ProMedica’s health plan, Paramount Insurance, offers health insurance products across six Midwest states. Paramount is an Ohio-based health insurance company, headquartered in Toledo. The organization has more than 800 employees dedicated to serving their health plan members.

Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and families. Paramount maintains accreditation by the National Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products.

In addition, Paramount has a full complement of insurance products for employers of any size, including medical, dental, vision and workers’ compensation, as well as vocational rehabilitation, life-care planning and wellness.

As a part of ProMedica, Paramount is driven by ProMedica’s mission to improve your health and well-being. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount strives to provide an exceptional experience to every member. For more information about Paramount, please visit our website. http://www.paramounthealthcare.com.

REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES

The SDoH/Peer Specialist is part of the Behavioral Health Team and reports to the Behavioral Health Manager. There are no direct reports to this position.

POSITION SUMMARY

The primary function of the SDoH/Peer Support specialist is to support the care management team by providing education, assistance, and resources pertaining to SDOH with a focus on income, housing needs, recovery and assist in navigate insurance benefits. This position will work directly with members who are identified as having significant deficiencies in one or more SDOH as well as coordinate with community providers and supportive agencies.

ACCOUNTABILITIES

• Work with care management team, referral sources and community partners to identify members with one or more SDoH deficit
  
• Gather necessary information including medical records and social determinant of health status through in person or telephonic communication with members and providers
  
• Educate and assist members regarding eligibility for additional benefits and accessing needed services to mitigate SDoH deficits, with a focus on housing and income
• 
  Participate as a team member in transition of care activities related to income and housing needs specific to members in acute care settings or residing in nursing facilities
• 
  Organize SDoH state resources to be utilized by care management team and assist with coordinating SDoH resources for members identified as in need
• 
  Participate as a team member to collaborate in the care planning and care plan evaluation process.
• 
  Comply with all Federal, State, accreditation, and corporate regulations, standards, and policies pertaining to privacy and confidentiality.

REQUIRED QUALIFICATIONS

Education: High school diploma or equivalent.

Peer Support Specialist will model competence to their clients, through their own personal experiences, in successful self-recovery. You will act as a subject matter expert while performing a wide range of tasks to support members.

Skills: Ability to work in non-traditional settings and unstructured environments.

Excellent interpersonal, communication skills (oral and written) and organizational skills required.

Familiarity with Ohio Medicaid and income eligibility criteria and application processes preferred.

Years of Experience: At least 2 years’ experience working directly with individuals experiencing SDOH needs; experience with homelessness and financial insecurity preferred.

License: N/A

Certification: N/A

PREFERRED QUALIFICATIONS

Education:

Skills:

Years of Experience:

License:

Certification: Peer support specialist certification preferred

WORKING CONDITIONS

Personal Protective Equipment:

Physical Demands: Ability to work in non-traditional settings and unstructured environments.

Ability to move between company workstations and departments; ability to communicate on telephones and operate general office equipment, including computers.

Valid State Driver’s License with proof of auto insurance.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace