Care Worker

Integrated Resources Inc.; San Diego (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading company seeks a Care Worker in San Diego to support clinical workflows and facilitate access to care. This role involves managing communications with providers and conducting data analysis. Candidates should have an Associate’s Degree, one year of experience in a managed care environment, and solid computer skills. A commitment to ongoing training and career progression is essential.

Qualifications

• 1 year experience in a managed care environment preferred.
• Proficient in Microsoft Office (Word, Excel, Outlook).

Responsibilities

• Facilitates department workflow supporting clinical team with care coordination.
• Locates community services for enrollees and arranges access to care.
• Participates in operational activities including data collection and analysis.

Skills

Computer skills

Utilization management

Case management

Health promotion

Education

Associate’s Degree

Bachelor's Degree

Tools

Microsoft Office

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

JOB SUMMARY:

Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.

ESSENTIAL FUNCTIONS:

• Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
• Trouble shoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
• Has current knowledge or researches availability of community resources and services and link members to appropriate services. May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.
• Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new Care Workers. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
• Coordinates and manages distribution of correspondence and materials to enrollees and providers.
• Participates in operational activities, including data collection, tracking, and analysis.
• Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
• Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.

Qualifications

• Associate’s Degree required / Bachelor's Degree preferred.
• 1 years’ experience in a managed care environment preferred.
• Computer skills are a must and have to be able to MICROSOFT OFFICE (Specifically WORD, EXCEL & OUTLOOK)- proficient with type proficiently.

Additional Information

All your information will be kept confidential according to EEO guidelines.