[Ohio-talk] Medical Mutual of Ohio Is Hiring

[Suzanne Turner]

Medical Mutual of Ohio is hiring for a Quality Care Navigator. The Job
Description is below. Go To Medmutual.com for more information.

 

Suzanne

	

Bottom of Form



Works proactively with the cross disciplinary team (Customer Service, Case
Managements and Quality), to provide outreach services to Medicare members
and ACA population.  Assists with navigation of health care services and
community resources, benefits optimization, peer support and other relevant
services.  The Quality Care Navigator helps to identify social, cultural and
demographic barriers to achieving health outcomes, maximizing
self-management, and promoting wellness for MMO government programs
population.

 

Responsibilities

 

*         Participate as a member of MMO multi-disciplinary team to provide
outreach services to Medicare members and other government programs
populations.  Provide service coordination and linkage, including activation
of benefits, medical services, culturally specific resources, and peer
support.

*         Identify members with social or demographic barriers to receiving
health care or optimizing health outcomes.  Such identification will be
through various risk stratification tools and referrals from customer
service and care management.

*         Develop relationships with community resources and create a
library of interventions that can assist members in self-management and
accessing necessary health and social services.

*         Implement Member Advisory Group for Medicare Advantage members at
MMO, including promoting access to peer support services

 

Qualifications

 

*         Bachelor's degree in Social Services or Behavioral Health or
equivalent social services work in aging or disabled community

*         Master's degree in Social Work preferred

*         Minimum of 2 years' experience in care coordination activities
either in clinical setting or health plan

*         Experience in working with seniors and disabled populations

*         Certification in Care Coordinator or other health related field

*         Understanding of aging process, including the psychosocial
sequelae of aging and the social systems and processes used to heal the aged
and disabled to access health resources and optimize health outcomes

*         Proficiency with Microsoft Office Applications

*         Knowledge of community resources for aging and disabled population

*         Knowledge of motivational interviewing techniques, experience
preferred

*         Knowledge of medical terminology

 

Primary Location

: US-OH-Cleveland

Work Locations

: 

Cleveland - Headquarters 

2060 East Ninth Street 

 Cleveland 44115

Job

: 7 - General Staff

Organization

: Health Informatics

Schedule

: Regular

Shift

: Standard

Employee Status

: Individual Contributor

Job Type

: Full-time

Job Level

: Day Job

Job Posting

 

 

 

: Aug 17, 2016, 11:55:32 AM

	

 

	

 

 


  

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Thank you, Medical Mutual

 

 

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