
AlohaCare
tendersglobal.net
AlohaCare is a local, non-profit health plan serving the Medicaid
and Medicare dual eligible population.
We provide comprehensive managed care to qualifying health plan members
through well-established partnerships with quality health care providers and community-governed
health centers. Our mission is to serve individuals and communities in the true
spirit of aloha by ensuring and advocating access to quality health care for
all. This is accomplished with emphasis on prevention and primary care through community
health centers that founded us and continue to guide us as well as with others
that share our commitment. As Hawaii’s third-largest health plan, AlohaCare
offers comprehensive prevention, primary and specialty care coverage in order
to successfully build a healthy Hawaii.
The Company:
AlohaCare employees share a passion for helping Hawaii’s most
underserved communities. This passion
for helping and caring for others is internalized and applied to our employees
through a supportive and positive work environment, healthy work/life balance,
continuous communication and a generous benefits package.
AlohaCare’s leadership empowers and engages its employees through
frequent diversity, recognition, community, and educational events and
programs. AlohaCare has a strong commitment to support Hawaii’s families and
reinforces a healthy work/home balance for its employees. Because AlohaCare
values honesty, respect and trust with both our internal and external
customers, we encourage open-door, two-way communication through daily
interactions, employee events and quarterly all-staff meetings. AlohaCare’s
comprehensive benefits package includes low cost medical, dental, drug and
vision insurance, PTO program, 401k employer contribution, referral bonus and
pretax transportation and parking program.
These employee-focused efforts contribute to a friendly,
team-oriented culture which is positively reflected into the communities we
serve.
The
Opportunity
Position
Summary:
The Peer Support Specialist plays an important role in AlohaCare’s
care team, supporting and encouraging peer members in the development of
goal-setting for recovery and resiliency and working towards new coping skill
development, learning self-monitoring techniques, and practicing ways to
problem solve. As a role model, the Peer Support Specialist supports
members during their recovery, bringing them together into self-help groups and
encouraging them toward self-reliance in the community.
Primary Duties and Responsibilities:
Performing initial
outreach to conduct education and welcome call as neededSchedule and attend member home visits and
provider visits, if needed. Coordinate with the RN or SW Health
Coordinators to complete required Initial and annual member reassessments. The
Peer Support Specialists will execute planned non-clinical intervention(s)
directed by the licensed clinician, which include but are not limited to
facilitating timely access to services, ensuring there are no barriers to care
and medications, identifying and providing transportation assistance, if
needed, etc., on behalf of the member and provider. Scheduling and
completing required initial and annual health care assessments Providing needed
member education and assisting with coordinating referrals to appropriate
services.Documenting in an
electronic database assessment information and health coordination activitiesMonitoring
assessments and claims to identify any signs of health status changes Coordinating and
collaborating with interdisciplinary care team members including providers,
family members, caregivers and community agencies to support members in
maintaining or improving their current health statusParticipating in
internal interdisciplinary care team meetings
Coordinating with
appropriate operational departments as required by the member’s needs (e.g.,
Medical Management, Transition of Care, disease Management, Care Coordination,
Service Coordination, Travel, etc.) and network physicians/providers to
facilitate timely access to available and authorized servicesAssisting the
member with maintaining eligibility and connections with other programs the
member may quality forPerforming member
outreach calls in collaboration with Quality Improvement projects and Care
Coordination activities related to HEDIS and STAR ratingsAssisting the
member with accessing translation services when needed and requestedPerforming other
duties as assigned by supervisor and/or manager Responsible to
maintain AlohaCare’s confidential information in accordance with AlohaCare
policies, and state and federal laws, rules and regulations regarding
confidentiality. Employees have access to AlohaCare data based on the
data classification assigned to this job title.
Required competencies and
qualifications
High School Diploma
Hawaii
Certified Peer Specialist (HCPS) certification through AMHD.
Minimum of five (5) years of work experience
Cultural diversity and experience
Strong oral, written and interpersonal and
communication skills, including telephone etiquette
Strong listening skills
Strong multi-tasking skills
High energy level and ability to perform
repetitive tasks in a fast paced work environment
Quick learner with the ability to absorb and
retain detailed information
Working knowledge of Microsoft office
(outlook, work, excel)
Requires operation of general office equipment
to include: PC, company phone,
intermediate skill using Microsoft programs: word, excel, outlook, and fax/copy
machine
Strong
customer service skills
Possession of
valid driver’s license with access to a reliable insured automobile
Preferred Requirements
Bilingual in
Ilocano, Tagalog and/or Korean preferred
Ability
to complete multiple tasks to ensure timeliness standards are met
Ability to work
independently with minimal direction
Physical and Environmental Demands:
Sedentary Work: Exerting up to 20 pounds of
force occasionally and/or a negligible amount of force frequently or
constantly to lift, carry, push, pull, or otherwise move objects.
Sedentary work involves sitting most of the time, but may involve walking
or standing for brief periods of time.
Inside working conditions
No environmental hazards
Requires operation of general office equipment
to include PC
AlohaCare is committed to providing equal employment
opportunity to all applicants in accordance with sound practices and federal
and state laws. Our policy prohibits
discrimination and harassment because of race, color, religion, sex (including
gender identity or expression), pregnancy, age, national origin, ancestry,
marital status, arrest and court record, disability, genetic information,
sexual orientation, domestic or sexual violence victim status, credit history,
citizenship status, military/veterans status, or other characteristics
protected under applicable state and federal laws, regulations, and/or
executive orders.
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