Job Description

ABOUT US: Our client is a community-based health plan dedicated to improving the health and well-being of the residents of the Bay Area. Working in partnership with providers and community organizations, they serve our neighbors through our Medi-Cal and Cal MediConnect health insurance plans JOB SUMMARY:

• Functions as a member of the care team by providing case management and coordination for clients
• Coordinate and assist in client scheduling
• Coordinate medical follow-up
• Under direction of medical staff, facilitate specialty referrals, including making necessary appointments and client contact
• Contact referral resources to ensure necessary reports are received at the center
• Handle client correspondence, as necessary
• Maintain client records and provide record transfers
• Maintain accurate statistical information including necessary logs and documentation to track client compliance with referrals and prepare reports
• Coordinate pre-visit planning
• Oversee outreach to new and existing patients
• Organize daily huddles and participate in team meetings
• Assist clinician during procedures when necessary
• Contribute to achieving health center productivity goals
• Uses clear and culturally sensitive language when communication with patients, staff, and outside providers

QUALIFICATIONS:

• Bachelor’s Degree in Health Sciences, Public Health, or Health Care or related field, or equivalent experience, training or coursework
• Minimum one year of experience working in a healthcare setting supporting QI and/or other related healthcare programs
• Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with undeserved populations
• Ability to pay attention to detail and work accurately
• Ability to form positive, professional relationships with internal and external stakeholders
• Ability to analyze data
• Critical thinking with the ability to look for gaps and ensure contractual requirements are being met by department programs

Company Description

We are in business to help healthcare providers do what they do best. Running a successful practice, hospital, care center, or clinic is not just about practicing medicine. It is also crucial to manage the business side of the overall operations. Efficiency is a top priority for today's healthcare organization. LMG Healthcare offers a full suite of services that support healthcare organizations of all shapes and sizes meet their operational and clinical objectives. We have worked with and have helped some of the most prominent organizations in the healthcare industry.