Managed Care Community Connector (46146)

POSITION OVERVIEW
PME is seeking a bilingual ENGLISH/RUSSIAN Community Connector to work 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.

Position is fully remote, but candidates MUST be local to the 5 boroughs of New York (Bronx, Manhattan, Brooklyn, Staten Island, or Queens). Contract to hire eligible based on positive performance. Work schedule will be Monday to Friday, 8:30am – 5:00pm EST.

MUST have customer service skills as this position will be making outbound calls to members.
have call center experience.

ESSENTIAL POSITION RESPONSIBILITIES

• 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.
• 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 the company has been unable to contact.
• Participates in ongoing or project-based activities that may require extensive member outreach.
• Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.

POSITION QUALIFICATIONS

• HS Diploma/GED
• Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances or Strong call center experience with good work ethic.