OVERVIEW:

Our client, a mutual benefit corporation headquartered in Oakland, providing health, dental, vision, Medicaid Clinical Support and Medicare healthcare service plans in California, seeks Clinical Support Coordinator.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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*** Location: Hybrid (San Diego, CA 92130)

*** Duration: 2-6 months assignment with possible conversion

IMPORTANT:

• This will be a Hybrid Role.

• Work Schedule: 9:00am-6:00pm Pacific Time (Mon- Fri).

• Client is entertaining California residents only **APPLY ACCORDINGLY**

WORK-FROM-HOME RELATED:

• Candidate MUST have high-speed wired internet connection. Wi-Fi / Wireless connections are not allowed.

• Candidate MUST have a reliable home-office environment.

RESPONSIBILITIES:

• Telephonic outreach to conduct the Health Risk Assessment (HRA) with the member.

• Telephonic outreach to members as directed by protocol or RN care manager or social worker.

• Assists with system letters, requests for information and data entry.

• Back up to phones when needed.

• Provides administrative/clerical support to medical and disease management programs.

• Acts as a liaison, gathers information, and track all patients referred to the care management programs.

• Assists in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.

• Documents all patient specific information in appropriate information systems.

• Assists in verifying health plan benefits and coordinating ambulatory services.

• Demonstrates cultural competence to work effectively, respectfully, and sensitively within the client’s cultural context.

• Assists with precepting responsibilities for new hires and auditing efforts.

QUALIFICATIONS / REQUIREMENTS:

• High School Diploma or equivalent

• A minimum of 1 year experience in a managed care environment.

• Candidate must have 3-5 years of experience handling inquiries regarding Health Insurance/Managed care (Commercial, Medicare, and Medi-Cal).

• Community resources and advocacy

• Bi-Lingual (Desired)

• Practice integration in a triad model of care. (Desired)

• Effective Time Management Skills would be a plus.

I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you are looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Recruiter Name: Sam Banga

Title: Senior Recruiter

Job Types: Full-time, Contract

Salary: $15.00 - $16.00 per hour

Benefits:

• 401(k)
• Health insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• San Diego, CA 92108: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Health Risk Assessment: 1 year (Required)
• Managed care: 1 year (Required)
• Health Insurances: 1 year (Preferred)

Work Location: Hybrid remote in San Diego, CA 92108

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