Job Type Full-timeDescriptionSummary:This position will be part of the Maryland Physicians Care (MPC) Social Determinants of Health (SDoH) team. This team will work directly with MPC members to address social barriers to optimal health. In conjunction with SDoH team, this person will work closely with medical providers, primary care teams, and social services agencies to provide short-term care coordination and connection to resources and support to program members to improve their health and general well-being through education and provision of coordination of care and services. Works in both clinical and community-based settings.About Maryland Care Management, Inc. (MCMI)Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.Why join us?MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.What You'll Be Doing:Conduct intake interviews with members and complete the Social Determinants of Health (SDOH) assessment.Communicate the purpose of the program to the members and the impact it may have on their well-being. Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.Partner with community organizations, governmental agencies, and local resources to develop productive relationships and programs.Assist patients in understanding care plans and instructions. Assist members in accessing health-related services, and overcoming barriers to obtaining needed medical care/social services (scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible).Provide support and advocacy during medical visits or when necessary to ensure members' medical needs and referrals required are being conveyed. Follow up with both members and providers regarding health/social services.Maintains positive working relationships with members, providers, nurse case managers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds. Works to reduce cultural and socio-economic barriers between members and institutions. Secondary Functions: Observe confidentiality of member records in accordance with MPC policies and procedures.Must be available and willing to travel 50-75% around Baltimore, Maryland. RequirementsRequirementsKnowledge and Skills:Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.Knowledge of transportation and other barriers to care that may be encountered by the member.Education and Work Experience:High school diploma or GED.Possession of a valid Maryland State Driver's License is required.2 years of healthcare experience, preferably in the MD/DC area with Medicaid members.EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.