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AlohaCare seeks a dedicated Peer Support Specialist to assist members in recovery, build skills for resiliency, and connect them with community resources. The role focuses on outreach, education, and facilitating access to services within a supportive care team.
Responsibilities include coordinating with clinicians, conducting education visits, and helping members maintain eligibility for programs while navigating social services across Hawaii.
The Company AlohaCare is a local non profit health plan serving Hawaiis low income residents with free Medicaid and dual Medicare health insurance coverage Our members include children seniors and adults residing on all islands We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care Our approach is to meet the whole person health and social needs of members Through our community partnerships we offer innovative services such as connection to social service agencies Native Hawaiian healing services and in home primary care for qualified members Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all We are Hawaiis third largest health plan and offer a wide network of quality primary care specialists hospitals pharmacies and among many other providers across the state
AlohaCare employees have a passion for helping Hawaiis most underserved communities Our caring culture is fundamental to our company wide team approach to providing high quality services We support our employees with a supportive and positive work environment healthy work life balance continuous communication and a generous benefits package AlohaCares leadership empowers and engages its employees by recognizing outstanding job performance and collaboration We share organization wide updates during quarterly All Staff meetings We encourage participation in volunteer and educational opportunities We put a high value on honesty respect and trust building We encourage open door two way and frequent communication AlohaCares comprehensive benefits package includes low cost medical dental drug and vision insurance paid time off 401k employer contribution referral bonus and pretax transportation and parking program
The Peer Support Specialist plays an important role in AlohaCares care team supporting and encouraging peer members in the development of goal setting for recovery and resiliency and working towards new coping skill development learning self monitoring techniques and practicing ways to problem solve As a role model the Peer Support Specialist supports members during their recovery bringing them together into self help groups and encouraging them toward self reliance in the community
Performing initial outreach to conduct education and welcome call as neededSchedule 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 interventions 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 providerProviding needed member education and assisting with coordinating referrals to appropriate servicesDocumenting in an electronic database assessment information and health coordination activitiesMonitoring assessments and claims to identify any signs of health status changesCoordinating 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 statusParticipating in internal interdisciplinary care team meetings Coordinating with appropriate operational departments as required by the members needs eg Medical Management Transition of Care disease Management Care Coordination Service Coordination Travel etc and network physiciansproviders to facilitate timely access to available and authorized servicesAssisting the member with maintaining eligibility and connections with other programs the member may quality forPerforming member outreach calls in collaboration with Quality Improvement projects and Care Coordination activities related to HEDIS and STAR ratingsAssisting the member with accessing translation services when needed and requestedPerforming other duties as assigned by supervisor andor managerAll other duties assigned Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and proceduresResponsible for maintaining AlohaCares 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
High school diploma or equivalentHawaii Certified Peer Specialist HCPS certification through AMHD Minimum 5 years of work experienceCultural diversity and experienceAchieves results builds trust communicate effectively customer and quality focusedStrong effective and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations Strong listening skillsProfessional telephonic etiquette skillsAbility 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 skillsAble to work independently with minimal supervisionAble to effectively work in a fast paced and changing environment manage multiple projects and priorities across multiple teamsprojects and in a matrixed environmentPossesses 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 informationWorking knowledge of Microsoft programs Word Excel Outlook and PowerPointExperience in the operation of general office equipment to include PC faxcopy machine and phone systemPossession of a current valid Hawaii drivers license and access to an insured automobileTB ClearanceFirst Aid and CPR Certification
Bilingual in Ilocano Tagalog andor Korean preferredAbility to complete multiple tasks to ensure timeliness standards are met Ability to work independently with minimal direction
Sedentary Work Exerting up to 20 pounds of force occasionally andor a negligible amount of force frequently or constantly lift carry push pull or otherwise move objects Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met Field working environmentMay require prolonged sitting up to 4 hoursRequires prolonged operation of a computer workstation including the ability to type for extended periods of time on a keyboard during the scheduled workday
AlohaCare is committed to providing equal employment opportunities to all applicants in accordance with sound practices and federal and state laws Our policy prohibits discrimination and harassment because of race color religion sex including gender identity or expression pregnancy age national origin ancestry marital status arrest and court record disability genetic information sexual orientation domestic or sexual violence victim status credit history citizenship status militaryveteran status or other characteristics protected under applicable state and federal laws regulations andor executive orders