Job description

AlohaCare is a local, non-profit health plan serving Hawai`i’s low-income residents with free Medicaid and dual Medicare health insurance coverage. The Peer Support Specialist plays an important role in AlohaCare’s care team, supporting and encouraging peer members in recovery and resiliency, developing coping skills and self-monitoring techniques.

This role helps members access services and supports self-reliance in the community.