Senior Care Advocate II
About The Position
As a member of the social work department, assist the PACE IDT in coordinating essential PACE services and promote participant satisfaction and retention through consistent, high-quality customer service skills. Lead efforts to support and address participant and family service questions, requests, complaints, appeals, and incident reporting. Ensure Medi-Cal and Medicare issues are effectively addressed via established workflows to promote prompt resolution. Responsibilities also include processing involuntary disenrollments, as well as facilitating on-site satisfaction surveys and actively engaging in other center-wide participant experience activities. Will assist participants and families with linkage and referrals to community resources and perform other case management activities as needed. Works collaboratively with MSWs and the interdisciplinary teams to achieve program and organizational goals while adhering to established state and federal regulations.
Requirements
- Bachelor’s degree in social work or another health or human services field required.
- A minimum of 2 years of customer service or case management experience is required.
- Knowledge of Medi-Cal, Medicare, and Social Security benefits is required, including application and renewal requirements, and related forms and documentation.
- BLS/First Aid certificate is required.
Nice To Haves
- Experience in the healthcare field is preferred.
- Experience in PACE or other healthcare settings serving the frail or elderly is preferred.
- Bilingual: Spanish/English, Chinese/English, or another second language is strongly preferred.
Responsibilities
- Coordinate essential PACE services.
- Promote participant satisfaction and retention through high-quality customer service.
- Support and address participant and family service questions, requests, complaints, appeals, and incident reporting.
- Ensure Medi-Cal and Medicare issues are effectively addressed via established workflows.
- Process involuntary disenrollments.
- Facilitate on-site satisfaction surveys.
- Engage in center-wide participant experience activities.
- Assist participants and families with linkage and referrals to community resources.
- Perform other case management activities as needed.
- Work collaboratively with MSWs and interdisciplinary teams to achieve program and organizational goals.
- Adhere to established state and federal regulations.
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Number of Employees
1-10 employees
