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Job Description
For immediate consideration, please submit your resume to: jfulton@medicatg.com
Title:
Case Management Coordinator Location:
Montebello, CA.
Term:
Temporary, 4 months
Schedule:
Hybrid (On-site on Mondays only ) M/F 8:00 am - 5:00 pm Pay range: $24 - $26hr
Minimum Requirements:
High School Diploma or equivalent required. Prior experience working in a clinic/health care call center. Minimum 2 years of experience working in a health care environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. Prefer experience in a managed health care environment, preferably IPA, HMO, or Health Plan. Prefer experience working with an ethnically diverse population. Bilingual Spanish or Vietnamese is required
Essential Job Functions:
1. Input data into the case management system to ensure timely care coordination and outreach. 2. Verifies member benefits and eligibility upon receipt of care coordination and/or case management. 3. Utilizes DOFR and/or delegation agreements to drive decision-making. 4. Coordinates and assists with patient appointments, transportation, and/or community resources. 5. Has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. 6. Completes applicable patient assessments. 7. Completes problem solving and coordination for patients in collaboration with case manager. 8. Outreach to patients to verify that needs are being met and services are being delivered.
INDMED Job Type:
Temporary Pay:
$24.00 - $26.00 per hour
Benefits:
Dental insurance Health insurance Vision insurance Application Question(s): Are you bilingual in Spanish or Vietnamese? Are you comfortable commuting to
Montebello, CA Experience:
knowledge of prior authoriation: 2 years (Required) manage care environment (IPA or HMO): 1 year (Required)