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To provide Basic Population Health Management services for members which includes engaging with members individually or as part of a group to support lifestyle modifications to manage chronic diseases, to identify care gaps and needed services, and to aid Partnership members in maintaining wellness. Healthy Living Coaches shall also serve as a resource about Partnership as well as Population Health programs and services.

• Proactively engage and connect with Partnership members through multiple modalities that may include phone, web-based tools, group presentations, and/or at community events, per PHM leadership direction.
• Maintain records documenting outreach activities.
• Perform Basic Population Health Management activities for assigned member caseload to help members identify opportunities to improve and support healthy lifestyle change using motivational interviewing strategies.
• Refer members to appropriate screening tools, identify self-management tools, educational material, and special training needs. Monitor and track member use of referred resources and provide recommendations for resources needed. Document closed-loop referrals to community resources, providers, and other available services.
• Provide current information on Partnership’s benefits, services, updates, and wellness
  programs, as appropriate.
• Attend member-facing events to promote Partnership’s presence in the community while representing Partnership in a professional manner per Partnership policies. Gather member feedback, and identify other agencies that provide resources to the members we serve.
• Coordinate logistics of tabling assigned events including swag, incentives, member-facing materials, Partnership brand promotion (i.e. tablecloths, banners, etc.), and returning materials to Partnership inventory upon event completion.
• Gather information and provide feedback per departmental guidelines to leadership
  regarding the barriers members face accessing wellness care. Provide recommendations on means to promote members knowledge and resources to health and wellness.
• Work with Health Education to identify appropriate member educational materials to
  share with community partners, providers, and members.
• Other duties as assigned.

Education and Experience

Associates degree or one of the following certifications Required:
Registered Pharmacy Tech (RPhT) or Medical Assistant or equivalent
certification. Prefer a minimum of three years in a Managed Medi-Cal
plan, current knowledge of Medi-Cal member benefits, or pass a
benefits test within 90 days of hire.

Special Skills, Licenses and Certifications

Knowledge of business software applications. Preferred training in
Motivational Interviewing or Lifestyle Coaching. Bi-lingual preferred
in Partnership threshold languages (Spanish, Tagalog, or Russian).
Valid California driver’s license and proof of current automobile
insurance compliant with Partnership policy are required to operate a
vehicle and travel for company business.

Performance Based Competencies

Excellent written and oral communication skills. Must be able to work
independently. Ability to work with ethnically and culturally diverse
populations and contribute to a collaborative team environment.
Requires patience and ability to work with people of all levels of
understanding and education. Requires excellent organizational skills
with the ability to prioritize assignments, maintain accurate records, and meet deadlines.

Work Environment And Physical Demands

Ability to use a computer keyboard. When required, ability to lift,
carry, or move objects weighing up to 40 lbs. Local travel required
several days per week; some weekend work and some overnight travel
required (up to 20%).

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 74,897.69 - $ 93,622.12

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.