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About the Role

Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that provide high-quality healthcare designed to help people live independently. This role involves conducting in-person care management visits to identify and address members' needs.

Responsibilities

• Conduct in-person care management visits to identify and provide appropriate interventions based on psychosocial, environmental, and spiritual needs.
• Use pre-established criteria and care management scripts to identify Social Determinants of Health (SDOH) needs during home visits.
• Provide education on accessing covered and non-covered benefits.
• Ensure continuity of care across healthcare settings by collaborating with the interdisciplinary team.
• Utilize benefit structure and community-based resources to address member needs.
• Educate members on preventative health, quality of life interventions, plan benefits, and Advanced Directives/Health Care Proxy/Power of Attorney (POA).
• Facilitate the completion of necessary documentation.
• Collaborate with Primary Care Management and report findings.
• Submit completed documentation to the Support Staff Supervisor.

Requirements

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

Skills

• Social Determinants of Health
• Medicare
• Medicaid

Location

• In-person visits

Work Type

• Full-time

Experience Level

• 1-2 years

Education Level

• Bachelor's degree

Salary/Compensations

• USD $61,463.00/Yr. - USD $65,000.00/Yr.

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans: 403(b) AND Employer Paid Pension
• Flexible spending
• Qualified employer under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

About the Company

• MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
• We foster collaboration, celebrate achievements, and promote fairness for all.
• Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.