Resource Specialist

Resource Specialist

Remote - Region G-Indian River, Okeechobee, St.Lucie, Martin, Palm Beach

3-month contract-to-hire

8 am-5 pm, Monday through Friday. Weekend work may be needed during emergencies.

Remote

Helps with assessing member needs and develops or contributes to the development of care plans/service plans for members with the care team in accordance with their goals and preferences for various services (e.g., employment, housing, independent living, justice, foster care, and/or community transitions), including the identification and coordination of referral for care/services.

Provides resource support to members and connects members to local resources for various services (e.g., employment, housing, independent living, justice, foster care) based on care/service assessment and plans. Works with leadership to identify the best, most appropriate local resources for member's needs based on industry best practices. Works closely together as a team cohesively. This position will be remote/field based and will provide care management to assist with coordination of care, including assessing for health care needs, referring to health plan providers, providing education on benefits/expanded benefits, and provide community resources to address social determinants of health needs.

The caseload is 100 members.

• Helps with assessing member needs and develops or contributes to the development of care plans/service plans for members with care team in accordance with their goals and preferences for various services (e.g., employment, housing, independent living, justice, foster care, and/or community transitions) including the identification and coordination of referral for care/services
• Assists with connecting members to local resources for various services (e.g., employment, housing, independent living, justice, foster care), obtaining required documentation and supporting the application process, as needed
• Acts as an available resource for members seeking local resource services support and works with members to determine eligibility and care needs based on assessments and care plans/service plans
• Monitors delivery of care/services and performs follow up to members, caregivers, and/or providers to verify members have been transitioned or have access to the appropriate care/service in a timely manner
• Works with providers, community-based organizations, community stakeholders, and governmental entities to support members and their families and/or caregivers in accessing essential care/services and resources in the local community
• Assists with developing education and training programs for care management staff and providers to improve resource service identification for members in the local community
• Supports with efforts to draft materials and assists in the development of local resource services, policies, and procedures including programs, eligibility lease agreements, advocacy, retention, emergency or temporary housing
• Ensure all resource services information is appropriately documented and up to date
• May conduct telephonic and in-person outreach to locate individuals and families in the community who are hard to reach
• Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
• Performs other duties as assigned
• Complies with all policies and standards

• Candidate Requirements
• Education/Certification
  • Required:
    
    Bachelor's Degree and 2 - 4 years of related experience.
  • Preferred:
• Licensure
  • Required:
  • Preferred:
• Years of experience required
  • 2 - 4 years of related experience.
  • Pediatric case management experience
  • Experience connecting families/children to local resources for various services including employment, housing, independent living, justice, foster care, etc.
  • Disqualifiers:
  • Additional qualities to look for:
  • Health plan experience
  • Foster care and/or adoption experience
• Top 3 must-have hard skills stack-ranked by importance
  • 1. Child welfare experience
  • 2. Experience connecting families/children to local resources for various services including employment, housing, independent living, justice, foster care, etc.
  • 3. Microsoft Office
    - Outlook, Word, and Excel
  • 4. PREFERRED:
    Health plan experience
  • Foster care and/or adoption experience