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Job description
Molina Healthcare of Florida is hiring for a Community Connector, Transition Resource Specialist
nThe AOS partners closely with Care Managers, members, families, and community organizations to address barriers to successful transitions and promote positive long-term outcomes. Leveraging expertise in nationally recognized transition frameworks, including GOT Transition and Florida Youth to Adult Transition initiatives, the specialist provides consultation, system navigation support, and resource identification to enhance transition readiness and continuity of care
nHighly Qualified Candidates will have the following experience:
nnnExperience working with members who have complex needs for members ages 18 to 21
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nnKnowledge of physical and behavior case management resources for those transitioning into adulthood. Ability to work with members and parents along with educating and supporting needs
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nnExperience with understanding and navigating APD,LTC and guardianship applications, waivers, etc..
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nnPreference for those who live in or near Central Florida or below
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n nEssential Job Duties
nnnServe as the designated subject matter expert for Transition-Aged Youth (TAY) resources, programs, and best practices.
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nnCollaborate with Care Managers to support members with complex transition needs as they move from pediatric to adult healthcare systems and services.
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nnProvide education, consultation, and guidance to members, families, and care teams regarding transition planning and adult responsibilities.
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nnIdentify and connect members to community-based, healthcare, educational, vocational, and social support resources.
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nnAssist with system navigation and help members and families overcome barriers to accessing adult services.
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nnSupport the development and implementation of transition readiness and transition planning activities alongside the CM.Monitor, track, and report transition outcomes to evaluate effectiveness and identify opportunities for improvement.
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nnEngages with members as a resource to support management of health care needs.
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nnCollaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
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nnEmpowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care visits, getting prescriptions filled and following-up with members on missed appointments.
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nnAssists members in accessing social services such as community-based resources for housing, food, employment, etc.
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nnProvides outreach to locate and/or provide support for disconnected members with special needs.
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nnConducts research with available data to locate members that Molina 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.)
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nnParticipates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face).
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nnGuides members to maintain Medicaid eligibility and with other financial resources as appropriate.
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nn50-80% local travel may be required (based upon state/contractual requirements).
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n nRequired Qualifications
n• At least 1 year of health care experience, preferably working with underserved or special needs populations with varied health, economic and educational circumstances, or equivalent combination of relevant education and experience.
n• Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements).
n• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
n• Ability to multi-task applications while speaking with members.
n• Excellent customer service skills.
n• Organizational and time-management skills.
n• Ability and willingness to learn other lines of business, programs and relevant software systems/applications.
n• Excellent verbal and written communication skills.
n• Microsoft Office suite/applicable software program(s) proficiency.
nPreferred Qualifications
n• Community Health Worker (CHW) certification (for states other than Ohio, and California, where it is required).
n• Certified Medical Assistant (CMA).
n• Bilingual based on community need.
n• Familiarity with health care systems.
n• Knowledge of community-specific culture.
n• Experience with/or knowledge of health care systems, community resources, social services, and/or health education.
nTo all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
nMolina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
nPay Range: $16.4 - $31.97 / HOURLY
n*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Worksite address
tampa, FL, 33646, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.