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

IMPORTANT:

• This will be a HYBRID ROLE, 2-6 months assignment with possible conversion.

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

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

IMPORTANT REMOTE / WORK-FROM-HOME RELATED:

• Attendance Policy- Candidate must not miss any day during training period.

• 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

• Candidate must have 3-5 years of experience handling inquiries regarding Healthcare/ Health Plan/ Medi-Cal/Medicaid.

• Candidate must have previous background in engaging with Members/Clients/Patients.

• Must be proficient using software’s such as MS Word, Excel, Microsoft Outlook, Teams, Zoom.

• Must have excellent oral and written communication.

• 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: Jatin Rattan

Title: Senior Recruiter

Job Types: Full-time, Contract

Salary: $16.00 per hour

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)

Education:

• High school or equivalent (Required)

Work Location: Hybrid remote in San Diego, CA 92108

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