Community Healthcare workers dedicated to Lehigh/Northampton members to provide member support on identifying and connecting to resources to meet their social determinants of needs, as well as behavioral and physical health care. This position is mostly working in the field/remotely, must reside in the Lehigh/Northhampton, PA area.

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve access to care and care coordination. Establishes a relationship with the enrollee, the care coordination team, and providers. Conducts new enrollee outreach and orientation, arranges appointments and transportation as needed. Assists the enrollee in learning to navigate the health care delivery system, community resources, transportation, and effectively use health plan benefits.

• Conducts outreach and orientation for new enrollees. Gathers information needed to ensure continuity of care and permission to share information.

• Administers Health and Wellness Questionnaire.

• Seeks connection by working with the Peer Support Specialist and leveraging community services, care providers, family members, schools, etc.

• Assists enrollees in accessing care and ensures care is received. Helps members, as needed, in selecting providers, making appointments, and planning transportation.

• Contacts enrollee or provider to ensure appointments have occurred. Assists in transitions of care to and from alternative levels of care or settings.

• Makes follow up care arrangements and ensures post-hospital care is delivered as planned.

• Meets with enrollee regularly (as determined by individual risks) in order to monitor progress according to the Care Coordination Plan.

• Reminds enrollee of self-management tools and crisis support. Informs and engages the Care Coordination Team if enrollee has difficulty adhering to the care coordination plan or adhering to treatment and needs additional support.

• Works with enrollee and family/supports to engage in socialization, work or volunteer related activities, or access community resources and services.

• Maintains up to date documentation in the Care Coordination Plan and other Health Services tools.

• Prepares information for Care Coordination Team meetings and as requested, for shared treatment planning sessions.

  Other Job Requirements

Responsibilities

Experience in community service, health care or social services and/or community-based or home health care experience required, Experience with individuals who have severe mental illness or chronic medical conditions.

General Job Information

Title

Health Guide- Community Healthcare Worker

Grade

20

Work Experience - Required

Clinical

Work Experience - Preferred

Managed Healthcare

Education - Required

Education - Preferred

Associate, Bachelor's

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

LPN - Licensed Practical Nurse - Care Mgmt

Salary Range

Salary Minimum:

$41,505

Salary Maximum:

$62,255

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

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Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911