Senior Care Advocate II
About The Position
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview 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, with a preference for experience in the healthcare field.
- 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 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
- Assist the PACE IDT in coordinating essential PACE services
- 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
- Process involuntary disenrollments
- Facilitate on-site satisfaction surveys
- Actively engage in other center-wide participant experience activities
- Assist participants and families with linkage and referrals to community resources
- 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.
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
Mid Level
