Wellness Guide

Partnership HealthPlan of California•Fairfield, CA

12d•$29 - $34

About The Position

This position provides support and guidance to Partnership HealthPlan of California (Partnership) members for wellness services and incentive programs in a call-center environment. The Wellness Guide works closely with members and their families to encourage members to engage in healthy activities (including preventative care visits and chronic care management), remind members of available benefits, and connect members to available internal and external resources.

Requirements

High school diploma or equivalent combination of experience and education required; associate’s or bachelor’s degree preferred.
Two (2) years of experience working in a health care setting recommended, to include experience in health coaching, behavioral change, or any work experience, training or specialized education that would likely provide the ability to perform the essential functions of the position.
Ability to use good judgment, take personal initiative, and use discretion in performing job responsibilities.
Attention to detail and accuracy.
Basic knowledge of medical terminology and coding.
Ability to listen actively and practice motivational interviewing.
Ability to use computer software for word processing, spreadsheets, and email, operating multiple computer programs simultaneously.
Ability to function effectively with frequent interruptions and direction from multiple team members.
Ability to work in an environment with diverse individuals and groups.
Ability to establish collaborative relationships.
Ability to work autonomously within a team setting.
Ability to prioritize workload and initiate action to acquire needed information from professionals by phone.
Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees.
Models appropriate behavior for department.
Ability to work effectively with Medi-Cal and other special needs populations.
Ability to work with ethnically and culturally diverse populations.
Ability to maintain positive, cooperative relationships with the community, professional groups, public officials, and agencies, and represent the department with professionalism.
Ability to manage multiple tasks.

Nice To Haves

Preference may be given to individuals certified and/or licensed in a health-related field.
Bilingual skills in a Partnership threshold language preferred.

Responsibilities

Performs wellness campaign outreach activities for assigned membership/campaigns.
Provides members with information about benefits supporting member wellness and helps members schedule appointments for wellness services.
Engages members to discuss wellness programs and health screening opportunities.
Maintains active caseload and call volume appropriate to the acuity of the outreach campaign.
Appropriately screens members and refers to community resources, providers, and additional Partnership resources and programs (Healthy Living programs, Case Management support) in accordance with department guidelines.
Conducts targeted assessments to encourage members to remain healthy and to support campaign goals.
Initiates and processes referrals to appropriate Care Coordination programs in accordance with Partnership policies.
Completes timely and accurate documentation in appropriate systems in accordance with department policies.
Responds to member queries on the ACD telephone line, determines call urgency, and routes calls appropriately.
Provides excellent customer service and communicates with others in accordance with Partnership standards and expectations.
Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees.
Responds to inquiries in a timely manner.
Connects members to wellness services and community resources, as appropriate.
Exhibits high professional standards as outlined in Partnership's Code of Conduct.
Provides support and assistance to Wellness Guide staff, as needed.
Collaborates with internal Partnership departments to resolve issues.
Attends required meetings and trainings in-person, when assigned.
Provides periodic coverage during vacations or sick time for Wellness Guide staff as needed within assigned team.
Performs other duties as assigned by the direct supervisor, including the assumption of new duties.