Member Health Assessor (Polk or Lynn County Preferred)

Molina of Iowa is hiring a Member Health Assessor in either Polk or Linn County.
This role will be a hybrid of both remote and field-based work. 

This important role will support individuals through the process of obtaining a waiver slot, which includes educating them about waivers and their benefits. It will also involve coordinating the collection of required documentation for level of care reviews, such as evaluations and specific medical information, and assisting members in accessing these resources. There is frequent phone communication, managing authorized representatives, handling interpretation needs, and ensuring compliance with PHI regulations.
You will also conduct in person assessments, which involve home visits and direct interaction with members, particularly those with behavioral health needs.

Essential Job Duties

• Provides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health and long-term care for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care
• Utilizes collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote member decisions related to achieving and maintaining optimal health status.
• Engages nursing input/collaboration for member care planning.
• Supports members with moderate to complex clinical needs.
• Conducts standardized health risk appraisals (HRA) and applicable assessments, including verification of medical history and current health and wellness needs.
• Meets daily production standards in terms of member outreach.
• Utilizes web-based software system to document all assessments, activities and education provided.
• Develops problem list and individualized care plan using program protocols based on the members needs and preferences.
• Conducts telephonic education to promote self-management strategies for all applicable conditions.
• 5 to 50% local travel may be required (based upon state/contractual requirements).

Required Qualifications

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• At least 2 years’ experience in health care, including at least 1 year experience in a care management, medical or behavioral health setting, or equivalent combination of relevant education and experience.
• Demonstrated knowledge of community resources.
• Proactive and detail oriented.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication - remains calm in high-pressure situations.
• Ability to develop and maintain professional relationships with individuals.
• Excellent time-management and prioritization skills, ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills, including professional phone etiquette.
• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
  

Preferred Qualifications

• Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Respiratory Therapist (RT) or Licensed Marriage and Family Therapist (LMFT). If licensed, license must be active and unrestricted in state of practice.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Same Posting Description for Internal and External Candidates

Pay Range: $20.73 - $42.55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.