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
-Alpena (Alpena)
-Oscoda/Tawas (Iosco)
-Gaylord (Otsego)
-West Branch (Ogemaw)
JOB QUALIFICATIONS
REQUIRED EDUCATION:
HS Diploma/GED
REQUIRED EXPERIENCE:
• Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.
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 EDUCATION:
Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).
PREFERRED EXPERIENCE:
• 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.
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 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.
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Pay Range: $16.4 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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