Care Worker

Care Worker

Title: Care Worker

Duration: 4+ Months (Possibility of extension)

Location: CA Orange 92868

Shift: 8AM-4:30PM (could possibly need to fill in for the 11:30AM-8PM shift as needed)

REQUIREMENTS:

• Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.
• 1-2 years' Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
• Associate's degree - PREFERRED

JOB SUMMARY:

• Facilitates department workflow by supporting clinical team with various care coordination workflows.
• Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.

ESSENTIAL FUNCTIONS:

• Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
• Trouble shoots 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.

Additional Information:

All your information will be kept confidential according to EEO guidelines.