Member Liaison

Regal Medical Group•Los Angeles, CA

1d•$30 - $32•Onsite

About The Position

The Member Liaison acts as an advocate for high-risk members and helps patients understand and navigate the managed care system. The purpose of the Member Liaison role is to lower re-admission rates by: visiting members after they have returned home from the hospital to connect them to their interdisciplinary care team, collect valuable information, provide linkages to necessary resources and provide quality non-clinical services to members to facilitate their transition home.

Requirements

High School Diploma (required)
Minimum 2-3 years’ experience in healthcare or social service sectors
Excellent verbal and written communication skills in English
Proficient at Microsoft Office products
Ability to work independently in the field, while still meeting departmental deadlines and requirements
Valid driver’s license required

Nice To Haves

Bachelor’s degree (strongly preferred)
Bi-lingual (Spanish or Armenian) strongly preferred
Good Driving record preferred

Responsibilities

Conduct field-based visits to high-risk members during and following hospitalizations.
Educates members on navigating services within managed care and connects members to the resources they need internal and external to the medical group and the Member Advocate Program.
Maintains strong working knowledge of managed care and healthcare systems.
Build and maintain positive relationships with members to facilitate care management.
Connects the member to their assigned nurse case manager and pharmacist, as appropriate.
Presents and reviews pertinent health related information with member, including post-discharge instructions, urgent care options, and benefits information for members.
Assists assigned members with non-clinical post-discharge needs.
Assist patients with scheduling medical appointments and non-emergency medical transportation.
Maintains routine communications with members providing timely follow-up to ensure resolution of issues.
Provides clear and complete documentation of all visits.
Accurately captures information while in the member’s home and convey pertinent information to the Regal care team.
Administer basic, non-clinical assessments.
Conduct visits and member follow-up in adherence with Member Advocate Program guidelines, policies and protocols.
Supports complex members through ongoing support and visits in accordance with department protocols
Serves as a non-clinical resource for both members and internal stakeholders
Serve as a departmental resource for program-related needs and questions
All other duties as directed by management.