Care Worker

Contract: San Diego, California, US

Salary: $20.00 Per Hour

Job Code: 353878

End Date: 2024-10-16

Days Left: 26 days, 1 hours left

Position Details:      
Industry                       Healthcare Services
Job Title                       Care Worker 
Work Location              San Diego, CA - 92108
Duration                       6 Months   
PayRange                      $18 - 20/hr
 
 
Job Description:
  • Our role encompasses finding providers to accommodate our members needs for an appointment.
  • Our request can be submitted by Customer Service, Clinical or the Health Plan rep.  
  • We make attempts to locate a provider with availability as soon as possible.  
  • We are required to send out emails and make phone calls until we find someone who will meet the members' needs and has availability as soon as possible.  
  • We then communicate the information to the member via phone call, but we will email the information to the member if requested.  It is important that we share the information timely since providers do not hold the appointment slots.
  • We also help members schedule appointments when requested or if need to have a translator present at an appointment.  
Job Responsibilities:
  • Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. 
  • Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Has current knowledge or researches availability of community resources and services and link members to appropriate services. 
  • May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed. 
  • Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new Care Workers. 
  • Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers. Coordinates and manages distribution of correspondence and materials to enrollees and providers. 
  • Participates in operational activities, including data collection, tracking, and analysis. 
Responsibilities: 
  • Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management. 
  • Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources. 
  • For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required. 
Work Experience: Managed Care 
Education: Associates (Preferred)
 
Job Requirement
  • Customer service
  • Public outreach
  • MS office
  • Managed care
  • appointment scheduling
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Srividhya M
  • srividhya.m@collabera.com
Apply Now
Apply Now
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