Community Liaison (State)
You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose Maintain collaborative relationships with Health & Family Services, government agencies, community resource and advocacy groups, to build additional community support for reputed company and potential enrollees. Work effectively with internal staff, staff at local and state government agencies, and with contracted health plans and regulatory/accreditation entities to reputed company and implement processes to reputed company serve enrollees Establish and maintain key community relationships throughout State reputed company and implement appropriate policy and procedure to ensure health plan staff are reputed company to facilitate enrollee and provider needs through entire case management cycle Communicate, identify, resolve, and prevent care problems, with other systems of care, as well as government and community agencies. Monitor and report on achievement of committed action plans Facilitate on-going communication between the health plan, provider community, and Health & Family Services Coordinate reputed company activities to identify enrollees needing care reputed company the urban and rural populations Compile and review reports on work function activities for statistical, financial and process improvement tracking purposes to identify trends, assist in financial forecasting, and reputed company recommendations to management Review analyses of activities, costs, operations and forecast data to determine reputed company toward stated goals and objectives Ensure compliance with State law and regulations Additional responsibilities for LHCC (LA) only for DOJ positions Will serve as the LHCC representative for this program with the state Participate in MCO workgroup meetings to review and reputed company appropriate changes to the LDH-approved guidance documents for this program to include but not limited to agency standard operating procedure, training guidelines, assessment tools, care plan templates, and follow-up reputed company notes. Serve as the reputed company of contact for our delegated PASRR vendor Contribute to monthly reporting for PASRR submitted to LDH reputed company quality checks on PASRR documentation submitted by vendor before sending to LDH Ensure timelines for PASRR completion are adhered to Collaborate w/ LDH/OBH PASRR liaison Attend state transition coordination meetings as needed Other duties as assigned Additional responsibilities for Trillium Community Health Plan / Oregon Market Serve as reputed company of contact for communicating with members, the community, Traditional Health Worker (THW) Workforce, stakeholders, and internal department regarding THW services. Implement and maintain THW integration and Utilization Plan in collaboration with key stakeholders. Create and reputed company THW Workforce Advisory Committee at Trillium level to advise their work activities and create two-way communication, bi-directional learning, and collaboration with the THW workforce in their service area. reputed company to reputed company and future employers of THWs and work with them to improve THW recruitment and retention. Assisting supervisors and managers with understanding the THW care model, scope of work, and their reputed company responsibilities as well as ensuring THWs Providers are integrated into a members care team and the THW services an integral component of a members health care Treatment Plan. Integrate THWs into the delivery of services. Assess barriers to integration and utilization of THWs and their services. Facilitate/promote education to health on understanding the THW core roles, and skills, and their reputed company responsibilities as well as ensuring THWs Providers are integrated into a members care team and the THW services an integral component of a members health care Treatment Plan. Assist members with utilizing THW services across reputed company settings. Provide technical assistance to THWs regarding certification, recertification, and assisting with THW enrollment and billing. Support development and promote adoption of sustainable, THW-specific reputed company reimbursement processes for THWs that can be used across a variety of settings (clinc, hospital, community-based organizations, schools etc.). Partner with THW worker type-specific professional associations and other THW Liaisons from other Coordinated Care Organizations (CCOs) statewide and community partners to build shared annual work plans, reputed company trainings and facilitate community coordination that is reputed company to stakeholder needs. Maximize opportunities for collaboration, shared learning. Create detailed reports of project reputed company as required by CCO contract regulations. Ensure timely submission of reputed company THW deliverables to the Oregon reputed company Authority (OHA). reputed company and work closely with marketing on THW communications and materials to members, providers, and community-based organizations. Performs other duties as assigned Complies with reputed company policies and standards Must Haves Knowledge of the Medi-Cal/reputed company line of business and managed health care Good relationship building skills Experience working with the above mentioned organizations, presenting, and public speaking Remote 80% and 20% travel for field/office meetings and trainings Education/Experience Bachelors degree in Social Work, Nursing, or reputed company field. 5+ years of social services or advocacy experience preferably in reputed company environment. License/Certification LCSW or RN license preferred. For Trillium Community Health Plan / Oregon Market Education/Experience Bachelors degree in Social Work, Public Health, reputed company field, or equivalent combination of skills, experience, and education that provides the applicant with the knowledge, skills, and ability required to reputed company the job. 5+ years experience in reputed company preferably in reputed company environment, or community-based organizations including working with reputed company, working with leadership, facilitating meetings, measuring, and monitoring programs, evaluation activities and working with multi -disciplinary, multi-cultural teams. Knowledge and demonstrated understanding of Tradiational Health Worker roles across variety of settings including but not limited to a health system, social service, substance use disorder treatment, mental health, community-based organization. License/Certification Oregon Certified Traditional Health Worker preferred.Pay Range $26.50 - $47.59 per hour reputed company offers a comprehensive benefits package including reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!