Job Description
JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Engages with members as an advocate and resource to support management of health care needs.
- Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
- Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care visits, getting prescriptions filled and following-up with members on missed appointments.
- 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 that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.)
- Participates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face).
- Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
- 50-80% local travel may be required (based upon state/contractual requirements).
Required Qualifications- At least 1 year of health care experience, preferably working with underserved or special needs populations with varied health, economic and educational circumstances, or equivalent combination of relevant education and experience.
- Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements).
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Ability to multi-task applications while speaking with members.
- Excellent customer service skills.
- Organizational and time-management skills.
- Ability and willingness to learn other lines of business, programs and relevant software systems/applications.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Community Health Worker (CHW) certification (for states other than Ohio, Florida and California, where it is required).
- Certified Medical Assistant (CMA).
- Bilingual in Spanish, Russian, Yuri, Arabic, or ASL.
- Familiarity with health care systems.
- Knowledge of community-specific culture.
- Experience with/or knowledge of health care systems, community resources, social services, and/or health education.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
\#PJHPO3
Pay Range: $17.22 - $33.57 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Tags
Hourly pay, Work experience placement, Work at office, Local area,
Similar Jobs
Alternative HR LLC
...Holla Spirits seeks a full-time Sales Representative for North West PA. Holla Spirits is seeking a NW Sales Rep to support sales... ...complexities of the three-tier distribution system. Location: Remote & Traveling. Butler, Lawrence, Mercer, Venango, Clarion, Crawford, and...
Greenville Post Acute
...lasting impression professionally and personally. If you want to be part of a team of people who truly C.A.R.E. (Care, Achieve, Respect,... ...Post Acute. We offer: Competitive pay Every other weekend required Advancement opportunities within our network of facilities...
Corning
...Come break through with us. The global Human Resource (HR) Function provides an integrated talent management system that delivers... ...Purpose We are seeking a motivated and detail-oriented HR Consultant to join our Human Resources team to support our North Carolina...
Kaleidoscope Family Solutions, Inc.
...01 Date Posted: 10/31/2025 Category: Direct Care Services Education: HS Graduate/... ...commitment, and community connections in supporting individuals to lead colorful and... ...Framingham MA area. The Direct Support Professional (DSP) will assist individuals with brain injuries...
DeLanco, Incorporated
Class A DRIVERS WILLING TO WORK TEAMS FOR FEDEX GROUND CONTRACTOR. 1100.00 PER WEEK. IMMEDIATE HIRE. JobFedEx Ground contractor is looking to hire two full time drivers immediately. Position requires class A CDL with one year driving experience in a tractor trailer.1...