Who we are:
Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.
Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.
A Day in the Life of a Community Health Outreach Worker:
This position is responsible for performing duties independently and as part of the Care Coordination Team. This position organizes collects, reviews and reports health and social information through member home visits and phone outreach, while demonstrating multicultural sensitivity and effective communication skills with Medicaid members. This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education. This position delivers culturally appropriate information regarding the availability of health and community resources that will reduce barriers to care.
Serves as a consultant on MHP care coordination teams.
Participate in Interdisciplinary care team meetings as indicated.
Serve as MHP's community liaison and maintain relationships with key individuals in the community and serve as an advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for MHP members
Serve as a resource for providers' taking part in the grant by tracking down members who they are unable to reach
Coordinate and perform duties of communicating the mission and role of MHP to community associations, senior groups, ethnic clubs and groups, and churches.
Serve as the direct personal contact in the community with Meridian Health Plan (MHP) members who are unable to be reached through phone calls
Conduct member assessments
Educate and assist identified MHP members about behaviors that can enhance their health successfully navigating the health system
Facilitate access to preventive and disease management health services
Manage difficult to reach and non-compliant MHP members
Conduct Field Assessments and Quality Reviews
Develop a plan of management associated with health care goals for each MHP member addressing the diverse needs in a culturally appropriate way
Develop and maintain a report system for outcomes
Communicate MHP member issues requiring interventions to appropriate MHP departments and providers
Ability to work flex hours, including evenings and weekends, is mandatory
Ability to possess a valid State driver's license and to travel is required. Any MHP employee who uses a motor vehicle in the course of their duties representing MHP must be compliant with State Motor Vehicle laws and must follow the policy that pertains to Driver's License Requirements as a condition of employment.
Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities
Perform other duties as assigned
What you can bring to Meridian:
Bachelor's degree in social work, social sciences or counseling or four years of case management experience; or a Bachelor's degree in a human services field such as Child, Family and Community Services, Early Childhood Development, Guidance and counseling, Home Economics Child Family Services, Human Development Counseling, Human Service Administration, Human Services, Pastoral Care, Pastoral Counseling, Psychology, Public administration, Rehabilitation Counseling, Social Science, Social Services/Social Work, Sociology, or Fellow designation from the Academy of Healthcare Management (AHM) is preferred
Proven two (2) years of experience working with diverse populations, community or faith based organizations. Health care setting experience preferred
Bilingual in English/Spanish preferred
Knowledge of State social service agencies and community resources
Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved
Knowledge of assigned county and its residents
Knowledge of healthcare business preferred
What Meridian can offer you:
Our healthcare benefits include a variety of plans that are effective on the first day of employment for our new full-time team members.
Opportunity to work with the industry's leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.
Meridian offers 401k matching that is above the national average.
Full-time Meridian employees are eligible for tuition reimbursement towards Bachelor's or Master's degrees.
Meridian was named Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian.
Equal Opportunity Employer