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The Social Needs Project Specialist expands, maintains, and monitors capacity for social needs services and supports eligible Yamhill Community Care (YCCO) members, by working with various vendors, community-based organizations, and providers of targeted resources and services offering nutrition, housing, and other social supports. Manages collaborative projects within and across teams that may include, but is not limited to, other program Specialists, Community Health Workers (CHW), CM Case Managers, Nurse Case Managers, Community Providers, Health Supervisor, Traditional Health Worker Liaison.

Primary Work Location: Remote (Oregon Headquarters)This position is Local Hybrid with flexibility to work both remotely and/or in-person at YCCO's office in McMinnville and open only to candidates residing in the local McMinnville, OR Area.<hr/>Department:            Health Plan Operations                                                              FLSA Status:                             ExemptDivision:                   Community Health                                                                      Physical Strength:                   Light (L)Reports To:              Community Health Systems & Tribal Relations Manager         Location:                                   Local HybridSupervisory role:    No                                                                                                 Occasional Weekend Work:    Yes <hr/>About Us:  Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid members, covered under the Oregon Health Plan, in Yamhill County, as well as parts of Washington and Polk Counties. Our mission is to improve the quality of life of the communities we serve by coordinating effective care. Beyond healthcare, we also provide an Early Learning Hub, supporting families and children with essential resources and programs for early childhood development. Together, we're building a unified healthy community that celebrates physical, mental, emotional, spiritual, and social well-being.Learn more about Yamhill Community Care:  <a href="https://yamhillcco.org/about-us/careers/" rel="nofollow">click here </a><hr/>SummaryThe Social Needs Project Specialist expands, maintains, and monitors capacity for social needs services and supports eligible Yamhill Community Care (YCCO) members, by working with various vendors, community-based organizations, and providers of targeted resources and services offering nutrition, housing, and other social supports. This position also works extensively with internal teams including Care Management (CM) and Utilization Management (UM). This position requires extensive knowledge of resources within the community and an understanding of barriers that impact individuals and families in YCCO communities, which may prevent them from accessing and/or obtaining the resources they need for stability.Essential Duties<ol><li>Develops strategies and policies for partnership with community and provider organizations to create a social needs provider network that can meet the social needs of all eligible members. </li><li>Builds and maintains a consistent and reliable network of providers. </li><li>Manages strong relationships with stakeholders in order to support coordination with internal CM program and staff and addresses barriers concerning benefit delivery. </li><li>Manages collaborative projects within and across teams that may include, but is not limited to, other program Specialists, Community Health Workers (CHW), CM Case Managers, Nurse Case Managers, Community Providers, Health Supervisor, Traditional Health Worker Liaison. </li><li>Designs and presents training materials and process documents offering guidance around social needs benefits, programs, and services. </li></ol>Job DutiesCommunity Resource Development<ul><li>Interprets Oregon Health Authority (OHA) contract and state and federal regulations, incentive metric requirements, Health Equity Plan, and other plan-related documents to maintain compliance with social needs benefit and service delivery requirements. </li><li>Develops strategic engagement and relations plan for YCCO’s partnership with community-based organizations and local and state service providers and vendors. </li><li>Develops and maintains policies and procedures regarding the provision of health-related services benefit and services and the social needs provider network. </li><li>Manages the compilation and inventory of resources available throughout the YCCO region and surrounding counties to meet the health-related social needs of members, including food, housing, and climate supports. </li><li>Develops and maintains cross-agency partnerships and relationships that will support YCCO’s social needs. Leads Community Information Exchange implementation and process improvement activities.</li><li>Delivers OHA and internally required reports and documentation related to Heath Related Social Needs services resources and services.</li></ul>Provider Network Management<ul><li>Recruits, supports, and provides technical assistance for contracted social needs providers to maintain reporting and provider agreement compliance. </li><li>Supports and maintains processes related to social needs requests through Community Information Exchange and Prior Authorization pathways. </li><li>Manages conflicts, barriers, issues and/or concerns between vendors / service providers and members or CM staff. </li><li>Develops new and support existing resources within the community to build and maintain YCCO’s social needs screening and support network. </li><li>Serves as a liaison, in coordination with Provider Relations, between internal CCO (Community Care Organization) staff and external partners to facilitate collaboration and maintain positive community relations. </li><li>Provides support with any partnerships between YCCO and Tribal or Urban Indian Health Program entities, including contract oversight and issue resolution as appropriate.</li></ul>Social Needs Project Leadership<ul><li>Engages with OHA around related social needs and benefit meetings, work sessions, and activities to ensure new information is incorporated in program processes. </li><li>Develops and maintains social needs capacity assessment at least annually, with analysis of available local social needs organizations and capacity to meet regional member needs. </li><li>Serves as main liaison for Community Information Exchange implementation internally and with community partners. </li><li>Directs social needs screening implementation practices with community partners, social needs providers, and support with social needs integration and reporting efforts community-wide. </li><li>Represent YCCO at OHA and state meetings as appropriate. </li><li>Leads collaborative work within and across teams that may include, but is not limited to, other Project Specialists, CHW’s, CM Case Managers, Nurse Case Managers, Community Providers, Health Services Supervisor, Traditional Health Worker Liaison. </li><li>Develops workflows, Standard Operating Procedures (SOP), and process improvement plans to guide social needs benefit and health related services review, authorization, service delivery, and monitoring. </li><li>Acts as an individual contributor to other CCO initiatives, Quality Assurance and Compliance activities, and assists with data reviews and processes. </li><li>Champions health equity and YCCO efforts to redistribute power and resources; recognizes, reconciles, and rectifies historical and contemporary injustices within the YCCO healthcare and social service systems.</li></ul>Social Needs Focus Areas Climate Devices, Nutrition & Housing Services<ul><li>Maintains a current understanding of local resources and services. </li><li>Develops and maintains positive relationships and working agreements with CCO, local vendors, and services providers. </li><li>Works with contracts department to create Memorandums of Understanding (MOU) or agreements to establish services and devices (if necessary). </li><li>Works with Finance to determine inventory and supply demand in case of climate emergency.</li><li>Serves as a liaison, and/or supports CCO liaison efforts, between vendors, service providers and members during conflicts / issues with a goal of preventing the loss of partnerships and/or contracts. </li><li>Identifies gaps in resources and services and identify solutions to address these gaps. </li><li>Prepares social needs related reports. </li><li>Regularly attends YCCO’s Community Advisory Council (CAC) meetings to coordinate social needs screening and program processes with Children’s Health Insurance Program (CHIP) related programs and interventions.</li></ul>Essential Department & Organizational Functions<ul><li>Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members. </li><li>Manages projects end-to-end related to social needs initiatives and improvement activities.</li><li>Participates in the preparation and submission of regulatory and contract required deliverables. </li><li>Works closely with other YCCO departments, including Compliance to assist with audits; including the External Quality Review (EQR), as needed. </li><li>Proposes and implements process improvements. </li><li>Meets deadlines for completion of assigned responsibilities and projects. </li><li>Maintains agreed upon work schedule with punctual, regular, and predictable attendance. </li><li>Attends in person Annual Company Conference in Oregon; typically held in the fourth week of September. </li><li>Demonstrates cooperation and teamwork using a professional and respectful demeanor. </li><li>Provides cross-training on specific job responsibilities. </li><li>Meets identified goals that contribute to departmental goals. </li><li>Respectfully takes direction from Supervisor. </li><li>Performs other duties as assigned.</li></ul>Knowledge, Skills, & Abilities <ul><li>Knowledge of social determinant of health and their relationship to a person’s overall well-being. </li><li>Ability to prepare clear and concise reports.</li><li>Ability to build relationships and network with individuals at all levels, both internal and external to the organization. </li><li>Ability to work in an environment with diverse individuals, open-minded and non-judgmental including working with those who may hold different values / experiences, such as cultural needs, language, economic status, life experience, etc. </li><li>Ability to learn and apply policies, regulations, requirements, and rules. </li><li>Exhibits strong organizational and record keeping skills including the ability to handle multiple priorities and demands in a dynamic work environment. </li><li>Excellent organizational skills including ability to handle multiple priorities and demands simultaneously in a dynamic work environment while maintaining high attention to detail and accuracy. </li><li>Familiarity with project management concepts and principles. </li><li>Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix (cross-department) or shared resources across departments work model with a spirit of cooperation.</li><li>Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook. </li><li>Ability to communicate both professionally and effectively in all forms of communication. </li><li>Ability to work in an environment with diverse individuals and groups. </li><li>Ability to remain flexible, positive, and adaptable. </li><li>Ability to work across the YCCO region and to work remotely, as needed.</li></ul>Supervisory Responsibilities<ul><li>This position has no supervisory responsibility</li></ul>QualificationsAbility to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.Education & ExperienceRequired:<ul><li>Bachelor’s degree in Community Health, Communications, Public Health, Social Work, Public Administration, or related field,</li></ul><ul><li>Two (2) years of experience in Health Insurance, Utilization Management, Program Coordination, Planning, and Development of Community Resources.</li></ul>     OR: <ul><li>Any combination of education and experience that would qualify candidate for the position.</li></ul>Preferred:<ul><li>Project Management or Administrative Management experience. </li><li>Bilingual Skills (English / Spanish, Skills Pay available). </li><li>Systems experience with Medicaid population. </li><li>Experience working with affordable housing programs.</li></ul>Certificates, Licenses and/or Registrations <ul><li>This position does not require any certificates, licenses, or registrations.</li></ul>Physical Demands & Work EnvironmentThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, stand, walk, use hands and fingers, handle or feel, and reach with hands and arms. The employee is occasionally required to climb or balance, stoop, kneel, crouch or crawl. The employee may occasionally need to lift and/or move up to 25 pounds.This position operates in a professional office environment and requires frequent use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Specific vision abilities required by this job include close vision, color vision, distance vision, depth perception, and ability to adjust focus. The noise level in the work environment is usually moderate. This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.

Yamhill Community Care

Social Needs Project Specialist - Hybrid Nonprofit Role

Administrative Management

Affordable Housing

Analysis Skills

Capacity Analysis

Certified Case Manager (CCM)

Communication Skills

Community Development

Community Health

Community Providers

Community Relations

Community Support

Community and Social Services

Computer Skills

Conflict Resolution

Cross-Training

Depth Perception

Detail Oriented

English Language

Federal Laws and Regulations

Finance

Health Insurance

Health Plan

Healthcare

Healthcare Management

Leadership

Lift/Move 25 Pounds

Maintain Compliance

Medicaid

Metrics

Microsoft Excel

Microsoft Exchange Server

Microsoft Outlook

Microsoft Windows Operating System

Microsoft Word

Multilingual

Multitasking

Needs Assessment

Network Support

Nonprofit

Nutrition

Operations Planning

Organizational Skills

Physical Demands

Policy Development

Problem Solving Skills

Procedure Development

Process Improvement

Program Planning

Project/Program Coordination

Project/Program Management

Provider Contracting

Provider Relations

Public Administration

Public Health

Quality Assurance

Quality of Life

Record Keeping

Regulatory Requirements

Regulatory Submissions

Relationship Management

Safety/Work Safety

Service Delivery

Set Goals

Social Work

Spanish Language

Standard Operating Procedures (SOP)

Standards Development

State Laws and Regulations

Strategic Planning

Team Player

Technical Support

Time Management

Training/Teaching

Utilization Management

Willing to Travel

Work From Home

HiringThing

This leader will have direct oversight and interface with staff members possessing a variety of experience and tenure within human resources and must be able to build strong teams, calibrate workload appropriately and prioritize work in the context of organizational priorities and customer demand. Eight years of experience overseeing employee relations and labor relations matters, specifically drafting policies and procedures, conducting and overseeing investigations, developing and implementing investigative plans, responding to and resolving grievances, and labor contract bargaining and negotiating within the context of employment laws and regulations.

HOUR

<h5>Overview</h5>The People & Culture organization at Legacy is about prioritizing our people so that we can prioritize our patients. We are transforming a traditional human resources function into a team of professionals who develop creative solutions to attract, develop and retain diverse, high performing talent. Within the People & Culture team, we are building a spirit of curiosity, experimenting with innovative approaches and challenging past practices to ensure we aren't just responding to today's workforce challenges, but can predict them. This is a pivotal moment in the healthcare industry, and Legacy's People & Culture team sees this as an opportunity to reimagine what it means to work in one of the world's most complex yet rewarding industries. For us it's about building a legacy where our people can do their best and be their best.At Legacy, we strive to offer the best possible services to our patients and our employees. As a Senior Manager of People Services, you will help to maintain this high level of service through your outstanding interpersonal and problem-solving skills and your ability to organize a variety of department activities. We invite you to consider this opportunity to support the Legacy mission of making life better for others.This is a hybrid role that requires occasional meetings at a variety of Legacy locations across the Portland Metro area. On days that onsite activity is not required, individuals in this role may work from remotely. All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new employee orientation.Another important thing about Legacy: We strive to be a diverse, culturally responsive, anti-racist organization. Diversity, equity and inclusion is a priority at Legacy — it shapes how we work, interact with one another and see the world. This is a commitment you must share too. If you want to make a real difference in the lives of people, communities and our beloved Pacific Northwest region, please take a look - we invite you to apply and consider joining our team, our organization and our mission.As the largest nonprofit health system serving the Portland-Southwest Washington and mid-Willamette Valley areas, Legacy Health provides a range of services - we have six hospitals, one of which includes a center solely dedicated to children's care, Randall Children's Hospital at Legacy Emanuel. We run more than 70 primary care, specialty and urgent care clinics, employ nearly 3,000 doctors and providers and more than 13,000 employees. We also operate labs and a research center. Our major partnerships include those with PacificSource Health Plans and the Unity Center for Behavioral Health, a one-of-a-kind center for people facing a mental health crisis that is collaboratively operated between four regional health systems and numerous community partners.<h5>Responsibilities</h5>Leadership responsibility for the teams administering and coordinating the delivery of Human Resources services provided by the HR Answer Center (HRAC), employee relations, and labor relations. This role includes the opportunity to advance employee and labor relations in service of creating an engaging and inclusive environment that attracts and retains the best talent. Therefore, this leader must be able and excited to leverage current best practices within these functions and also identify and implement strategies for improving people services across the answer center, employee relations and labor relations. <h5>Qualifications</h5>Education: <ul><li>Bachelor's degree in human resources, business administration, or related field or equivalent applicable experience. </li><li>Master's degree preferred. </li></ul>Experience: <ul><li>Eight years of diverse and progressively more responsible human resources experience at a senior practitioner or management level, preferably in a healthcare environment. </li><li>Proven change leader who has experience engaging others in improvement efforts. </li><li>Knowledge of lean or similar process improvement methodologies preferred. </li><li>Eight years of experience overseeing employee relations and labor relations matters, specifically drafting policies and procedures, conducting and overseeing investigations, developing and implementing investigative plans, responding to and resolving grievances, and labor contract bargaining and negotiating within the context of employment laws and regulations. </li><li>Experience implementing and integrating DEI principles and practices into trainings, programs, and strategic that support the workforce. </li></ul>Skills: <ul><li>Ability to think strategically with proven, strong ability to execute and implement a plan within the context of employee relations and labor relations. </li><li>The ability to analyze systems and situations and make recommendations to effectively resolve issues and concerns in a fair and impartial manner in alignment with industry best practices, standards, practices, policies and procedures, and applicable federal, state, and local laws and regulations. </li><li>Excellent communication skills. </li><li>Demonstrated ability to effectively manage people and resources and provide support to staff and customers.</li><li>This leader will have direct oversight and interface with staff members possessing a variety of experience and tenure within human resources and must be able to build strong teams, calibrate workload appropriately and prioritize work in the context of organizational priorities and customer demand.</li></ul>LEADING AT LEGACYDemonstrates the ability to act consistently with Legacy's Values in Action, exemplifies our core organizational values, and exhibits the leadership competencies outlined in Leading at Legacy.<h5>Pay Range </h5>USD $79.78 - USD $120.46 /Hr.<h5>Our Commitment to Health and Equal Opportunity</h5>Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

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Social Needs Project Specialist - Hybrid Nonprofit Role Yamhill Community Care

Senior Manager, People Services - Hybrid Remote(OR/WA only) Legacy Health

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