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.
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.
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.
Other Job Requirements
Responsibilities
Experience in community service, health care or social services and/or community-based or home health care experience required, Experience with individuals who have severe mental illness or chronic medical conditions.
General Job Information
Title
Health Guide
Grade
19
Work Experience - Required
Clinical
Work Experience - Preferred
Managed Healthcare
Education - Required
Education - Preferred
Associates, Bachelors
License and Certifications - Required
DL - Driver License, Valid In State - Other
License and Certifications - Preferred
LPN - Licensed Practical Nurse - Care Mgmt
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.
Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.
Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .
Warning: Employment Scam
It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.
Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.
If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911
