Women and Children's Health Regional Coordinator- Appalachian Counties Ohio

Job Summary:

The Women & Children’s Health Regional Coordinator will be responsible to identify, coordinate and support Medicaid School Programs, Schools, and School Based Health Centers to ensure CareSource children are receiving care needed.

Essential Functions:

• Develop and enhance CareSource relationships with MSP Schools, all other Schools, and School-Based Health Centers (SBHCs) with the goal of providing accessible quality preventive and primary care services to school-aged CareSource members.
• Develop partnerships with kindergarten readiness programs including Head Start, preschool programs and those community based organizations that support early childhood education.
• Assist MSP schools, all other Schools and SBHCs in identifying gaps in care and expected outcomes in the health status of targeted populations.
• Enhance effectiveness of MSP Schools, all other Schools and SBHCs’ population health through a variety of member health outcome and quality improvement techniques
• Strategize with MSP Schools, all other Schools and SBHCs to develop and enhance the practice’s engagement strategies for individual members..
• Attend school district meetings as appropriate including staff professional development programs and PTA meetings as requested.
• Ability to collaborate and coordinate health programs with schools and mobile health programs and identify new school support partners within the region assigned.
• Present to school staff and leadership regarding school-based health resources, member benefits and mobile health partner information to close gaps in care.
• Collaborate with community- based organizations that support school districts within the assigned region.
• Link MSP Schools and SBHCs to internal resources to ensure understanding of all operational and billing processes.
• Participate in driving and achieving established HEDIS initiatives as assigned.
• Support local presence by participating in community outreach programs/health events, school events, parent engagement programs, and other opportunities in the community.
• Identify and ensure members receive appropriate information regarding benefits and services upon notification of pregnancy (information regarding benefits for maternal, infants and children’s care including EPSDT). 
• Assist in education of members regarding available benefits and providers, plan services available, according to established policies and procedures
• Telephonically outreach and engage members to identify needs and coordinate linkage to most appropriate resources and services(WIC, and Community programs)
• Assist members' progression through the stages of behavioral change, changing family dynamics and health care needs.
• Ability to empathize, motivate, and encourage people toward healthy changes, regardless of culture, religion, or economic background
• Refer members to care coordination to assist member in forming solutions for identified problem(s) area and define and determine realistic goals with member.
• Collaborate with internal School-based Health Administrator and Community Based Organizations to implement strategies and initiatives to improve health outcomes.
• Participate and collaborate to utilize community events and programs to support and improve health outcomes for school age children
• Assist in development and processing Strategic Sourcing request and process.
• Assist with process development, tracking of referrals, interventions, and outcomes
• Ability to communicate and interact with individuals at varying skill levels, educational and cultural backgrounds
• Foster and develop an environment of individual responsibility.
• Willingness to teach, learn and be open to new and innovative ways of delivering lifestyle prevention services.
• Demonstrates a commitment to continuing professional development
• May act as a resource for others within the department
• Work closely with a members’ assigned case manager to coordinate care and programs
• May provide administration of onsite wellness activities
• Perform any other job-related instructions, as requested

Education and Experience:

• Associate degree or equivalent years of experience within healthcare and/or school /children’s health is required
• Minimum of two (2) years of experience in healthcare, managed care and /or maternal-child health is required

Competencies, Knowledge and Skills:

• Ability to manage and meet workloads and deadlines
• Able to provide timely feedback to CareSource team members and business partners and prioritize provider and member engagement initiatives
• Intermediate proficiency level with Microsoft Office, Outlook, Word, and Excel
• Ability to c