Care Management Specialist II

Health Plan of San Mateo • Remote • 3w ago

Join HPSM as a Care Management Specialist II and play a key role in supporting our members’ health journeys! In this role, you’ll work closely with a multidisciplinary team to coordinate care, assist with health assessments, and create tailored care plans to ensure our members receive the best possible care. You’ll be a vital part of the team, helping to connect members with resources, specialists, and community support while promoting a collaborative approach to care.
We’re looking for someone with a passion for care coordination, experience in managed care, and strong communication skills. If you’re ready to be a positive force for change and provide person-centered care, this is the perfect opportunity for you!

Key Responsibilities

Independently manage care coordination requests, assess member needs, and facilitate appropriate interventions and follow-ups.
Administer Health Risk Assessments and prepare care plans for interdisciplinary team meetings.
Assist members with scheduling appointments, accessing specialists, educational resources, and transportation.
Collaborate with healthcare providers to coordinate and share treatment plans.
Maintain medical data, track census reports, and support Care Coordination staff with appointments, equipment, and social services.

Requirements
These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply.

Education & Experience: High school diploma or GED required; college-level courses in healthcare a plus. Minimum 3 years of managed care experience, preferably in Care Coordination, with at least 1 year of direct Care Coordination experience. Experience as a Medical Assistant or Licensed Vocational Nurse is a plus.
Knowledge: Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Access, PowerPoint). Familiarity with care management, Medi-Cal, Medicare, and community resources, especially for elderly and disabled populations.
Skills & Abilities: Strong communication skills (verbal and written), team collaboration, and adaptability to changing priorities. Bilingual skills (Spanish, Tagalog, or Chinese) preferred.

Outstanding Benefits Package Includes:

100% HPSM-paid medical, dental, and vision coverage for employees (dependents' premiums are 90% covered by HPSM).
Fully funded life insurance, AD&D, and long-term disability (LTD) coverage.
Generous retirement plan with HPSM contributing an equivalent to 10% of your annual salary.
Ample paid time off: 12 holidays, 12 sick days, and vacation starting at 16 days per year.
Tuition reimbursement to support your professional growth.
A robust employee wellness program to promote your well-being.

It is HPSM's policy to provide equal employment opportunity for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.