Healthcare - Managed Care Community Connector

Community Connector Position

Community Connector non-clinical position is needed for field staff to retrieve consent forms in NY area. Must live in New York 5 boroughs (Queens, Brooklyn, Staten Island, Manhattan and Bronx). Must have skills: computer skills, have an active driver license and be able to travel to members homes. Day to day responsibilities: travel to members' homes and get consent forms signed. Must have active driver's license without restrictions. Monday to Friday 8:30am to 5:00pm EST needs 1 monitor, docking station, laptop. Must be Spanish speaking.

Position Overview

Community Connectors 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. 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.

Essential Position Responsibilities

• Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.
• Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.
• Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.
• Assists members in accessing social services such as community-based resources for housing, food, employment, etc.
• Provides outreach to locate and/or provide support for disconnected members with special needs.
• Conducts research with available data to locate members the company has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.)
• Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
• 50-80% local travel may be required. Reliable transportation required.

Position Qualifications

HS Diploma/GED. Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.