Care Worker

Title: Care Worker

Duration: 4+ Months (Possibility of extension)

Location: CA Orange 92868

Shift: 8AM-430PM (could possibly need to fill in for the 1130AM-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.

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