Description

Summary:

This position assists the Health Plan in establishing a presence in the community through home visits and community outreach. 

This position requires working occasional evenings and weekends for outreach and community events. 

Essential Responsibilities/Accountabilities:

·         Educates Medicaid, Medicare, and Commercial members on health care benefits, and community resources through home visits and outreach

·         Assists members with activities related to accessing care

·         Answers questions from members regarding Case Management Program, eligibility, and benefits

·         Documents information and activities in applicable systems

·         Educates and answers questions related to government cell phone programs use and navigation

·         Coordinates and implements community events, including Baby Showers, school events, health fairs and various community initiatives

·         Scheduled and unscheduled home visits for noncompliance, gaps in care, community resource needs, and other high-risk issues

·         Conducts targeted phone calls for compliance, HEDIS initiatives and health risk assessments

·         Collaborate with Case Management on the status of high-risk member referrals

·         Collaborate with community partners in all service areas

·         Assists in finding and connecting members to community social services and agencies

·         Deliver community resources to members as needed

·         Enroll or refer qualified members in a Health Home

·         Update the Community Resource Guide as needed

·         Acts as a support to assist the Clinical Operations Department as needed 

·         Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.

·         Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

·         Regular and reliable attendance is expected and required.

·         Performs other functions as assigned by management. 

Minimum Qualifications:

·         High school diploma or GED is required. Associates degree preferred.

·         Minimum of two years of social services, community outreach, or education experience required.

·         Bilingual ability preferred

·         Must have and maintain valid driver’s license

·         Must have and maintain reliable vehicle

·         Must have and maintain current vehicle registration

·         Must be able to drive in all-weather conditions

·         Must be experienced in Excel and Word 

Physical Requirements:

·         Must be able to drive independently within the Health Plan regions

·         Must be able to lift at least 15lbs

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