Hybrid Health Guide – Community Transition Team

Posted 1 hour ago

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About the role

  • Community Transition Team staff providing members with aftercare support following a 24-hour care admission. Collaborating with healthcare providers for ongoing care and resource access.

Responsibilities

  • Provide member support on securing aftercare supports following a 24 hour level of care admission
  • Requires some in person supports to providers, members, and Emergency department/crisis centers
  • Provides ongoing, community-based support for an assigned caseload of health plan enrollees
  • Conducts new enrollee outreach and orientation, arranges appointments and transportation as needed
  • Assists enrollees in accessing care and ensures care is received
  • Makes follow up care arrangements and ensures post-hospital care is delivered as planned
  • Meets with enrollee regularly to monitor progress according to the Care Coordination Plan
  • Maintains up to date documentation in the Care Coordination Plan and other Health Services tools

Requirements

  • Experience with individuals who have severe mental illness or chronic medical conditions
  • Experience in community service, healthcare or social services and/or community-based or home health care experience required
  • GED, High School Education - Preferred Associate, Bachelor's
  • DL - Driver License, Valid In State - Other Other License and Certifications - Preferred LPN - Licensed Practical Nurse - Care Mgmt Care Mgmt

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development
  • Bonuses

Job title

Health Guide – Community Transition Team

Job type

Experience level

Mid levelSenior

Salary

$41,505 - $62,255 per year

Degree requirement

High School Diploma

Location requirements

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