What are the responsibilities and job description for the Managed Care Outreach Specialist position at Pacific Clinics?
PROGRAM DESCRIPTION :
Enhanced Care Management (ECM) is a program within a far-reaching, multiyear plan to transform California's Medi-Cal system, known as California Advancing and Innovating Medi-Cal (CalAIM). Led by California's Department of Health Care Services, the goal of CalAIM is to help integrate Medi-Cal more seamlessly with other social services and help improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. Customers enrolled in the ECM program receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. ECM makes it easier for customers to get the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor’s office or hospital. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated care in our state!
Who We Are
Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and support. Our team of more than , employees speaks languages. They are dedicated to offering hope and unlocking the full potential of individuals and families through culturally responsive, trauma-informed, research-based services for individuals and families from birth to older adults.
Who We Serve
Pacific Clinics serves children, transitional age youth, families, adults, and older adults. We offer a full range of mental and behavioral health services, foster care and social services, housing, continuing adult education and early childhood education programs to Medi-Cal-eligible individuals and families throughout Alameda, Contra Costa, Fresno, Kings, Los Angeles, Madera, Orange, Placer, Riverside, Sacramento, San Bernardino, San Francisco, Santa Clara, Solano, Stanislaus, Stockton, Tulare and Ventura Counties.
Compensation We Offer
- The initial compensation for this position ranges from $ $ / per hour.
- Salary is dependent on commensurate experience above the minimum qualifications for the role and internal equity considerations.
- The salary may also vary if you reside in a different location than the location posted.
- Bilingual Differential for qualified positions
Benefits We Offer
JOB SUMMARY
Works within the vision, mission, and philosophy of the agency. Report to the CPM or Program Administrator and support them in administration functions of the program. This position plays a critical role engaging potential customers in managed-care and similar programs (, CCBHC). Must be adept in a fast-paced environment with high-volume referrals.
RESPONSIBILITIES AND DUTIES
Administrative
Shared Services Coordination
Finance / Billing (UM)
Quality Assurance
OTHER DUTIES AND RESPONSIBILITIES
JOB SPECIFIC COMPETENCIES
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. All employees are responsible for keeping job requirements up to date. This can include but are not limited to certifications, licensure, and maintaining a clear criminal record.
MINIMUM EDUCATION AND / OR EXPERIENCE
Equal Opportunity Employer ___________________________________________________________________________________________________________________________________________________
We will consider for employment qualified Applicants with Criminal Histories in a manner consistent with ordinance (a) and San Francisco Police Code, Article . Section .
