Health Plan Member Services Counselor

3 weeks ago


Martinez, United States Contra Costa County Full time
The Position


Bargaining Unit: Local 856 - Health Services Unit
CLOSING DATE: Open Until Filled

**RE-ANNOUNCEMENT**
Why Join Contra Costa Health?
The Contra Costa Health Services Department is recruiting for four (4) qualified candidates interested in the Health Plan Member Services Counselor positions assigned to the Contra Costa Health Plan (CCHP) located in Martinez, CA. Bilingual candidates, especially those fluent in Spanish and Mandarin, are strongly encouraged to apply.
 
The Health Plan Member Services Counselor will be responsible for assisting Health Plan members find solutions to issues, helping members understand the scope of available benefits and how to access healthcare delivery services, assisting members in choosing primary care providers, and educating members on the proper use of the Health Plan.
 

We are looking for someone who:
Is an excellent listener . Is able to focus on the member’s needs and present the best solution. Is patient with members who are upset and are able to de-escalate situations .  Is able to communicate effectively verbally and in writing.  Is able to positively adapt to changes within the unit.
What you will typically be responsible for:
Educating members on benefits and exclusions. Processing requests for Medi-Cal emergency disenrollment by following guidelines. Processing member interpreter request.  Identifying and conducting intake for complaints, grievances, appeals. Engaging the community in planning processes. 
A few reasons you might love this job:
The unit you will work in is a semi fast paced environment. Build rapport with members and assist them with their inquiries. Will acquire experience working in a Managed Care setting.
A few challenges you might face in this job :

Communicating with upset members. Some phone calls may become stressful due to the needs of the member.  Handling and resolving member issues in a timely manner.
Competencies Required:

Professional & Technical Expertise : Applying technical subject matter to the job Using Technology : Working with electronic hardware and software applications Action & Results Focused (Taking Initiative): Initiating tasks and focusing on accomplishment Adaptability : Responding positively to change and modifying behavior as the situation requires Attention to Detail : Focusing on the details of work content, work steps, and final work products Handling Stress : Maintaining emotional stability and self-control under pressure, challenge, or adversity Professional Integrity & Ethics : Displaying honesty, adherence to principles, and personal accountability Informing : Proactively obtaining and sharing information Listening : Fully comprehending spoken communication Writing : Communicating effectively in writing Customer Focus : Attending to the needs and expectations of customers Professional Impact : Presenting self as a positive representative of the organization

  • Martinez, United States County of Contra Costa, California Full time

    **The Position**: **Why Join Contra Costa County Health Services?** Here are several noteworthy accomplishments that CCHP gained recognition over the last 50 years: - California County Sponsored Medi-Cal Contract - Sponsored plan in the nation to have Medicare - Knox Keene Licensed Federally Qualified HMO - Only Medi-Cal Managed Care Plan integrated into a...

  • Behavior Technician

    4 days ago


    Martinez, United States Maxim Healthcare Services Full time

    JOB DESCRIPTION Salary: $22 - $26 / Hour Maxim Healthcare Services is hiring for a Behavioral Technician in Martinez, CA to work one-on-one with children with Autism. We will pay for all trainings to get you started! Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan ...


  • Martinez, United States Martinez Unified School District Full time

    About the Employer Martinez Unified School District operates as a Professional Learning Community that effectively uses data to inform instruction and is committed to providing an environment for 21st century teaching and learning. Together we will ensure diverse paths to support all students to be college and career ready, equipped to compete and contribute...


  • Martinez, United States Martinez Unified School District Full time

    About the Employer Martinez Unified School District operates as a Professional Learning Community that effectively uses data to inform instruction and is committed to providing an environment for 21st century teaching and learning. Together we will ensure diverse paths to support all students to be college and career ready, equipped to compete and contribute...

  • Behavior Technician

    3 weeks ago


    Martinez, United States Maxim Healthcare Services Full time

    #MAXABA **Salary**: $22 - $26 / Hour Maxim Healthcare Services is hiring for a Behavioral Technician in Martinez, CA to work one-on-one with children with Autism. We will pay for all trainings to get you started! **Why Join Maxim**: - Competitive Pay & Weekly Paychecks - Health, Dental, Vision, HSA and Life Insurance - Paid Time Off - 401(k) Savings...

  • Behavior Technician

    2 weeks ago


    Martinez, United States Maxim Healthcare Services Full time

    #MAXABA **Salary**: $22 - $26 / Hour Maxim Healthcare Services is hiring for a Behavioral Technician in Martinez, CA to work one-on-one with children with Autism. We will pay for all trainings to get you started! **Why Join Maxim**: - Competitive Pay & Weekly Paychecks - Health, Dental, Vision, HSA and Life Insurance - Paid Time Off - 401(k) Savings...

  • Behavior Technician

    1 week ago


    Martinez, United States Maxim Healthcare Services Full time

    #MAXABA **Salary**: $22 - $26 / Hour Maxim Healthcare Services is hiring for a Behavioral Technician in Martinez, CA to work one-on-one with children with Autism. We will pay for all trainings to get you started! **Why Join Maxim**: - Competitive Pay & Weekly Paychecks - Health, Dental, Vision, HSA and Life Insurance - Paid Time Off - 401(k) Savings...


  • Martinez, United States Kaiser Permanente Full time

    **Job Summary**: Serves as the Clinical Manager responsible for supervising the activities of the home/health/hospice agency. Monitors quality, service and utilization standards. Supervises the day-to-day clinical operational activities. Ensures compliance with federal, state, and local regulations. **Essential Responsibilities**: - Manages the day-to-day...


  • Martinez, United States swiftlysiri Full time

    Job Summary: We are seeking a highly skilled and experienced Health Services Administrator to oversee the operations of our healthcare facility. The Health Services Administrator will be responsible for managing the daily activities, ensuring quality care, and implementing effective systems and processes. This is a leadership role that requires strong...


  • Martinez, United States Mondelez International Full time

    Are You Ready to Make It Happen at Mondelēz International? Join our Mission to Lead the Future of Snacking. Make It Possible. You will be responsible for finite scheduling of SKUs on specific manufacturing assets. You will work with a supply planner to execute the master plan and make weekly adjustments to ensure product quantities are produced on time....

  • Health Technician

    2 weeks ago


    Martinez, United States US Veterans Health Administration Full time

    **Duties**: Primary responsibility is for patient care, supporting diagnostic and treatment procedures, patient charting and patient education, which do not require a full professional audiology education or knowledge and skills represented by audiology licensure. Support functions include both direct patient care and administrative duties. This position...


  • Martinez, United States Sutter Health Full time

    Sutter Health is seeking a Home Health Physical Therapist for a job in Martinez, California. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: Ongoing Employment Type: Staff We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Position Overview:...


  • Martinez, United States Thrive Support Services, Inc. Full time

    Job DescriptionJob DescriptionThrive Support Services is looking for a Supported Living Services (SLS) Case ManagerWHO ARE WE:Founded in 2007, Thrive Support Services aims to assist adults with developmental disabilities in thriving within their homes and chosen communities. Serving Alameda and Contra Costa County Areas, our consistent growth reflects our...


  • Martinez, United States Thrive Support Services, Inc. Full time

    Job DescriptionJob DescriptionThrive Support Services is looking for a Supported Living Services (SLS) Case ManagerWHO ARE WE:Founded in 2007, Thrive Support Services aims to assist adults with developmental disabilities in thriving within their homes and chosen communities. Serving Alameda and Contra Costa County Areas, our consistent growth reflects our...


  • Martinez, United States Thrive Support Services, Inc. Full time

    Job DescriptionJob DescriptionThrive Support Services is looking for a Supported Living Services (SLS) Case ManagerWHO ARE WE:Founded in 2007, Thrive Support Services aims to assist adults with developmental disabilities in thriving within their homes and chosen communities. Serving Alameda and Contra Costa County Areas, our consistent growth reflects our...


  • Martinez, United States TEKsystems Full time

    Description: Health Services Information Systems Programmer/Analyst Under general direction, performs information systems duties and responsibilities, which may involve the installation and maintenance of application software, data analysis and report development, provision of technical assistance to systems users, and other related duties as...


  • Martinez, California, United States TEKsystems Full time

    :Health Services Information Systems Programmer/AnalystUnder general direction, performs information systems duties and responsibilities, which may involve the installation and maintenance of application software, data analysis and report development, provision of technical assistance to systems users, and other related duties as required.Distinguishing...


  • Martinez, United States Sutter Health Full time

    Sutter Health is seeking a Home Health Speech Language Pathologist for a job in Martinez, California. Job Description & Requirements Specialty: Speech Language Pathologist Discipline: Therapy Start Date: ASAP Duration: Ongoing Employment Type: Staff We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay...


  • Martinez, California, United States Telecare Corp. Full time

    "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from TelecareWhat You Will Do to Change LivesThe Clinician Unlicensed provides mental health support services to members served and their families at the program. The Clinician also assists in...

  • Home Health Aide

    4 days ago


    Martinez, United States Kaiser Permanente Full time

    Job Summary: The Certified Home Health Aide (CHHA) is a member of the Home Health Team, providing direct patient care under the supervision of a case manager, reporting all changes in the patients condition to the case manager. Essential Responsibilities: Provision of Care Assisting patients with personal hygiene such as skin, mouth, hair care and...