Description: Job Profile Summary
Position Purpose: Perform duties to assist in activities related to care management, care coordination, post-partum follow up, and wavier programs as assigned: i.e. Planning for Healthy Babies or Post-partum Wavier.
Education/Experience: High school diploma or equivalent required. Associate degree in related field preferred. 2+ years of experience working with community agency providing services encompassing the basic competency areas of health care, managed care, member outreach (community resources, communication skills, individual and family advocacy, health education, services skills and responsibilities).
Responsibilities
Provide education to P4HB members on plan services and benefits to encourage healthy behaviors, including healthy eating choices and smoking cessation.
Complete intakes based interviews with P4HB participants and supporting to identify the needs of the members.
Identify and document member needs and provide to clinical management to develop plan of care.
Coordinate and implement the delivery of member care and social services within the community.
Assist participants in locating and utilizing community resources including legal, medical, financial assistance, and other referral services.
Coordinate services to assist participants with attending primary care medical appointments.
Serve as the liaison between participants and family members, significant others, nurses, physicians, and organizational components to facilitate communication, linkage and continuity of service.
Document status of appointments, enrollment and participation in planned services and benefits.
Custom Fields:
Name: Shortlisting Date
Value: None
Name: Field Worker
Value: Yes
Name: Which Health Plan, programs or functions will this work support?
Value: Peach State Health Plan
Name: If this request is replacing a previously canceled request, please provide the original Request ID
Value: None