Care Worker
Careers Integrated Resources Inc
Care Worker
Integrated Resources Inc.
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.
- 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.
Additional Information:
- All your information will be kept confidential according to EEO guidelines.
Vacancy posted 4 days ago
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