Pacific Health Group — медициналық көмек, мінез-құлық денсаулығы және әлеуметтік қолдау бағдарламаларын біріктіру арқылы медициналық қызметтер жеткіліксіз көрсетілетін халыққа қызмет ететін қоғамдастыққа бағытталған денсаулық сақтау ұйымы. Оның жұмысына күрделі қажеттіліктері бар адамдарға арналған кешенді күтімді басқару, мінез-құлық денсаулығы мен заттарды қолдану бұзылыстарын емдеу, қоғам денсаулығы қызметкерлерінің ақпараттық-түсіндіру жұмыстары, баспанасыздықты бастан өткеріп жүрген адамдарға арналған көшпелі медицина, тұрғын үйге қатысты қолдау және жүріп-тұруы шектеулі адамдарға медициналық тасымалдау қызметтері кіреді. Ұйым бірнеше жерде медициналық сақтандыру жоспарларымен және қоғамдастық серіктестерімен жұмыс істеп, денсаулықты, медициналық көмекке қолжетімділікті және теңдікті жақсартуға бағытталған адамды тұтас қарастыратын тәсілді ұстанады.
Senior Enhanced Care Management Lead Care Coordinator - California Hybrid
Lead care coordination for California members enrolled in Enhanced Care Management. Connect medical, behavioral health, and social services while overseeing a caseload of approximately 60–70 members.
Сипаттама
- Oversee a caseload of approximately 60–70 members
- Coordinate services across medical care, behavioral health, and community providers
- Record member activity in real time or by the end of each day in internal systems
- Create and oversee individualized care plans
- Arrange appointments, services, and provider follow-ups
- Help manage care transitions, including hospital discharges and referrals
- Build member trust through regular in-person engagement
- Advocate for prompt access to appropriate care, services, and resources
- Help members address housing, food, transportation, and behavioral health needs
- Represent Pacific Health Group at community events, through partnerships, and in local initiatives
- Develop and sustain relationships with community organizations, shelters, and local resource partners
- Find ways to strengthen community presence and improve member access to services
- Refer members to relevant local programs and services
- Recognize resource gaps and escalate issues when necessary
- Complete documentation accurately and on schedule
- Follow Medi-Cal, CalAIM, and Enhanced Care Management program requirements
- Provide administrative assistance across Pacific Health Group
- Coordinate work across departments and business units while assisting managers with ongoing tasks and cross-functional priorities
- Represent Pacific Health Group and its affiliates professionally when working with staff, visitors, vendors, partners, and community stakeholders
- Enter data accurately and maintain company databases, tracking tools, and internal platforms
- Organize and secure electronic files in line with company standards
- Create reports, spreadsheets, and presentations
- Collaborate with internal teams, providers, and community stakeholders
- Take part in case conferences and care coordination meetings
Талаптар
- Live in California
- Be willing and able to travel for field visits, outreach activities, training, meetings, and other business needs
- Be willing and able to provide coverage across multiple counties and service areas when required
- Preferably have 3–5 years of experience in case management, social services, or healthcare
- Preferably have experience with Medi-Cal, CalAIM, or Enhanced Care Management
- Experience with healthcare systems and community resources is advantageous
- Demonstrate strong communication, organizational, and time-management skills
- Be proficient with documentation systems and workplace technology
- Communicate effectively in both written and spoken English
- Hold a valid California driver’s license and active auto insurance that meets California requirements
- Successfully pass a background check, including an MVR review
- Successfully complete the required Testlify skills assessment
- Have a reliable working laptop for the first 21 days of employment until a company-issued laptop is provided
- Demonstrate effective time-management skills
- Have internet service with at least 300 Mbps download and 25 Mbps upload speeds
- Be comfortable using documentation systems, case management platforms, and communication tools
- Complete the pre-employment process, background check, required documentation, and new-hire paperwork as a condition of employment
Артықшылықтар
- $29.00–$32.00 per hour, depending on experience
- Monthly stipend and mileage reimbursement
- Paid time off and paid sick leave
- 11 paid holidays, including a birthday holiday and floating holiday
- Four paid volunteer hours per month
- Employer pays 90% of employee-only medical coverage
- Flexible Spending Account
- Short- and long-term disability coverage plus AD&D insurance
- Employee Assistance Program
- 401(k) plan with company match
- Quarterly in-person team events
- Personal equipment stipend for a reliable working laptop during the first 21 days of employment