Coordinator - Health Plan
: Job Details :

Coordinator-Health Plan Job ID #1721625 | ShareAbout this Role The Behavioral Health Services Personal Care Coordinator is responsible for supporting and coordinating internal and external resources for members referred to case management programs for all lines of business in compliance with all applicable state and federal regulatory requirements, policies and procedures, and business requirementsJob details $36.00 / hour San Jose, CaliforniaNewProfession: Coordinator Facility Type: ??? Specialty: Health Plan Division: MedFi Start Date: 01/13/2025ApplyResponsibilitiesWork with case managers to assist members navigating the healthcare delivery system and home and community-based service to facilitate access related to medical, psychosocial and behavioral health benefits and services. Monitor and respond to inbound case management inquiries and referrals and escalate to clinical staff, as appropriate. Provide outreach to members to facilitate timely completion of Health Risk Assessments (HRA's) by telephone, mail or in person, as needed. Support the coordination of member care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers and other stakeholdersRequired QualificationsBachelor's Degree in a health related field or equivalent experience, training or coursework. Minimum three years of relevant experience in a healthcare or community setting providing care coordination of health and/or social services. Maintenance of a valid California driver's license and acceptable driving record Knowledge of Medicare and/or Medi-Cal benefits, community resources and principals of case management Knowledge of medical terminology.