Care Management Specialist II

Health Plan of San Mateo • CA

120d

About The Position

Join HPSM as a Care Management Specialist II and play a key role in supporting our members’ health journeys! In this role, you’ll work closely with a multidisciplinary team to coordinate care, assist with health assessments, and create tailored care plans to ensure our members receive the best possible care. You’ll be a vital part of the team, helping to connect members with resources, specialists, and community support while promoting a collaborative approach to care. We’re looking for someone with a passion for care coordination, experience in managed care, and strong communication skills. If you’re ready to be a positive force for change and provide person-centered care, this is the perfect opportunity for you!

Requirements

• High school diploma or GED required; college-level courses in healthcare a plus.
• Minimum 3 years of managed care experience, preferably in Care Coordination, with at least 1 year of direct Care Coordination experience.
• Experience as a Medical Assistant or Licensed Vocational Nurse is a plus.
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Access, PowerPoint).
• Familiarity with care management, Medi-Cal, Medicare, and community resources, especially for elderly and disabled populations.
• Strong communication skills (verbal and written), team collaboration, and adaptability to changing priorities.
• Bilingual skills (Spanish, Tagalog, or Chinese) preferred.

Responsibilities

• Independently manage care coordination requests, assess member needs, and facilitate appropriate interventions and follow-ups.
• Administer Health Risk Assessments and prepare care plans for interdisciplinary team meetings.
• Assist members with scheduling appointments, accessing specialists, educational resources, and transportation.
• Collaborate with healthcare providers to coordinate and share treatment plans.
• Maintain medical data, track census reports, and support Care Coordination staff with appointments, equipment, and social services.

Benefits

• 100% HPSM-paid medical, dental, and vision coverage for employees (dependents' premiums are 90% covered by HPSM).
• Fully funded life insurance, AD&D, and long-term disability (LTD) coverage.
• Generous retirement plan with HPSM contributing an equivalent to 10% of your annual salary.
• Ample paid time off: 12 holidays, 12 sick days, and vacation starting at 16 days per year.
• Tuition reimbursement to support your professional growth.
• A robust employee wellness program to promote your well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees