School Health Svcs, Member Liaison (Must Live In Clark County)
Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $12.00 - $18.00
Work Schedule
Standard Hours
Benefits
Health Insurance
Dental Insurance
Paid Time Off
competitive compensation
Professional development opportunities
Equal opportunity employer
full-time employment
Job Description
Molina Healthcare is a leading healthcare organization specializing in providing a wide range of health services to Medicaid and Medicare eligible individuals. As a top managed care organization, Molina Healthcare is committed to quality care, extensive community outreach, and innovative healthcare solutions that improve the health outcomes of underserved populations. The company prides itself on its strong community presence and dedication to addressing the social determinants of health through collaborative programs, advocacy, and comprehensive care coordination. Catering primarily to low-income individuals and families, Molina Healthcare operates under a model that blends accessibility with quality to ensure members receive the best... Show More
Job Requirements
- Experience in related field or bachelor's degree in social work, human services
- 3-5 years experience with Medicaid population in HMO or MCO setting
- Ability to perform up to 50% local travel in Clark County
- Strong analytical and interpersonal skills
- Knowledge of Medicaid enrollment and disenrollment processes
- Preferred bilingual Spanish
- Preferred graduate degree
- Preferred community health worker certification
- Preferred school-based experience
Job Qualifications
- Bachelor's degree in social work, human services, or related field
- Experience working with Medicaid population in HMO or managed care organization
- Knowledge of Medicaid enrollment and disenrollment processes
- Ability to analyze data trends and develop member retention strategies
- Strong communication and collaboration skills
- Preferred: graduate degree in social work, human services or related field
- Preferred: bilingual Spanish
- Preferred: community health worker certification
- Preferred: school-based experience
Job Duties
- Perform outreach activities with each school district in Nevada at least quarterly
- Handle pediatric care coordination including supporting families with care coordination needs such as new patient care, transportation, home health/DME, and nutrition supports
- Manage enrollment and disenrollment processes according to AHCCCS requirements
- Analyze disenrollment data and develop strategies to reduce disenrollment rates
- Collaborate with MHI on 90-day redetermination strategies
- Develop governance process involving all departments to manage disenrollment and retention efforts
- Participate in statewide advocacy programs and collaborate with external advocates and ombudsmen
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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