Community Health Worker I or II (Based on Qualifications) | McMinnville, OR

Light (L) Learn more about Yamhill Community Care: click here Summary The Health Plan Operations Specialist is instrumental in the administration of health plan benefits for the Yamhill Community Care (YCCO) Oregon Health Plan (OHP) members. This position is responsible for performing department projects, operations, and compliance activities including all aspects of the member communication process, and works to monitor internal system performance, and the system performance of managed care subcontractors to ensure appropriate administration of the health plan benefits on an ongoing basis.

This position may assist in conducting formal reviews of entities compliance, identifies areas

for improvement, and works collaboratively to resolve issues in accordance with Oregon Health Authority (OHA) contracts by performing the following duties. Essential Duties Performs ongoing benefit administration activities with staff, subcontractors, and providers, as needed to address coverage and benefit programs, questions, and issues identified.

Serves as primary contact for subcontractors and YCCO staff for system inquiries and updates to plan member benefits, communication materials review, and facilitates gaining internal and external approvals as required. Implements internal department and subcontractor oversight and system improvements to health plan programs and services.

Job Duties Daily Plan Operations Works independently to interpret and apply complex regulations, laws, and guidelines and to evaluate internal departments and subcontractors for compliance with contractual and regulatory requirements.

Develops and implements effective operational processes to prevent, detect, and correct any evidence of internal control deficiencies and duplication of efforts. Develops, revises, and maintains policies, procedures, tools, and/or processes to meet regulatory requirements in all health plan operations. Maintains all documentation to support evidence of meeting member communication requirements including material creation, review criteria, and gaining OHA approval.

Provides technical assistance, as needed, to subcontractors regarding OHP benefits and member materials and documents all communications with subcontractors. Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, EQRO) as requested. Subcontractor & Provider Compliance Ensures delegation expectations and standards are clearly understood by subcontractors. Meets with and remains in contact with subcontractors to ensure appropriate benefit administration expectations and standards are clearly understood.

Works in coordination with YCCO department and teams – Health Plan Operations, Quality Assurance Team, Compliance Team including the Chief Medical Officer (CMO), to meet appropriate health plan benefit administration. Provides technical assistance to subcontractors, as needed, regarding member materials and health plan benefits. Assist with audits of delegated functions using audit tools. Process Improvement Participates in internal, external, and State-lead workgroup meetings related to regulatory expectations. Assists with projects related to system and clinical quality improvement efforts and care coordination.

Essential Department & Organizational Functions Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members. Participates in the preparation and submission of regulatory and contract required deliverables. Works closely with other YCCO departments, including Health Plan Operations and Compliance to assist with audits; including the External Quality Review (EQR), as needed. Proposes and implements process improvements. Meets deadlines for completion of assigned responsibilities and projects.

Maintains agreed upon work schedule with punctual, regular, and predictable attendance. Demonstrates cooperation and teamwork using a professional and respectful demeanor. Provides cross-training on specific job responsibilities. Meets identified goals that contribute to departmental goals. Works collaboratively in a team and matrixed (cross-department) environment with a spirit of cooperation. Respectfully takes direction from Supervisor. Performs other duties as assigned. Knowledge, Skills, & Abilities Understanding of managed care principles for both Medicaid and Medicare.

Knowledge of network health service delivery systems. Ability to identify best practices as they relate to operational functions. Ability to communicate both professionally and effectively verbally and in writing. Ability to analyze general, statistical, and technical reports, and synthesize data from diverse sources for writing reports. Ability to interpret regulatory and contractual obligations and translate into operations process and procedures required of Community Care Organizations (CCO). Ability to perform independent analysis, critical thinking, and sound clinical judgment. Ability to coordinate and communicate with a variety of contract parties and stakeholders.

Be self-directing with minimal supervision. Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a matrix or shared resources across departments work model. Possess a high degree of initiative and motivation along with the ability to effectively collaborate and plan with others. Excellent organizational skills and ability to manage multiple tasks and timelines simultaneously, as well as to perform work with attention to detail. Ability to work independently, when needed, and to use sound judgment, anticipate next steps and be proactive.

Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook. Ability to communicate effectively in all forms of communication. Ability to work in an environment with diverse individuals and groups. Ability to remain flexible, positive, and adaptable. Ability to work across the YCCO region and to work remotely, as needed. Supervisory Responsibilities This position has no supervisory responsibility. Qualifications Ability 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 & Experience Required: Two (2) years of experience in healthcare, nonprofit, and/or public health programs. Experience developing and administering program plans, timelines, and deliverables, including data and reporting.

OR: Any combination of education and experience that would qualify candidate for the position. Preferred: Bachelor’s degree or training in public administration, quality assurance and/or community health operations. Experience working with diverse stakeholders and business partners. Certificates, Licenses, and/or Registrations This position does not require any certificates, licenses, or registrations. Physical Demands & Work Environment The 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: click here Summary The Contracts & Procurement Coordinator is responsible for coordinating the efforts and activities of Yamhill County’s Contracts and Finance teams. Core areas of focus include providing coordination and administrative support of provider and vendor contracting processes, supporting, and completing approved purchasing for the organization, and completes upload, maintenance, and reporting activities related to Yamhill Community Care’s (YCCO) contracting system.

Essential Duties Assists with and supports the development and execution of contracts that supports YCCO’s ability to meet contractual and regulatory obligations. Develops and coordinates

contracting activities, including coordination of provider and vendor engagements with the YCCO Contracts team. Coordinates and completes the procurement of items necessary for YCCO operations, inclusive but not limited to office supplies, member flex services, and health related social needs items.

Job Duties Reviews, enters, and updates information within the YCCO contracting software. Tracks, assists in preparation, and helps submit contracts / agreements for execution. Tracks, reviews, and provides status reports on active contracts, inclusive of upcoming termination dates and potential renewals and amendments. Supports contracting mechanisms by helping facilitate RFA’s / RFP’s, as

well as creating and sending out applications, award letters, and agreements.

Supports the scheduling, coordination, and administration of contract negotiation sessions / meetings. Responds to correspondence in a timely manner. Receives, reviews, and completes the purchase of requested business items via corporate accounts, corporate credit card, and/or check request submissions. Coordinates and obtains necessary documentation needed by the YCCO Accounting team, to document, record, and track purchases. Coordinates with internal departments and contracted providers to implement and maintain contract compliance. Assists with and communicates with necessary vendors for provider credentialing and claims processing activities associated with new and amended provider contracts.

Strategizes with other members of the YCCO team to ensure access and quality of care. Actively follows contracting best practices. Ensures integration of work between program functional areas and promotes effective communications within YCCO and between external partners and providers. Essential Department & Organizational Functions Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members.

Participates in the preparation and submission of regulatory and contract required deliverables. Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members. Participates in the preparation and submission of regulatory and contract required deliverables. Works closely with other YCCO departments, including Health Plan Operations and Compliance to assist with audits; including the External Quality Review (EQR), as needed. Proposes and implements process improvements.

Meets deadlines for completion of assigned responsibilities and projects. Maintains agreed upon work schedule with punctual, regular, and predictable attendance. Demonstrates cooperation and teamwork using a professional and respectful demeanor. Provides cross-training on specific job responsibilities. Meets identified goals that contribute to departmental goals. Works collaboratively in a team and matrixed (cross-department) environment with a spirit of cooperation. Respectfully takes direction from Supervisor. Performs other duties as assigned. Knowledge, Skills, & Abilities Working knowledge of Oregon Health Plan (OHP) benefits, Oregon Administrative Rules (OAR), Oregon Statute, and Community Care Organization (CCO) requirements.

Knowledgeable about health system contracting and procurement best practices. 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. Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix or shared resources across departments work model. Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook.

Ability to communicate both professionally and effectively in all forms of communication. Ability to work in an environment with diverse individuals and groups. Ability to remain flexible, positive, and adaptable. Ability to work across the YCCO region and to work remotely, as needed. Supervisory Responsibilities This position has no supervisory responsibility. Qualifications Ability 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 accommodation(s) may be made to enable individuals with disabilities to perform the essential duties. Education & Experience Required: One (1) year of grants, contracts, and/or procurement administration experience. OR: Any combination of education and experience that would qualify candidate for the position. Preferred: Three (3) years of grants, contracts, and/or procurement administration experience.

Bachelor’s degree in Business, Business Law, or Economics. Managed Health Care and/or Medicaid experience. Certificates, Licenses and/or Registrations This position does not require any certificates, licenses, or registrations. Physical Demands & Work Environment The 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.

Director of Linfield Public Safety. Enforces University policies and appropriate state laws on the campus property by monitoring and patrolling the grounds and buildings of the University. Perform standard crime, fire/life safety, and accident prevention duties including investigation and documentation of incidents.

Maintain and provide for the University a log and other documentation of activities while at work in this capacity. Review of applications will begin immediately, and the position will remain open until filled. Work Schedule: This position works on call as needed. Flexibility is necessary, as LPS Officers may be assigned other shifts to meet the needs of the department and

university. Primary Duties and Responsibilities: Patrol the campus in either a security vehicle, on-foot or bicycle to provide a safe and secure environment by deterring crime and enforcing University parking policy.

Contact people on the University property who are not members of the Linfield community and assure they are either guests or have appropriate business on the campus. Ensure the safety and security of campus facilities by making frequent checks of buildings and grounds. Ensure that buildings are locked and secured after certain hours for protection of persons and property. Respond to calls for service and reports of incidents, accidents, and/or possible crimes. Observe and

report suspicious and/or criminal activity. Take appropriate action as the situation requires: Use presence and verbal commands to mitigate suspicious activity on campus.

Complete incident/investigation reports. Conduct follow-up investigation and interview persons in connection with the investigation. Secure evidence pertaining to the incident. Respond to emergency situations and summon emergency medical assistance and/or apply first aid, interview principles and witnesses. Make general drawings of the accident scene and complete accident forms. Perform crowd control duties and traffic management duties for University events. Document and, when possible, correct fire/life safety hazards.

Work closely and cooperatively with other members and departments of the Linfield community. Respond to medical emergencies, render initial aid, and summons emergency medical assistance. Cooperate with and work closely to provide support service to both the Mc Minnville Police and Fire Departments when they respond to the campus. During an emergency work in partnership with the CERT team performing light search and rescue, triage, treatment, and other tasks that may be assigned. Linfield Public Safety personnel are considered " essential employee positions" with the university and are subject to work during emergency incidents and closing of the university or its campuses, in addition to institutional holidays and break periods.

A complete loss of communication (phone internet, etc) is to be considered a campus emergency. If a regional or large scale event occurs in which an officer would reasonably believe that their assistance may be needed on campus, the officer should attempt to contact the department. If they cannot reach the department, they should respond to the campus. Minimum Qualifications: High school diploma or GED, and at least one year of safety/security experience or equivalent educational training.

Experience must demonstrate: Excellent interpersonal skills and problem resolution skills. Ability to clearly and precisely communicate both orally and in writing. Ability to maintain composure in stressful situations and to control a situation and diffuse anger or hostility in others. Able to analyze a situation quickly and objectively to determine the correct course of action. Knowledge of written documentation procedures and tampering of evidence and standard investigative procedures. Ability to work effectively with a diverse campus community.

Computer skills necessary for operating systems, producing reports, etc. Possess Oregon DPSST certification as an unarmed private security professional or obtain professional certification within 90 days of date of hire. Possess a Community Emergency Response Team (CERT) certification or obtain one within the first year of employment. Possess First Aid/CPR/AED certification or obtain certification within 90 days of date of hire. Possess valid Oregon driver's license, have a good driving record, and ability to become and remain certified as a driver of University vehicles.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is classified as heavy work of a physical nature in a campus environment with exposure to weather elements working indoors and outdoors. Work involves constant observation, verbal communication, walking, running, climbing stairs, and standing; frequent stooping, kneeling, crouching, pushing, pulling and lifting up to 100 pounds, and operating a motor vehicle.

Incumbent is at risk for bodily harm or injury in the course of the job. APPLICATION PROCEDURES: Review of applications will begin immediately, and the position will remain open until filled. To apply, please complete the online application process and attach the following documents: Cover Letter Resume About Linfield University Linfield University is an independent, nonprofit university with two physical campuses. The main campus, located in Mc Minnville, Oregon is on 189 park-like acres just south of the charming historic downtown.

The School of Nursing, located in northeast Portland, Oregon, is located on 20 acres. Linfield also has a growing e Campus. Since 1858, Linfield has connected a traditional liberal arts experience with practical education through 57 majors, including wine studies, sport management and nursing. Linfield also offers interdisciplinary graduate degrees in business, nursing, education and sports sciences. Linfield University is fully accredited by the Northwest Commission on Colleges and Universities. With a relentless focus on student success, Linfield is committed to a mission of connecting learning, life and community.

Linfield enrolls approximately 1,800 students from around the nation and globe each year. Thirty-seven percent of Linfield's undergraduate students are first-generation college students, and more than one-third are U. S. students of color. Linfield competes in the NCAA Division III Northwest Conference and holds the national record, across all divisions, for consecutive winning football seasons (dubbed " The Streak" ). U. S. News & World Report has named Linfield one of the top liberal arts colleges in the nation when it comes to social mobility for four years in a row.

See more of Linfield's accolades at linfield. edu/rankings. The university's two physical locations showcase the beauty of the Pacific Northwest and a meaningful connection between the university and its community. Just 1-2 hours from either location are the snow-peaked mountains of the Oregon Cascades or the Pacific Ocean shoreline. Mc Minnville and Portland are both highly ranked for their access to outdoor recreation, as well as top locations for foodies and wine enthusiasts. Although the school retains a historic affiliation with the American Baptist Church, Linfield's employees and students are not bound by the religious requirements of its founders.

Linfield warmly welcomes all those who seek out Linfield's exemplary educational and career opportunities. You and your dependents will have access to our Athletics Complex, including two weight rooms, racquetball courts, a basketball court, swimming pool, track, and indoor and outdoor tennis courts, and a 1.5 mile outdoor wellness trail. For those who are sports enthusiasts, you and your dependents can attend all Linfield athletic events on campus for free (except NCAA playoffs). Additional perks include 20% merchandise & clothing discount at our Barnes & Noble Bookstore, access to Microsoft Office 365 on your personal devices, and a Starbucks conveniently located on campus.

We Value Diversity: Linfield University is actively engaged in promoting, advancing, and confirming our commitment to diversity and inclusion. We believe that a diverse and vibrant Linfield contributes to academic excellence and critical thinking. We welcome applicants who bring a diversity of identity, culture, experience, perspective, and thought. All candidates are encouraged to address how their professional and lived experience, scholarship, teaching, mentorship, and/or service will build on our diversity and inclusion efforts.

Needs) Program Specialist expands and maintains capacity for HRSN services and supports for eligible Yamhill Community Care (YCCO) members, by working with various vendors, community-based organizations, and providers of targeted resources and services offering climate, nutrition, housing, and other social supports.

This position also works extensively with internal teams including Care Management (CM). This position requires extensive knowledge of resources within our community, as well, as 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

Develops strategies and policies for partnership with community and provider organizations to create a HRSN provider network that can meet the HRSN needs of all eligible members.

Builds a consistent and reliable network of providers. Manages strong relationships with providers and vendors in order to support coordination with internal CM program and staff and address barriers with benefit delivery. Leads collaborative work within and across teams that may include, but is not limited to, other HRSN Specialists, Community Health Workers, CM Case Managers, Nurse Case Managers, Community Providers, Health Services Supervisor, Traditional Health Worker Liaison. Job Duties Community Resource

Development Develops strategic engagement and relations plan for YCCO’s partnership with community-based organizations and local and state service providers and vendors.

Creates and informs policies and procedures regarding the provision of the health-related services benefit and the HRSN provider network. 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. Develops and maintains cross-agency partnerships and relationships that will support YCCO’s HRSN Capacity. Delivers OHA and internally required reports and documentation related to Heath Related Social Needs services resources and services.

Outreach and Engagement Manages conflicts, barriers, issues or concerns between vendors / service providers and members or CM staff. Develops new and support existing resources within the community to build and maintain YCCO’s HRSN network. 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. Internal Coordination: Leads collaborative work within and across teams that may include, but is not limited to, other HRSN Specialists, Community Health Workers, CM Case Managers, Nurse Case Managers, Community Providers, Health Services Supervisor, Traditional Health Worker Liaison Acts as an individual contributor to other CCO initiatives, Quality Assurance and Compliance activities, and assists with data reviews and processes.

Specialized Areas of Focus HRSN Program Specialists may be assigned primary areas of focus, such as climate / nutrition or housing. Assignment of an area of focus does not preclude provision of tasks within other areas of focus.

Rather is intended to allow the Specialist to maximize attention and skill development in a primary area. Areas of focus include: Climate Devices, Nutrition & Housing Services Maintains a current understanding of local resources and services. Develops and maintains positive relationships and working agreements with Community Care Organizations (CBO), local vendors, and services providers. Works with contracts department to create MOUs or agreements to establish services and devices (if necessary). Works with Finance to determine inventory and supply demand in case of climate emergency.

Serves as a liaison, and/or supports CBO liaison efforts, between vendors, service providers and members during conflicts / issues with a goal of preventing the loss of partnerships and/or contracts. Identifies gaps in resources and services and identify solutions to address these gaps. Prepares HRSN related reports. Regularly attends YCCO’s Community Advisory Council meetings to coordinate HRSN processes with CHIP related programs and interventions. Attends state meetings with other HRSN Specialist / Navigators Other tasks as assigned. Essential Department & Organizational Functions Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members.

Participates in the preparation and submission of regulatory and contract required deliverables. Works closely with other YCCO departments, including Health Plan Operations and Compliance to assist with audits; including the External Quality Review (EQR), as needed. Proposes and implements process improvements. Meets deadlines for completion of assigned responsibilities and projects. Maintains agreed upon work schedule with punctual, regular, and predictable attendance.

Demonstrates cooperation and teamwork using a professional and respectful demeanor. Provides cross-training on specific job responsibilities. Meets identified goals that contribute to departmental goals. Works collaboratively in a team and matrixed (cross-department) environment with a spirit of cooperation. Respectfully takes direction from Supervisor. Performs other duties as assigned. Knowledge, Skills, & Abilities Knowledge of social determinant of health and their relationship to a person’s overall well-being. Ability to communicate effectively both orally and in writing.

Ability to prepare clear and concise reports. Ability to build relationships and network with individuals at all levels, both internal and external to the organization. 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. Ability to learn and apply policies, regulations, requirements, and rules. Exhibits strong organizational and record keeping skills including the ability to handle multiple priorities and demands in a dynamic work environment.

Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix or shared resources across departments work model. 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. Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook. Ability to communicate both professionally and effectively in all forms of communication.

Ability to work in an environment with diverse individuals and groups. Ability to remain flexible, positive, and adaptable. Ability to work across the YCCO region and to work remotely, as needed. Supervisory Responsibilities This position has no supervisory responsibility. Qualifications Ability 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 & Experience Required: Bachelor’s Degree in community health, public health, social work, public administration, or a closely related field. Two years of experience in program coordination, planning, and development, community resources. OR: Any combination of education and experience that would qualify candidate for the position. Preferred: Bilingual Skills (English/Spanish). Systems experience with Medicaid population.

Experience working with affordable housing programs. Certificates, Licenses and/or Registrations This position does not require any certificates, licenses, or registrations. Physical Demands & Work Environment The 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.