Senior Health Educator- Clinical Transplant Nurse- Remote

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    "ExternalDescriptionStr": "<p>JOB DESCRIPTION Job Summary</p>\n<p>Provides senior level support for health education activities. &nbsp;Responsible for developing, implementing, and maintaining health plan health education programs. &nbsp;Assists in identifying health education program needs, researching and developing health education and disease management materials, and maintenance of member quality programs. &nbsp;Conducts data collection, reporting, and monitoring in accordance with established state/federal/National Committee for Quality Assurance (NCQA) standards and regulations.</p>\n<p>We are searching for experience as a <strong>Certified Clinical Transplant Nurse </strong>specializing in Transplant/Gene Therapy. &nbsp;Please include any experience in these qualifiers on your resume. This is for a pediatric population. &nbsp;</p>\n<p><strong>Essential Job Duties</strong></p>\n<p>• Develops, implements and evaluates health education programs for members within the Molina network and the broader community. &nbsp;<br>\n • Provides oversight and assistance to providers in meeting health education contract requirements. &nbsp;<br>\n • Serves as a resource for health educators in the resolution of issues that may arise during the implementation of quality improvement (QI) interventions.&nbsp;<br>\n • Identifies, designs, implements, and evaluates health education interventions to meet the needs of the targeted population based on priorities established by the department and current contracts.&nbsp;<br>\n • Conducts population, geographic, and member-specific needs assessments.<br>\n • Coordinates the health education services assessment of Independent Physician Association (IPAs) and medical groups as required and collaborates with other quality improvement (QI) staff on oversight.<br>\n • Represents as a liaison to internal departments, community-based organizations (CBOs), social service agencies and public health departments to ensure that Molina resource information is current and available.<br>\n • Participates in the development of internal resources in collaboration with other departments identified in the annual work plan.&nbsp;<br>\n • Reviews and updates health education materials and programs, including preventive care guidelines, incentive packets, the health plan website and communications to providers.&nbsp;<br>\n • Successfully engages members in health promotion via direct member calls.<br>\n • Coordinates care of members from call tracking boxes and health education voicemails, including connecting members to appropriate programs and resources.<br>\n • May collaborate with various grant recipients, state and local entities that work toward improving the health of Molina members.<br>\n • Participates in QI planning and project work to further QI goals (e.g., Healthcare Effectiveness Data and Information Set (HEDIS) activities, strategic planning, and special projects).<br>\n • Provides input on the design and functionality of all utilized databases.<br>\n • May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings.<br>\n • Participates in QI planning and project work to further QI goals (e.g., HEDIS activities, and special projects).<br>\n • Provides training and support to new and existing health education team members.<br>\n • This position may require same day out of office travel 0 - 80% of the time, depending upon state-specific needs.<br>\n • This position may require multi-day overnight travel on occasion, depending upon state-specific needs.<br>\n &nbsp;</p>\n<p><strong>Required Qualifications</strong></p>\n<p>• At least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience.&nbsp;<br>\n • Ability to build relationships with community-based organizations (CBOs).<br>\n • Strong customer service skills.<br>\n • Knowledge of available community resources.<br>\n • Knowledge and understanding of HEDIS and NCQA.<br>\n • Critical-thinking, problem-solving and analytical skills.<br>\n • Ability to navigate change with flexibility and a positive outlook.<br>\n • Effective verbal, written and interpersonal communication skills.<br>\n • Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.<br>\n &nbsp;</p>\n<p><strong>Preferred Qualifications</strong></p>\n<p>• Experience with Medicaid, Medicare, and/or Marketplace government-sponsored programs. &nbsp;<br>\n • Experience working with the Medicaid population.<br>\n • Certified Health Education Specialist (CHES).<br>\n &nbsp;</p>\n<p>#PJQA</p>\n<p>#LI-AC1</p>\n<p>To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.<br><br>\n Molina Healthcare offers a competitive benefits and compensation package. 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