JOB DESCRIPTION
Job Summary
Completemanagement works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
· Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.
· Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc.
· Empowers members by helping them navigate and maximize their health plan benefits.
· Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.
· Assists members in accessing social services such as community-based resources for housing, food, employment, etc.
· Provides outreach to locate and/or provide support for disconnected members with special needs.
· Conducts research with available data to locate members has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.)
· Participates in ongoing or project-based activities that may require extensive member outreach (telephonically
REQUIRED EDUCATION:
HS Diploma/GED
REQUIRED EXPERIENCE:
- Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
- Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
PREFERRED EDUCATION:
Associate's Degree in a health care related field (e.g., nutrition, counseling, social work).
PREFERRED EXPERIENCE:
- Chinese based on community need.
- Familiarity with healthcare systems a plus.
- Knowledge of community-specific culture.
- Experience with or knowledge of health care basics, community resources, social services, and/or health education.
Pay Range: $23 - $27 an hour
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Type: Full-time
Pay: $23.00 - $27.00 per hour
Benefits:
- Health insurance
- Paid time off
Medical specialties:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- HealthCare: 1 year (Preferred)
Language:
License/Certification:
- work authorization (Preferred)
- Driver's License (Preferred)
Work Location: In person