Job Description

• Are you interested in benefits effective on the first day of employment?
• Are you willing to assist patients better understand their illness and coordinate their care?
• Do you enjoy learning of community services and resources to adopt healthy behaviors by conducting the key functions listed in the duties and responsibilities.?
• Are you interested in a loan repayment program and funding for license renewals?
• Can you Commit to the practice of inquiry and listening?

• Conduct initial outreach calls to encourage enrollees and care givers to participate in care management programs.
• Interact with enrollees in their homes, neighborhoods, and communities as necessary, to identify and resolve member's barriers to receiving recommended health services, adhering to treatment recommendations made by providers, and becoming effective managers of their health.
• As needed: schedule provider visits on behalf of enrollees, accompany enrollees to visits, ensure access to other community and government-based services.
• Guide and teach care givers about symptom response plans.
• Act as an advocate and liaison between the enrollee/family and community service agencies (i.e. schools, Department Human Services, homeless shelters, hospitals, support groups, etc.).
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with enrollees/families

• Experience working in a clinical or special service setting with Medicare, Medicaid, or Special Needs populations.
• Community Health Worker, Engagement Specialist, or Medical Assistant Certification.
• Flexible work schedule - may need to work evenings/ occasional weekends to provide enrollee access and/ or follow up.
• Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
• Fluency in a non-English language.
• Strong work ethic built on a foundation of proactivity and teamwork.

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