Community Connector
Company: Molina Healthcare
Location: Troy
Posted on: May 23, 2023
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Job Description:
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and
multidisciplinary team members to assess, facilitate, plan and
coordinate an integrated delivery of care across the continuum,
including behavioral health and long term care, for members with
high need potential.HCS staff work to ensure that patients progress
toward desired outcomes with quality care that is medically
appropriate and cost-effective based on the severity of illness and
the site of service.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
REQUI
RED EDU
C
A
TI
O
N
:
HS Diploma/GED
REQUI
RED EX
PER
I
E
N
C
E:
---Minimum 1 year experience working with underserved or special
needs populations, with varied health, economic and educational
circumstances.
REQUI
RED LI
C
E
N
S
E, C
E
RTI
FIC
A
T
I
ON
, ASS
OC
I
A
TI
O
N
:
---Must have valid driver's license with good driving record and be
able to drive within applicable state or locality with reliable
transportation.
---For Ohio and Florida onlyActive and unrestrictedCommunity Health
Worker (CHW) Certification.
PRE
FER
RED EDU
C
A
TI
O
N
:
Associate's Degree in a health care related field (e.g., nutrition,
counseling, social work).
PRE
FER
RED EX
PER
I
E
N
C
E:
---Bilingual based on community need.
---Familiarity with healthcare systems a plus.
---Knowledge of community-specific culture.
---Experience with or knowledge of health care basics, community
resources, social services, and/or health education.
PRE
FER
RED LI
C
E
N
S
E, C
E
RTI
FIC
A
T
I
ON
, ASS
OC
I
A
TI
O
N
:
---Current Community Health Worker (CHW) Certification preferred
(for states other than Ohio and Florida, where it is required).
---Active and unrestricted Medical Assistant Certification
STATE SPECIFIC REQUIREMENTS: OHIO
---MHO Care Guide serves as a single point of contact for care
coordination when there is no CCE, OhioRISE Plan, and/or CME
involvement and short term care coordination needsare
identified
MHO Care Guide Plus serves as a single point of contact at Molina
for care coordination when there is CCE, OhioRISE Plan, and/or CME
involvement and short term care coordination needsare
identified.
---Assures completion of a health risk assessment, assisting
members to remediate immediate and acute gaps in care and access.
Assist members with filing grievances and appeals.
---Connects members to CCEs, the OhioRISE Plan,or Molina Care
Management if the members needs indicate a higher level of
coordination. Provide information to members related to Molina
requirements , services and benefits .
---Knowledge of internal MCO processes and procedures related to
Care Guide responsibilities required
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
listing.
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
M/F/D/V.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a
mission to provide quality healthcare to people receiving
government assistance. If you are seeking a meaningful opportunity
in a team-oriented environment, come be a part of a highly engaged
workforce dedicated to our mission. Bring your passion and talents
and together we can make a difference in the lives of others.
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
M/F/D/V.
Job Type: Full Time
Posting Date: 03/30/2023
Keywords: Molina Healthcare, Troy , Community Connector, Other , Troy, Michigan
Click
here to apply!
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