Member Engagement Specialist

🕒 il y a 6 jours

🌪️ Kansas, Nevada, +2 états de plus – Distant

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💵 $46 000 - $52 000 / an

⏰ Temps Plein

🟢 Junior

🚫👨‍🎓 Aucun diplôme requis

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Pacific Health Group

Pacific Health Group

51 - 200 employés

Fondée en 2023

🏥 Santé

🧘 Bien-être

🌍 Impact social

Healthcare • Wellness • Social Impact

Pacific Health Group est une organisation de santé axée sur la communauté qui offre des services médicaux intégrés, de santé comportementale et de soutien social pour améliorer le bien-être des populations défavorisées. L'organisation offre une gestion des soins améliorée pour les besoins complexes, un traitement de santé comportementale et de l'usage de substances, des actions de sensibilisation des agents de santé communautaire, de la médecine de rue pour les personnes sans abri, des services de soutien communautaire (y compris l'assistance au logement) et un transport médical non ambulatoire. Pacific Health Group collabore avec des plans de santé et se concentre sur le bien-être global de la personne, l'équité, et l'accès à travers de nombreux sites.

Description

• Conduct outbound telephone outreach to prospective members referred by health plans, providers, hospitals, correctional facilities, community organizations, and other referral sources. • Educate prospective members on Enhanced Care Management (ECM) and other available Pacific Health Group services. • Build rapport and establish trust with members through compassionate, professional communication. • Complete member enrollments and obtain required consents and documentation. • Conduct follow-up outreach to members who are difficult to reach or have not yet enrolled. • Coordinate justice-involved member referrals and warm handoffs into ECM services. • Track referral status from receipt through enrollment and ensure timely follow-up. • Assist members with Medi-Cal applications, renewals, BenefitsCal applications, and public benefit navigation. • Educate members on healthcare, behavioral health, and community resources. • Identify and resolve barriers to enrollment or engagement; escalate urgent concerns when appropriate. • Collaborate with Lead Care Managers, health plans, providers, hospitals, correctional facilities, community organizations, and referral partners. • Ensure required documentation is complete before transferring members into active care management. • Maintain accurate, timely, confidential, HIPAA-compliant, and audit-ready documentation. • Represent Pacific Health Group at health fairs, community events, provider meetings, and outreach opportunities. • Promote ECM, Community Supports, and Pacific Health Group services and build referral-partner relationships.

🎯 Exigences

• High school diploma or equivalent required. • Associate's or Bachelor's degree in social work, public health, human services, healthcare administration, or a related field preferred. • Minimum of 1–2 years of experience in customer service, healthcare, member services, outreach, care coordination, insurance enrollment, call center operations, or a related field. • Excellent verbal communication and interpersonal skills. • Comfortable spending the majority of the workday conducting outbound member calls. • Strong organizational skills with the ability to manage multiple priorities. • Basic computer proficiency and ability to quickly learn new software platforms. • Valid driver's license and reliable transportation for occasional community events or meetings. • Experience working with Medi-Cal populations preferred. • Knowledge of Enhanced Care Management (ECM), Community Supports (CS), CalAIM, or managed care preferred. • Experience assisting with Medi-Cal or BenefitsCal applications preferred. • Bilingual in English and Spanish, Vietnamese, Mandarin, Russian, or another language commonly spoken within the communities served preferred. • Primarily office and telephone-based work with occasional travel to community events, meetings, and outreach activities. • Ability to occasionally travel throughout assigned service areas for outreach events and meetings. • Ability to lift up to 25 pounds of outreach materials or supplies as needed.

🏖️ Avantages

• 401(k) matching • Monthly Stipend • Dental insurance • Health insurance • Life insurance • Vision insurance • Paid time off + sick days

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