Member Engagement Specialist

🔥 1 hour ago

🌪️ Kansas, Nevada, +2 more states – Remote

🌪️ Kansas – Remote 🎰 Nevada – Remote 🏈 Ohio – Remote ☕ Washington – Remote

💵 $46k - $52k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Pacific Health Group

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2023

🏥 Healthcare

🧘 Wellness

🌍 Social Impact

Healthcare • Wellness • Social Impact

Pacific Health Group is a community-focused healthcare organization that delivers integrated medical, behavioral health, and social support services to improve the wellbeing of underserved populations. The organization provides enhanced care management for complex needs, behavioral health and substance-use treatment, community health worker outreach, street medicine for people experiencing homelessness, community support services (including housing assistance), and non-ambulatory medical transportation. Pacific Health Group partners with health plans and centers care on whole-person wellness, equity, and access across multiple locations.

📋 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.

🎯 Requirements

• 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.

🏖️ Benefits

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