Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate. Education/Experience: Requires a High School diploma or GED Requires 1 2 years of related experience Provides support to members to connect them to known community and care resources in a cost- effective manner Supports the coordination of community outreach resources available to members and promotes awareness of care/services Serves as support for members on community and care resource inquiries and opportunities available to members Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member s behalf, and gather information for medical providers and staff working within the organization Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member s behalf, and gather information for medical providers in staff working within our organization Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach May make visits to individual homes and/or community organizations Working Knowledge of Social Determinants of Health (SDOH) barriers Performs other duties as assigned Complies with all policies and standards | |||||
| Story Behind the Need | |||||
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| Typical Day in the Role | |||||
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| Candidate Requirements | |||||
| Required: High School Diploma or GED | Preferred: | ||||
| Required: | Preferred: | ||||
| Years of experience required: 1 2 years of related experience Disqualifiers: No Personal Transportation or prior field experience Additional qualities to look for: Accountability, Empathy, Adaptability, Communication, Initiative | |||||
| 1 | Care Coordination & Case Documentation | |||
| 2 | Technology and Systems Proficiency | ||||
| 3 | Time Management | ||||