Posted in Other about 2 hours ago.
Location: Commerce, California
Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
Job Overview
The Medicare Services Coordinator for senior members will provide member-centric services to newly enrolled members of senior plans to increase retention and engagement. The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 90 days following enrollment including making welcome calls, explaining and providing coordination of the health plan benefits and services available; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and ensuring the member more easily accesses needed care with minimal barriers. This position will require coordination of services required by regulation such as Health Risk Assessment/Medicare Health Assessment, identification of problem areas or concerns, appropriate interventions/services to be arranged, any additional plan specific requirements and maintaining a comprehensive and progressive record of all coordination activities including need for escalating problems or issues. Responsibilities include liaising with providers and staff responsible for coordinating follow up and ensuring systematic check-ins with the member during the onboarding process. This position will require providing warm hand-offs with assistance services and identifying opportunities to improve efficiencies and customer service. The Medicare Services Coordinator ensures the best member experience possible from beginning to end.
Minimum Requirements
1. High School diploma or equivalent required.
2. 3 years’ experience working in a healthcare customer service/ care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare and other government and commercial programs. Bachelor’s in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable.
3. Minimum 3 years of experience in a managed health care environment, preferably IPA, HMO, or Health Plan preferred in addition to experience working with an ethnically diverse population.
4. Bilingual English/Spanish preferred.
Compensation
$24.00 - $28.15 hourlyCompensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.
We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.
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