Care Coordinator - Care Integration (Temporary)
About The Position
This is a temporary position and the length of assignment is estimated to go from February 2020 to July 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. Reporting to the Medicare Care Management Manager, this position: Supports the Care Integration team in coordinating care and facilitating access to Enhanced Care Management (ECM), Community Supports (CS), Dual Eligible Special Needs Plan (D-SNP), and other health care and social service activities for Alliance members Collaborates with internal departments, ECM/CS providers, and community agencies to promote efficient care coordination and support members across the care continuum Contributes to the effective operation and improvement of the Care Integration Unit and ECM/CS programs
Requirements
- Knowledge of: The principles and practices of managed health care and health care systems
- Knowledge of: The principles and practices of care coordination
- Knowledge of: The principles and practices of customer service
- Knowledge of: Windows-based PC systems and Microsoft Word and Outlook
- Knowledge of: Medi-Cal population
- Ability to: Quickly learn and understand the workings of the Alliance, particularly the Enhanced Health Services, Utilization Management, and Member Services departments
- Ability to: Communicate program mission, vision, and roles
- Ability to: Interpret, explain, and apply policies, procedures, and guidelines
- Ability to: Clearly, completely, and independently document, summarize, and resolve members' concerns and inquiries; and recognize those issues that require escalation to a higher level
- Ability to: Communicate effectively in writing and demonstrate proper grammar, spelling, punctuation, and formatting
- Education and Experience: High school diploma or equivalent
- Education and Experience: Three years of experience related to care coordination in a health care setting which involved interacting with members, patients, and providers in meeting their service needs (an Associate's degree in Health, Social Services, or a related field or current certification as a Medical Assistant may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying
Responsibilities
- Supports the Care Integration team in coordinating care and facilitating access to Enhanced Care Management (ECM), Community Supports (CS), Dual Eligible Special Needs Plan (D-SNP), and other health care and social service activities for Alliance members
- Collaborates with internal departments, ECM/CS providers, and community agencies to promote efficient care coordination and support members across the care continuum
- Contributes to the effective operation and improvement of the Care Integration Unit and ECM/CS programs
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
