Population Health-Social Work-Intern

Job Description

Job Description

Internship program

Position Summary:

Provides support and assistance to the Concierge Care Coordination department. Responsible for documenting and tracking all incoming Care Management referrals from a variety of sources. Responsible for initial member contact and completion of Health Risk Assessment (HRA). Provides referral to health, behavioral and/or social service referrals as needed to eliminate member barriers to care. Provides initial educational and program materials and maintains all legal documentation for all Care Management programs in accordance with our contractual obligations. Assists with member appointment setting, tracking documentation from provider offices, and maintains in appropriate client files.

Essential Duties and Responsibilities:

1. Discusses client confidentiality, rights, and responsibilities.
2. Analyzes available data to identify appropriate candidates for completion of health risk assessment.
3. Conducts initial outreach on all members identified as meeting criteria for targeted population.
   1. Research enrollees contact information to enhance success of enrollee contact
4. Makes every attempt to contact identified clients via phone call, text message, email and/or mail with a minimum of 3 attempts over 30 days at different times and days of the week.
5. Refer services to members to improve overall medical/ mental health:
6. Therapy
7. Food Resources
8. Finance Resources
9. Case Management
10. Pregnancy Resources
11. Long Term Care and other supportive services

1. Coordinates with health facilities and Government Entities to facilitate essential benefits for CCP enrollees that will improve functioning and quality of life.
2. Provides information and explanation of Concierge Care Coordination Program and services, to elicit participation in program.
3. Monitors any CCP Initiative/Program, in order to assist enrollees in navigating the healthcare system, linking enrollees to, and offering available resources in the community as well as the appropriate care management program as needed.
4. Identifies and addresses gaps in care on targeted population.
5. Assists enrollees with appointment and transportation scheduling and other barriers to care as needed.
6. Maintains and update enrollees’ charts in accordance with contractual guidelines and ensure documentation is “audit ready”.
7. Educate enrollee to review and discuss with care manager and health care provider, any health-related information to ensure that the information is appropriate for their level of education, literacy, and language.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Qualifications:

• Associates Degrees and at least 2 years customer service, community outreach or social services experience
• Bilingual preferred (English, Spanish and/or Creole)

Skills and Abilities:

• Ability to communicate effectively
• Independent
• Self-motivated
• Excellent human relations skills
• Organized
• Ability to work effectively in a team
• Ability to follow a project or assignment to a successful completion
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
• Ability to write reports, business correspondence, and procedure manuals
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Work Schedule:

Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 15 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity and inclusion.