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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
- 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 (SDOH)
- Medicare
- Medicaid
Experience Level
- 1-2 years
Education Level
- Bachelor’s degree in Social Work, psychology or related health field preferred.
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 companies are more than a workplace; they are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
- They foster collaboration, celebrate achievements, and promote fairness for all.
- Contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within the organization and the fulfillment of having a lasting impact on the communities they serve.