Job Description

Title: Healthcare - Managed Care Community Connector Managed Care Community Connector
Duration: 3 Months
Location: New York, NY - Hybrid (Travel would be in NYC, Bronx, Brooklyn, Nassau, Suffolk)

:
This position is for a bilingual Community Connector who are local to NY.
Bilingual candidates that speak Bengali, Chinese, Korean, or Spanish are needed.
The position will be hybrid with Field Travel to conduct home visits to our members. The hours are Monday - Friday 8:30 AM to 5:00 PM EST.
Travel would be in NYC, Bronx, Brooklyn, Nassau, Suffolk.
Tolls and mileage are reimbursable.

Job Summary
Healthcare Services 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.
Healthcare Services 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.
This position will support our Senior Whole Health business.
Senior Whole Health is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan.
These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare.
We are looking for a Community Connector with strong organizational, communication, interpersonal and time management skills.
The Community Connecter must have the ability to work in a high-volume environment to better serve our members.

KNOWLEDGE/SKILLS/ABILITIES
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 who 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.
30 % local travel may be required. Reliable transportation required.

REQUIRED EDUCATION: HS Diploma/GED

REQUIRED EXPERIENCE: Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Must have valid NY driver\'s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

APN Consulting