Community Resource Coordinator III

Company: Superior HealthPlan
Location: Austin
Posted on: November 14, 2024

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

APPLICANTS MUST RESIDE IN AUSTIN, TX OR SAN ANTONIO, TX

Position Purpose: Works with care management team on community resource connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and works with the care team to identify member community support and provide health education as appropriate.

• Provides ongoing support to members to connect them to known community and care resources in a cost-effective manner
  
• Supports the coordination of community outreach resources available to members and promotes awareness of care/services
  
• Serves as experienced support for members on community and care resource inquiries and opportunities available to members
  
• Utilizes in-depth knowledge of community resource connection activities and resource opportunities
  
• Supports member related correspondence and educational materials to assist in the facilitation of a successful community connection
  
• Works with care management team on escalating community resource requests and inquiries to management and identifying member community support
  
• Documents and maintains community resources to ensure standards of practice and policies are in accordance with health plan requirements
  
• Provides support to the clinical team of nurses and social workers with activities including, but not limited to outreach, community education, evidence-based guidance, and member support
  
• Conduct non-clinical general health assessments in order to refer members to appropriate services, resolve concerns on member's behalf, and gather information for medical providers and staff working within the organization
  
• Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate services, resolve concerns on member's behalf, and gather information for medical providers in staff working within our organization
  
• Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
  
• May make visits to individual homes and/or community organizations
  
• Working Knowledge of Social Determinants of Health (SDOH) barriers
  
• Performs other duties as assigned
  
• Complies with all policies and standards
  
  Education/Experience: Requires a High School diploma or GED
  Requires 2 - 4 years of related experience
  
  Preferred Experience:
  
  • Experience with the ADULT population with serious mental illness and behavioral health conditions
    
  • Experience in coordinating community referrals for personal assistance or social services for Medicaid members
    
  • Experience working within in-patient/out-patient facilities, or working in community-based Behavioral Health, local IDDA, state Mental Health Authorities (MHA) settings, or school-based settings
    
  • Experience in FIELD-BASED roles is a PLUS, but not required
    
  • Role requires strong adaptability, flexibility, and resiliency skills
    
  • Ability to learn new processes and utilize case management systems with training
    
  • Proficient computer skills with Microsoft and Video Conferencing applications (e.g. Outlook, Word, Excel, ZOOM, MS Teams)
    
  • Must be able to work independently with minimal supervision
    
  • Bilingual - Spanish and English is a plus, but not required
    Pay Range: $19.62 - $33.36 per hour
    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
    
    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
    
    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Keywords: Superior HealthPlan, Waco , Community Resource Coordinator III, Other , Austin, Texas