Medi-Cal Assessment Coordinator (52121)

WESTCARE INC • Fresno, CA

4d • $26 - $30 • Onsite

About The Position

The Medi-Cal Assessment Coordinator is responsible for ensuring that participants enrolled in the program receive timely assessment, enrollment assistance, and connection to Medi-Cal and other healthcare benefits necessary to support successful community reentry. This position serves as the liaison between participants, Managed Care Plans (MCPs), County Behavioral Health, healthcare providers, correctional partners, and community agencies to facilitate continuity of medical and behavioral health services upon release from incarceration.

Requirements

• Experience working with justice-involved populations preferred.
• Experience working within behavioral health or substance use treatment settings preferred.
• Experience coordinating healthcare services across multiple systems strongly preferred.
• Strong interpersonal and motivational engagement skills.
• Ability to maintain professional boundaries in correctional and community-based settings.
• Excellent written and verbal communication skills.
• Professional appearance and demeanor.
• Ability to obtain and maintain clearance from California Department of Corrections and Rehabilitation (CDCR).
• Valid driver’s license and ability to obtain and maintain WestCare’s vehicle insurance is required.
• CPR Certification, First Aid Certification, and an annual Tuberculosis test.
• Minimum of two (2) years of experience in Medi-Cal eligibility, healthcare navigation, benefits coordination, case management, behavioral health, or community health.
• Highschool diploma or its’ equivalent is required.

Nice To Haves

• Bachelor’s degree in Social Work, Public Health, Healthcare Administration, Counseling, or related field is strongly preferred.

Responsibilities

• Conduct comprehensive assessments to identify participants' healthcare, behavioral health, and Medi-Cal eligibility needs.
• Develop healthcare access plans that support successful community reentry and integrate with individualized service plans.
• Coordinate access to medical, behavioral health, substance use disorder treatment, and other healthcare services based on participant needs.
• Assist participants with Medi-Cal enrollment, reinstatement, renewal, and eligibility verification.
• Coordinate Managed Care Plan selection, primary care assignment, and referrals to appropriate healthcare providers.
• Monitor enrollment status and resolve barriers that may delay access to healthcare services.
• Serve as the liaison between participants, CDCR staff, Managed Care Plans, County Behavioral Health, healthcare providers, and community partners to ensure continuity of care.
• Participate in multidisciplinary case reviews and collaborate with program staff to support participant treatment and reentry goals.
• Maintain timely, accurate, and complete documentation of assessments, referrals, enrollment activities, and participant progress in accordance with CDCR, Medi-Cal, HIPAA, and organizational requirements.
• Assist with program reporting, quality assurance activities, and contract compliance efforts.
• Educate participants on available healthcare benefits, preventive care, and community resources to promote long-term health and self-sufficiency.
• Advocate for participants by identifying and addressing barriers to healthcare access and service engagement.
• Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation.
• Perform all other duties as assigned.

Benefits

• During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED