Job Description

Molina Healthcare of Ohio is hiring for a Community Connector in the Cleveland or Akron area.
Candidates must High have either a Community Health Worker (CHW) certification or be an LPN in the state of Ohio. 
Bilingual, English/Spanish is also desired. 

Our Community Connectors will be a hybrid between remote, working from your home office and also two days per week either in the community or at a PCP office. Additionally, you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members that have had a behavioral health hospitalization and more.

KNOWLEDGE/SKILLS/ABILITIES

• Serves as a community-based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.
• Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.
• Empowers members by helping them navigate and maximize their health plan benefits.
• Assistance may include: scheduling appointments with providers; arranging transportation for healthcare 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 Molina Healthcare 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 (telephonically and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
• Travel may be required. Reliable transportation required.

REQUIRED EDUCATION: HS Diploma/GED
PREFERRED EDUCATION: Associate degree in a health care related field (e.g., nutrition, counseling, social work).

REQUIRED EXPERIENCE: Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances. PREFERRED EXPERIENCE:

• Be a CHW or LPN
• 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.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

• 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, Florida, and California only -- Active and unrestricted Community Health Worker (CHW) Certification.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

• Current Community Health Worker (CHW) Certification preferred (for states other than Ohio, Florida and California, 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 needs are 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 needs are 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 Ohio RISE 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.

#PJHPO

Key Words: Community Connector, Nonclinical Case Manager, Care Manager, Community Engagement, CHW, Community Health Worker, Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community health advisor, family advocate, advocacy, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter, public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, managed care, MCO, member, market, screening, education, educating, Medicare, Medicaid, Marketplace, Insurance, Healthcare, Health Insurance, IPA, Independent Physician Association Genesys, Genesis, MHS Genesis, OhioRise, Rise

Pay Range: $16.4 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Tags

Hourly pay, Full time, Temporary work, Work experience placement, Work at office, Immediate start, Remote work, Home office, 2 days per week,

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