Relationship Establishment Specialist - Bilingual - Santa Cruz
Company: Titanium Healthcare
Location: Santa Cruz
Posted on: May 22, 2023
Job Description:
The Heart & Science of Healthcare. Titanium Healthcare uses its
depth of scientific processes and analytical capabilities to focus
on the patients who do not get the right support structures in the
current healthcare system and will deliver savings through reduced
hospitalizations, readmissions, utilization, and lower cost care
delivery platforms. Titanium Healthcare seeks risk relationships
with partners who desire to make material changes in the delivery
structure.
The following job description will cover the requirements and
expectations for the Relationship Establishment Specialist - Santa
Cruz position.
Job Title:Relationship Establishment Specialist
Reports to:Outreach Manager
Department:Call Center
DOL Status:Non-Exempt
Job Summary:Member facing role in Santa Cruz.
Position Responsibilities:
- Conduct in-person and telephonic outreach as needed to comply
with ECM guidelines.
- This position will require significant in-person outreach, with
an estimated time commitment of 50-80% of working hours spent on
fieldwork and face-to-face interactions.
- Meet members where they are during in-person outreach,
locations include but are not limited to the members home,
apartment, shelter, hospital, facility, etc.
- Follows established policies to outreach, enroll and exclude
members.
- Verify eligibility for enrollment in the Enhanced Care
Management program (ECM).
- Complete a referral to the ECM program when necessary.
- Conducts appropriate member assessments telephonically and/or
in-person.
- Complete necessary documentation and upload to our
EMR.
- Responsible for coordinating with individuals and/or entities
to ensure a seamless experience for the members and non-duplication
of services.
- Partners with healthcare professionals, community and social
support services, and other healthcare entities to locate
members.
- Communicates and collaborates with Lead Care Managers (LCMs),
regarding the members' progress and care needs.
- Identifies, coordinates, and follows-up on member referrals to
ensure continuity of care, and member needs are being met.
- Investigates and directs member inquiries or complaints to
appropriate staff members and follows up to ensure satisfactory
resolution.
- Follows established protocol around patients experiencing pain,
safety concerns and/or mental health concerns and creates safety
plans, if necessary.
- Recognizes signs of child and elder abuse and reports
appropriately to Child/Adult Protective Services.
- Understands and abides by all departmental and companywide
policies and procedures.
- Complies with all safety and injury prevention policies and
regulations.
- Performs other duties as assigned or required.
Position Requirements:
- Member facing role in Santa Cruz County and surrounding
counties.
- Language: Fluent in English and Spanish (written and
verbal).
- License/certification: Current and valid Driver's License and
proof of auto insurance.
- Skills required: Competent with computers, email, virtual
platforms, MS Excel, MS Word, MS PowerPoint, MS Outlook, and other
Microsoft Office based programs.
- Excellent verbal and written communication skills, including
the ability to convey and exchange information in a clear,
effective manner.
- Ability to work independently and carry out assignments to
completion within the parameters of established policies and
procedures.
- Ability to stand/walk for long periods of time
- Ability to lift/carry 10lbs
Preferences (not a requirement for the role):
- High School Diploma
- +1 year of experience as an outbound call center
representative.
- An equivalent combination of education and experience that
provides the skills, knowledge, and ability to perform the
essential job duties, and which meets any required state or federal
certification requirements.
- 1 year of experience in healthcare or social service
- Proficiency in EMR system
Keywords: Titanium Healthcare, Santa Cruz , Relationship Establishment Specialist - Bilingual - Santa Cruz, Other , Santa Cruz, California
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