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HEALTH GUIDE
Ref No.: 18-08636
Location: Miami, Florida
Start Date / End Date: 08/06/2018 to 02/08/2019
Description:

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.

ESSENTIAL FUNCTIONS:
- 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. For hard to reach enrollees, 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.

Requirements/Certifications:6-12 Month Contract
Bachelor's Degree Minimum
80% Travelling in Miami Area Required - Can Expense Travel

1+ years of field work experience
Behavioral health background strongly preferred (mental health, social work, psychology, etc.)