- Location
- Bakersfield, CA
- Workplace
- Onsite
- Department
- Management
- Experience
- 3+ years
- Education
- High School
- Source
- Paylocity
Description
Description
Location: Bakersfield, CA. (Onsite)
Classification: Full-Time
This position is non-exempt and will be paid on an hourly basis.
Schedule:
Monday- Universal Healthcare MSO's standard operating hours are Monday through Friday, from 8:00 a.m. to 5:00 p.m. Pacific Time. Unless otherwise specified, all employees are expected to work their assigned schedules and remain available during these operational hours.
Benefits:
· Medical
· Dental
· Vision
· Paid Time Off (PTO)
· Floating Holiday
· Simple IRA Plan with a 3% Employer Contribution
· Employer Paid Life Insurance
· Employee Assistance Program
Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $21.31 and $26.63. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.
Position Summary:
The Case Management Assistant- Transitional Care Services (TCS) provides support for the Case Management Department, including the Nurse Case Managers and Social Services team specifically through the coordination of services within the Enhanced Care Management (ECM) Program specific to transitional care services. The Case Management Assistant will provide support by assisting in managing members who are undergoing transitions from various care settings, including ER visits, acute care admissions, post-acute care admissions, incarcerations, and other ECM-recognized transitional care settings. The Case Management Assistant TCS will assist in enhanced care coordination activities, monitor members, report findings, and gather clinical information from outside sources. The ECM Program addresses the clinical and nonclinical needs of members with the most complex medical and social needs through systematic coordination of services and comprehensive care management. ECM is intended to service those with chronic health conditions, are homeless or at-risk, with high hospital admissions, substance abuse, and/or behavioral health needs. This position requires strong interpersonal and organizational skills to build rapport with members, coordinate referrals, and care amongst various healthcare providers and community services. The Case Management Assistant TCS also collaborates with the member’s inter-disciplinary team (ICT) supporting the member, while engaging the member and their support systems to define priorities that are central to the member’s desired needs and goals.
Requirements
Qualifications
• Education: Education: High School diploma or GED required.
• Minimum of 3 years of experience working in a health care or community health setting.
• Advanced knowledge of prior authorization or case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.
• Experience in a managed health care environment preferred (IPA, HMO, or Health Plan).
• Medical Assistant or Community Health Worker certification preferred.
Knowledge and Skills
• Ability to respect the needs of members, support givers, team members, and others, and provide excellent customer service.
• Willingness to collaborate as part of a team with professionals at all levels to achieve goals and remove barriers to member health.
• Sensitivity to members' social, cultural, language, physical, and financial differences.
• Ability to work with members and influence behavior through negotiation of care goals and support of member self-management.
• Strong critical thinking skills and ability to identify issues and propose solutions.
• Ability to prioritize tasks based on changes in member situations and needs.
• Ability to work independently, organize and prioritize multiple tasks throughout the day.
• Strong attention to detail and ability to be accurate, thorough, and persistent in problem solving and task completion.
• Excellent verbal and written communication skills, with the ability to communicate effectively with all levels of the organization and members.
• Proficiency in creating professional documents with proper grammar and punctuation.
• Ability to maintain professionalism and adapt to a changing environment.
• Ability to understand and communicate complex health and benefit information.
• Proficient in the use of common office technology, including electronic Case Management systems.
• Reliable in attendance and adherence to work schedule and business dress code.
• Ability to always maintain strict confidentiality.
Other Requirements:
• Possession of valid driver’s license
• Proof of state-required auto liability insurance.
