Client Services Specialist

CENTER FOR HUMAN SERVICES•Modesto, CA

1h•$21 - $22

About The Position

The Client Services Specialist plays a key role in supporting Medi-Cal members with complex needs through Enhanced Care Management (ECM), Community Supports, and other CHS programs/services. This position focuses on provider coordination, external referral management, and proactive outreach to eligible populations. The Outreach Specialist ensures that members are connected to the appropriate services by maintaining an up-to-date provider list from Managed Care Plans (MCPs) and fielding all incoming external referrals.

Requirements

Minimum of 1 year experience working with vulnerable populations or in the human services field.
Base knowledge of CalAim’s ECM, and Community Supports programs
Excellent verbal, written and interpersonal communication skills.
Demonstrated knowledge or ability to learn community resources, social service agencies and existing housing inventory.
Ability to collaborate with county, managed care plans and community service providers.
Pass agency paid criminal justice screening fingerprints.
Pass agency paid TB (Tuberculosis) screening.
Pass agency health screening or drug testing, if required.
Valid California Driver’s License and proof of valid auto insurance coverage, required.
Pass agency paid MVR clearance with no more than 2 points – if you are under the age of 25 our insurance company will not allow any points.
Represent the agency in a professional and competent manner.
Maintain strict confidentiality of client and billing information
Establish and maintain effective working relationships with insurance providers, clients, co-workers, and supervisors
Demonstrate thorough understanding of behavioral health service documentation requirements
Strong communication skills to collaborate with clinical and financial teams
Ability to maintain compliance with HIPAA and other healthcare billing regulation
Maintain confidentiality and confidential information in accordance with legal standards and/or agency regulations.
Participate in assigned scheduled agency meetings, in-service training, conferences, and other training as determined by the supervisor. This includes serving as an agency representative at assigned community meetings.
Observance of assigned working hours and program appointments by demonstrating promptness and thorough preparation.
Performance of assigned duties with a positive attitude and in the spirit of teamwork, collaboration, and cooperation.
Communicate effectively both orally and in writing.
Perform job duties in a safe manner to ensure a safe working environment for oneself and others.
Participates in and/or supports agency fund development activities and events.
Preparation of assigned reports, work records, statistical data, job performance evaluations, work plans, etc. in a timely manner.
CHS desires all leaders have competency in the following: Systems Thinker – Seeks to understand the big picture. Creative/Innovator – Can both embrace and bring forward new ideas. Empathic and Relational Leader – Inclusive and empowering of others. Embrace Emergence – Explorative, ability to embrace and anticipate the unexpected Boundary Spanner – Connect people across boundaries, extend past familiar territory, community builder.

Responsibilities

Conduct outbound outreach calls to Medi-Cal members identified as eligible for Enhanced Care Management (ECM) or Community Supports.
Engage members through various modes including in-person, phone calls, and other methods to explain ECM and Community Supports services, assess interest, and facilitate enrollment.
Assist members in completing referrals, gathering documentation, and ensuring all intake steps are completed.
Connect enrolled members to the appropriate Care Coordinator for ongoing care planning and support.
Prioritize outreach to high-need populations, including individuals experiencing homelessness, living with serious mental illness, substance use disorders, or complex chronic health conditions.
Conduct proactive outreach in diverse community settings including parks, parking lots, community events, and correctional facilities to engage individuals in need, build trust, and connect them with appropriate services and resources.
Receive, review, and triage external referrals for ECM and Community Supports services.
Assist with referral intake, including verifying eligibility and ensuring timely responses to referring providers or agencies.
Track referral progress and outcomes, following up as needed to ensure members are engaged and connected to services.
Maintain up-to-date ECM and Community Supports provider lists received from Managed Care Plans (MCPs).
Ensure internal systems reflect accurate provider information.
Serve as a liaison between providers, MCPs, and internal teams to streamline referral and enrollment processes.
Build and maintain relationships with community-based organizations, healthcare providers, shelters, clinics, and social service agencies to support referral pipelines.
Represent the organization at community events, resource fairs, and collaborative meetings to raise awareness about ECM and Community Supports programs.
Document all outreach activities, member interactions, referral outcomes, and provider updates in internal systems accurately and in a timely manner.
Identify and report trends, barriers to engagement, and gaps in provider availability to inform program improvements.
Perform other duties as assigned in support of program operations and organizational goals.