Bilingual Community Health Navigator II - Field-Based

Automatic Data Processing, Inc.; San Francisco (CA); Ibrido; USD 34.000 - 41.000; Tempo pieno

Descrizione del lavoro

MedZed in San Francisco is seeking a Community Health Navigator II. This full-time, in-field role combines hybrid/remote work to enroll and engage high-acuity Medicaid members, with substantial travel to meet members where they live.

As an ECM care manager, you’ll conduct assessments, develop care plans, and document in Salesforce Health Cloud while ensuring CalAIM and DHCS compliance. The position emphasizes outreach by phone and in person, with a minimum 12-month CHN II assignment.

Competenze

• 2+ years’ experience in ECM, case management, or community health.
• Demonstrated excellence in documentation and compliance.
• Ability to manage complex psychosocial and medical needs.
• Curious and relentless nature.
• Commitment to do outreach via phone and in-person to enroll new members.
• Serve as a CHN II for a minimum of 12 months.
• Maintain engagement, outreach, panel size, and quality metrics for at least six consecutive months.
• Be in good standing with no active corrective action.

Mansioni

• Manage an ECM caseload up to 50+ members.
• Complete initial and follow-up ECM assessments including Primary, Secondary, PHQ-9, and required reassessments.
• Support development and updates of individualized Care Plans
• Calls, field visits, and door knock to provide care and enroll new members.
• Build and maintain a member panel through consistent outreach.
• Coordinate referrals to health plans, providers, and community-based resources.
• Staff tables and other community partnership opportunities as requested.
• Document timely, accurate, and compliant case notes in Salesforce Health Cloud and health plan portals, as necessary.
• Participate in interdisciplinary case conferences and team huddles
• Escalate complex or high-risk member needs appropriately.
• Maintain compliance with CalAIM, DHCS, and health plan requirements.
• Meet outreach, engagement, and documentation standards.
• Attend required training and professional development.
• Support audit readiness and data tracking activities.
• Comply with all company policies and administrative requirements

Conoscenze

ECM

Case management

Documentation

Compliance

Community health

Formazione

High School Diploma

Descrizione del lavoro

MedZed in San Francisco is seeking a Community Health Navigator II. This full-time, in-field role combines hybrid/remote work to enroll and engage high-acuity Medicaid members, with substantial travel to meet members where they live.

As an ECM care manager, you’ll conduct assessments, develop care plans, and document in Salesforce Health Cloud while ensuring CalAIM and DHCS compliance. The position emphasizes outreach by phone and in person, with a minimum 12-month CHN II assignment.