Integrated Care Program Specialist

This role is responsible for providing lead administrative support and assistance to the Integrated Care Management team. Primary focus is responding to integrated care management requests, data entry of medical records, data reporting, member screening and outreach, maintenance of tracking census and reports, and assistance in linking members to appropriate benefits and services.

Position overview

• Process ICM Care Management team requests for member outreach, screening, education, referrals and follow ups.
• Maintain and update the ICM Resource Guide, job aids, workflows, and other program materials to support ICM operations.
• Maintain daily oversight of ICM SDP tickets via maintenance of ICM fax folders, emails and phone requests.
• Assist members with appointments for specialists, educational classes, and transportation.
• Work with healthcare providers to coordinate and share plans of treatment.
• Perform data entry and data reporting and maintain updates for member information in ICM case management system.
• Support with onboarding of all new hire ICM staff.
• Assist ICM staff with meeting the care coordination needs of members.
• Develop tracking reports related to census, program and service monitoring and utilization.
• Participate in team meetings taking meeting minutes as needed.

Requirements

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

Education and experience

• High school diploma or GED required.
• College level courses in health care, 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 or Licensed Vocational Nurse is a plus.
• At least one year of direct Care Coordination experience.

Knowledge of:

• Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.
• Care management, Medi-Cal, and Medicare benefits as well as the complexities of working with the elderly and disabled population.
• Community resources.

Ability to:

• Work cooperatively with others.
• Work as part of a team and support team decisions.
• Communicate effectively, both verbally and in writing.
• Adapt to changes in requirements/priorities for daily and specialized tasks.
• Work cooperatively with others.
• Work as part of a team and support team decisions.
• Communicate effectively, both verbally and in writing.
• Adapt to changes in requirements/priorities for daily and specialized tasks.

Skills:

• Bilingual skills highly preferred, particularly Spanish, Tagalog or Chinese.

Salary and benefits

The starting salary range is $27.54-$34.83 per hour, depending on the candidate’s work experience.

Excellent benefits package includes:

• HPSM-paid premiums for employee’s medical, dental and vision coverage (employee pays 10% of each dependent’s premiums)
• Fully paid life, AD&D and LTD insurance
• Retirement plan (HPSM contributes equivalent of 10% of annual compensation)
• 12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year
• Tuition reimbursement plan
• Employee wellness program

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.