Integrated Care Plan Program Coordinator
W2 Contract
Salary Range: $47,800 - $54,000 per year
Location: South San Francisco, CA - Hybrid Role
Job Summary:
As an Integrated Care Plan Program Coordinator, you will provide administrative support and assistance to the health insurance team, Integrated Care Management team, and the Clinical Oversight team. You will manage completed Health Risk Assessment (HRA) forms among the ICM team members responsible for completing Care Plans.
Duties and Responsibilities:
- Support data entry by entering Health Risks Assessments (HRA) received by mail into GlobalForms and update in other systems and applications, including CareStat Database, PSICapture (an advanced document capture software), and MHK.
- Work on "closed cases" in the "Pending ICM Queue" to the MedHOK (MHK) application. This task involves following the workflow outlined by ICM to get the case assigned to an ICM Model of Care (MOC) team member. The goal of this primary task is to clear the "ICM Pending Queue" Tab in CareStat Databased (CSDB) daily and assign a Care Manager to the case in MHK.
- Support the Care Plan Program Manager in testing and validating system updates in CareStat Database, GlobalForms, PSICapture, and MHK.
- Support the Member Assessment Unit (MAU) in special projects like HRA for members with significant changes in condition, etc.
- Perform other duties as assigned.
Requirements and Qualifications:
- High school diploma or GED required
- College-level courses in health care are a plus.
- One year of managed care experience, preferably in Care Coordination.
- Experience working with the health needs of the population served.
- Experience as a Medical assistant is a plus.
- At least one year of direct Care Coordination
- Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
- Care management, Medi-Cal, Medicare benefits, and the complexities of working with the elderly and disabled population.
- Bilingual skills are highly preferred, particularly in Spanish, Tagalog, or Chinese.
Desired Skills and Experience
Health Insurance, Health Risks Assessment, Integrated Care Management, care coordination, Medi-Cal, Medicare, MedHOK, Microsoft Office, Bilingual
Bayside Solutions, Inc. is not able to sponsor any candidates at this time. Additionally, candidates for this position must qualify as a W2 candidate.
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