Enrollment - Care Coordinator Specialist

Unicare Community Health Center, Inc.•San Bernardino, CA

36d

About The Position

The Care Coordinator Specialist I provides program application assistance and enabling services for patients needing or requesting this type of help, under the direction of the Health Access Enrollment Manager. The CCS I provides comprehensive assessment of families and individuals needing healthcare coverage in a manner that is compassionate and sensitive to their needs. The CCS I assists eligible parties with the application process, conducts timely and thorough and assists the applicant to overcome barriers within the defined guidelines, duties and responsibilities. Provides individual and community orientation as to the availability of programs that assists the uninsured or underinsured to obtain healthcare coverage or other public programs and services. As directed, may participate in events, give presentations and conduct one-on-one orientation.

Requirements

High school diploma or GED required.
Two (2) to four (4) years field experience in the healthcare industry.
Two (2) to four (4) years experience in application assistance, case management or care coordination.
Bilingual in English/Spanish required.
Adhere to dress code, appearance is neat and clean.
Maintains all required certifications.
Maintains patient confidentiality at all times.
Report to work on time and as scheduled as attendance and punctuality is necessary.
Ability to work with a multidisciplinary team.
Ability to problem solve and be self-motivated.
Maintain regulatory requirements, including all state, federal and local regulations.
Represent the organization in a positive and professional manner at all times.
Comply with all organizational policies and standards regarding ethical business practices.
Communicate the mission, ethics and goals of the organization.
Must have excellent written and oral skills, strong organizational, problem solving and analytical skills.
Expected to have strong interpersonal skills, strong organizational, problem solving and analytical skills.
Able to work independently with little or no supervision.
Abides by organizational policies and procedures.
Excellent people skills, with an ability to partner with a dynamic leadership team.
Excellent and accurate communication skills, including verbal, written and telephone manner.
Possess personal qualities of integrity, credibility, and commitment to corporate mission.
Flexible and able to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities.
Maintain current knowledge of policies and procedures as they relate to safe work practices.
Follow all safety procedures and report unsafe conditions.
Ability to work with a diverse population.
Willing to work flexible hours, including evenings and weekends
Must have reliable transportation.
Must be self-directed and work productively with minimal supervision.
Ability to work effectively as a member of an interdisciplinary team
Demonstrated proficiency in using Microsoft applications such as Word, Excel, Access, Outlook

Nice To Haves

College education a plus.
CEC Certification preferred and required annual renewal once certified.
Knowledge of Electronic Health Records preferred.
Skilled in Microsoft Office Suite programs and use of business email.

Responsibilities

Demonstrates thorough knowledge of available public programs, including but not limited to Covered California, Medi-Cal, FamilyPACT, Every Women Counts, Sliding Fee, Presumptive Eligibility and others as available and applicable.
Thoroughly and accurately assesses low to moderate income families for eligibility and qualifications for public funded programs and other assistance. Promotes program application as an opportunity for healthcare coverage.
Able to accurately assess eligibility for the Sliding Fee program. May be required to assist with patient registration completion.
Provides application assistance for public programs. Demonstrates thorough knowledge of all software, practice management systems and program guidelines used to perform these functions.
Conducts appropriate and thorough follow-up of pending eligibility and conducts appropriate follow-up problem solving interventions. Supports program renewal processes and assists with completion of forms or document submission. Ensures utilization of services.
Assists applicants with completing the Health Plan Enrollment and the selection of a health plan and/or PCP. Helps patients with PCP transfers.
Troubleshoots problem cases and assists with communications to resolve any barriers. Communicates effectively with program representatives and/or eligibility workers to identify interventions that assist the applicant with completion of the process. Is able to conduct three-way phone calls efficiently and effectively as needed.
Demonstrates thorough knowledge and understanding of the health care system and services. Facilitates access to healthcare services by informing the applicant of their benefits and services available to them. Informs patients and the community of the importance of obtaining preventive health and facilitates appointment scheduling and assists with coordinating transportation as needed.
Efficiently and accurately documents all activities and interventions within the systems provided. Maintains an acceptable level of productivity.
Assist in processing referrals.
Assist in any other duties or responsibilities as assigned.