Job Title: Care Worker
Job Location: CA (remote)
Job Duration: 6 Months – Temp to Possible Hire
Shift - Standard Hours: - M-F between 830am to 5pm
Top 3 Must-Haves (Hard Skills)
- Proficient in Microsoft (Word, Excel, Outlook, Excel)
- Public Outreach experience
Must-Haves (Soft Skills)
Must have excellent written /verbal skills
Organized, time management
Nice-To-Haves (Soft Skills)
independent worker
Degree Requirements:
Associates (Preferred), High school diploma or GED required
How many years of experience are you looking for?
1+ years of experience
Interview process:
What is your general process when interviewing potential candidates? (Phone, in person, Skype)
• Zoom call and HR screening
Will there be anyone else involved in the interview process?
• Manager
Testing samples may be given on computer literacy.
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. Our hours of operation are 8:30 am – 5:00 pm Monday – Friday Pacific Standard Time.
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 enrolees and providers.
- Participates in operational activities, including data collection, tracking, and analysis.
- Experience in a managed care environment, integrated medical and behavioural 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)
Team & work environment:
Can you give me a brief overview of what the team does and how this role fits into the team?
- Position is for the appointment search team
- Help members find Outpatient providers (psychiatrist/Therapists)
So that suppliers can paint a good picture to candidates, can you walk me through what a typical day might look like?
- Make outbound calls to various providers in California, coordinate with members and provide scheduling assistance.
