Community Health Coach Jobs

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

• Two retirement plans! 403(b) AND Employer Paid Pension
• Tuition Reimbursement for all full and part-time staff
• And MORE!
• Generous paid time off
• Flexible spending
• Affordable medical, dental and vision coverage for employee and family members

Responsibilities:

Community Health Coach will conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member. The employee will provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team; Primary RN/SW Care Manager and member/member’s representatives. Utilize benefit structure and community-based resources to address member needs. Educate members on preventative health, and quality of life interventions. Community Health Coach will be knowledgeable in and adhere to CMS/DOH regulations and policies. The Community Health Coach is responsible for the completion of in-person care management visits to Elderplan/HomeFirst members semi-annually as per pre-established criteria & care management scripts to identify Social Determinants of Health (SDOH) needs while in the members’ home, in accordance with departmental workflow. They educate members on plan benefits, preventative health, Advanced Directives/Health Care Proxy/Power of Attorney (POA) and help to facilitate the completion of such documentation. The Community Health Coach will collaborate with the Primary Care Management, report findings, & submit completed documentation to the Support Staff Supervisor.

Qualifications:

• Working knowledge of Medicare and Medicaid regulations.
• Prior experience in an interdisciplinary service delivery environment preferred.
• Minimum 1-2 years of relevant work experience in long term care, managed care, home care, geriatrics, hospital setting, or hospice.
• Bachelor’s degree in Social Work, psychology or related health field required.
• Strong background in addressing Social Determinants of Health/Certification.