Support Farsi-speaking patients over the phone and in-person to assist in completing forms (Registration and immigration forms in Farsi and English; CalOptima SHA forms, scheduling appointments, facilitating referral appointments, access to resources and understanding their plan of care.
Collaborates with the health plan and network care coordination staff to ensure timely communication of patients’ clinical information.
Guide patients in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal.
Assist with coordination of patients’ health care and social service needs both within and outside of the medical group and CalOptima.
Facilitate communication of initial care plan (ICP) to the primary care physician (PCP), CalOptima, patient and other members of the ICT.
Assist enrollee in meeting preventive care goals.
Assist enrollee with scheduling of appointments.
Initiate referrals to both internal and external care management departments and other department/government or community agencies.
Facilitate warm transfers to patient’s assigned case manager in accordance with patient needs, when appropriate.
Notify patient’s care team of care concerns.
Maintain accurate records and documentation.
Effectively interview patients to determine the strengths, problems, functional status, goals and need for specific services and resources.
Develop rapport, establish and maintain effective interpersonal relationships with internal and external contacts at all levels.
Work with network case management staff to expedite the resolution of patient concerns.
Remain knowledgeable of patients’ benefit structure.
Communicate effectively, both verbally and in writing with individuals from varying cultural and ethnic backgrounds.
Regular and consistent attendance.
Complies with all policies and procedures, including but not limited to HIPAA and Fraud, Waste and Abuse.
Other duties and responsibilities, not specifically described, maybe defined or assigned from time to time, consistent with knowledge, skills and abilities of the incumbent by management.