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