Enhanced Care Management Coordinator
2 weeks ago
Position Overview:
The Enhanced Care Management Coordinator plays a pivotal role in the Integrated Care Management team, under the guidance of the department leadership. This position is essential in fostering effective collaboration and support for team activities aimed at enhancing the health and wellness of our members.
Key Responsibilities:
- Collaborate within an integrated team to assist members with their care coordination needs, including referrals to necessary resources.
- Support members in outreach efforts to secure housing and tenancy assistance.
- Assist the Enhanced Care Management team with essential administrative tasks to ensure optimal team functionality.
- Exemplify the highest ethical standards in interactions with colleagues, members, providers, and community partners.
- Promote a cooperative and productive work environment by employing evidence-based communication strategies, such as Motivational Interviewing, to facilitate task sharing and conflict resolution.
- Support the Nurse Care Manager and/or Behavioral Health Care Manager in implementing treatment plans and coordinating care, ensuring consultation with clinical team members for clinical actions.
- Establish and maintain positive relationships with providers through effective communication methods, including in-person, phone, and digital channels.
- Engage with members in a manner that fosters collaboration with their medical and behavioral health teams, enhancing their sense of control over their overall health.
- Commit to continuous quality improvement by participating in initiatives aimed at addressing healthcare quality metrics and enhancing team outcomes.
- Assist in coordinating access to medical and behavioral health services with primary care providers, specialists, and ancillary services.
- Facilitate continuity of care by ensuring necessary agreements are executed when appropriate.
- Ensure documentation is accurate and adheres to regulatory and accreditation standards.
- Participate in staff meetings and other relevant activities as required.
Commitment to Quality: The team is dedicated to achieving quality program goals, including HEDIS, CAHPS, and NCQA Accreditation.
Additional Benefits:
- CalPERS retirement plan
- 457(b) plan with matching contributions
- Generous paid time off including vacation, holidays, and sick leave
- On-site fitness center
- Comprehensive medical insurance with dental and vision coverage
- Paid life insurance with additional options available
- Short-term and long-term disability insurance options
- Pet care insurance
- Flexible Spending Accounts for healthcare and childcare
- Wellness programs promoting a healthy work-life balance
- Opportunities for career advancement and professional development
- Competitive salary with annual merit increases
- Team bonus opportunities
Qualifications:
- Minimum of two years of customer service experience in any environment, with a proven track record of effective teamwork and data entry skills.
- High school diploma or GED is required.
Key Qualifications:
- Valid California Driver's license and automobile insurance, with a driving record that meets company standards.
- Familiarity with evidence-based communication techniques, such as Motivational Interviewing.
- Understanding and sensitivity to multicultural communities.
- Awareness of mental health conditions and substance use disorders.
- Commitment to addressing biases and judgments that impact health outcomes.
- Bilingual proficiency in English and Spanish is preferred.
Embark on a fulfilling career path with us.
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