Community Health Coach

• Conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member
• Provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team
• Utilize benefit structure and community-based resources to address member needs
• Educate members on preventative health, and quality of life interventions
• Adhere to CMS/DOH regulations and policies
• Complete in-person care management visits to members semi-annually as per pre-established criteria & care management scripts to identify Social Determinants of Health (SDOH) needs
• Educate members on plan benefits, preventative health, Advanced Directives/Health Care Proxy/Power of Attorney (POA) and help to facilitate the completion of such documentation
• Collaborate with the Primary Care Management, report findings, & submit completed documentation to the Support Staff Supervisor

• Bachelor’s degree in Social Work, psychology or related health field required
• Minimum 1-2 years of relevant work experience in long term care, managed care, home care, geriatrics, hospital setting, or hospice
• Working knowledge of Medicare and Medicaid regulations
• Strong background in addressing Social Determinants of Health/Certification

Prior experience in an interdisciplinary service delivery environment preferred

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)