Member Liaison Specialist (Behavioral Health)

CalOptima; Orange (CA); Remote; USD 49,000 - 70,000; Full time

Job summary

An established industry player is looking for a dedicated Member Liaison Specialist in Behavioral Health to enhance member support in a call center environment. This role involves assisting Medi-Cal and OneCare members with their behavioral health needs, securing appointments, and providing vital information. The ideal candidate will thrive in a fast-paced setting, demonstrating strong communication and organizational skills. Join a team committed to improving community health and making a real difference in the lives of individuals. If you are passionate about behavioral health and community service, this opportunity is perfect for you.

Benefits

Health Insurance

Paid Time Off

Flexible Scheduling

Telework Options

Retirement Plans

Wellness Programs

Qualifications

• 2+ years in behavioral health or community service required.
• Clear communication skills and ability to build rapport.

Responsibilities

• Assist members with behavioral health care management needs.
• Coordinate services among members, providers, and community agencies.

Skills

Behavioral Health

Communication Skills

Organizational Skills

Problem-Solving Skills

Project Management

Bilingual (English and other languages)

Education

High School Diploma or Equivalent

Bachelor's Degree in Behavioral Health

Tools

Microsoft Office

Job description

Join to apply for the Member Liaison Specialist (Behavioral Health) role at CalOptima.

Member Liaison Specialist (Behavioral Health)
CalOptima

CalOptima Health is seeking a highly motivated and experienced Member Liaison Specialist (Behavioral Health) to join our team. The incumbent will assist Medi-Cal and OneCare members with behavioral health care management needs in a call center environment. Responsibilities include securing behavioral health appointments, following up with members, providing information, referring to community resources, and helping members navigate the behavioral health system of care. The role acts as a liaison to coordinate services among members, providers, and community agencies, and participates in behavioral health initiatives and projects.

Position Details

• Department: BHI - Call Center
• Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.48/hr)
• Work Arrangement: Full Telework (California-based)

Responsibilities

1. Program Support (80%)

• Participate in a member-focused, high-quality performance culture.
• Support members with short-term care management and behavioral health appointments.
• Coordinate behavioral health needs within and outside CalOptima.
• Communicate with members, caregivers, and providers to facilitate linkage to services.
• Document cases in the Medical Management system.
• Initiate referrals to care management and community agencies.

Administrative Support (15%)

• Assist the team with department responsibilities and support departmental goals.
• Maintain a network of community resources for member referrals.

Other Duties (5%)

• Complete additional projects and duties as assigned.

Minimum Qualifications

• High School diploma or equivalent + 2 years in behavioral health, community service, or social services; or equivalent experience.
• Access to transportation for approximately 5% of work time.

Preferred Qualifications

• Bachelor's degree in behavioral health or related field.
• Experience with HMO, Medi-Cal, Medicare, or health services.
• Bilingual in English and one of the following languages: Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese.

Knowledge & Abilities

• Ability to build rapport and maintain effective relationships.
• Work independently with sound judgment.
• Clear communication skills, both oral and written.
• Flexible schedule, including evenings and weekends.
• Strong organizational, analytical, problem-solving, and project management skills.
• Ability to work in a fast-paced environment and manage multiple projects.
• Proficiency in Microsoft Office and relevant systems.

Physical & Work Environment

See original for detailed physical requirements and environment descriptions, including remote, clinical, and community settings.

About CalOptima

CalOptima Health is Orange County’s largest health plan, serving one in four residents. We are committed to diversity, inclusion, and community health. Recognized as a top workplace, we foster a culture of respect and collaboration.

Benefits & Application Info

We offer comprehensive benefits, including retirement plans, health insurance, paid time off, flexible scheduling, telework options, and wellness programs. Applications are accepted continuously until filled, with the first review scheduled for April 23, 2025. Candidates will undergo background checks and medical exams. Apply at: https://jobs.caloptima.org/jobs/member-liaison-specialist-behavioral-health-505-city-parkway-west-california-united-states-bdef01bd-e66c-4a61-9247-9f1f8706908c.