Hybrid Maternal Child Health Advocate presso AllCare Health

Maternal Child Health Advocate at AllCare Health with the Population Health department in Grants Pass, Oregon

We Are Seeking Qualified Candidates to Join Our Team!

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.

Summary

This position is responsible for identifying social determinants of health needs for all AllCare Medicaid, Medicare, and Medicare dual eligible members of all ages, assisting in navigating the community-based network of services, providing benefit education, facilitating communication between the member and their providers, and assisting in member development of a self-management plan by performing the following duties below.

Essential Duties

1. Assessment, planning, implementing, coordinating and requesting services required to meet member’s health care needs to ensure timely access to medical, behavioral health, and community services and to ensure that all services are provided within HIPAA guidelines.
2. Acts as an advocate for members in problem resolution and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self-reliance.
3. Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member’s identified needs, including re-evaluation of the individualized care plan (ICP).
4. Assumes responsibility for a mixed acuity case load.
5. Facilitates consents and gathers clinical information.
6. Aids members to ensure timely access to medical, behavioral health, oral health, and community services to ensure all services are provided within HIPAA guidelines.
7. Participates as an integral member of an interdisciplinary team and is knowledgeable about the requirements of the Population Health Model of Care.
8. Develops an individualized care plan to meet the specific needs of the member.
9. Assists members to obtain referrals, order medications, services, and DME related to their current health care needs.
10. Assists members and their family/legal guardian to understand their health needs, improve health literacy, and follow treatment plans, including sending information from Healthwise and educational information created by AllCare Health.
11. Connects members and their family/legal guardian with services and community agencies to support their health and social determinant needs. 
12. Refers members and collaborates with internal staff from the Enrollment, Member Services, Utilization Management, and Quality Management Departments.

On Call Responsibilities

• This position may be asked to be on call on, as needed.

Supervisory Responsibilities

• This position does not have any supervisory responsibilities.

Job Requirements

• May require the use of personal vehicle for local travel (subject to mileage reimbursement).

All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education.

Education

• High school diploma or general education degree (GED) is required.
• Bachelor's degree (BA) from a four-year college or university in a related field is preferred.

Experience

• Six months to one-year related experience and/or training in a related field is required.

Certificates, Licenses and/or Registrations

• Valid Oregon Driver’s License and vehicle insurance.
• Current BLS certification or willing to become certified within 90 days of hire.
• Mental Health First Aid Certification or willing to become certified within 90 days of hire.
• Traditional Health Worker (THW) certification through OHA is preferred (Subject to pay increase upon certification).
• NPI number is required for the Traditional Health Worker (THW) Certification.
• Doula Certification preferred

Technical Skills

• Familiarity with the Healthcare industry.
• Knowledge of the Oregon Health Plan and Medicare.
• Excellent organization and time-management skills.
• Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
• Knowledge of and compliance with HIPAA regulations.
• Knowledge of the widespread impact of trauma and paths for recovery.

Bilingual Skills

• Bilingual in English/Spanish is preferred, but not required, for this position (bi-lingual pay differential is applicable).

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.

• The employee must be able to work onsite, as needed.
• The employee may be able to work from a home office, when permitted by leadership.
• The employee must be able to occasionally travel locally.
• Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.

Company Overview

AllCare Health Website:  https://www.allcarehealth.com.

AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at https://bcorporation.net/about-b-corps)

AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.

The AllCare Health family of businesses is guided by our corporate principles:

Purpose | Working together with our communities to improve the health and well-being of everyone.

Values | Trust, Innovation, Relationships, and Voice.

Vision | Thriving, Inclusive, and Equitable communities.

Brand Promise | Changing Healthcare to Work for You.

AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others. 

If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call 541-471-4106 and ask for Human Resources.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.