Senior Care Navigator & PACE Advocate

AltaMed Health Services Corporation; Norwalk (CA); On-site; USD 78,894,000 - 92,611,000; Full time

Benefits offered by this job

Medical insurance

Dental and Vision insurance

403(b) Retirement plan with employer匹配

Paid Time Off

Paid CME Days

Tuition Reimbursement

Employee Discounts

Commuter benefits

Job summary

AltaMed Health Services Corp. is seeking a Social Worker to join the PACE IDT, coordinating essential services and promoting participant satisfaction through high-quality customer service.

You will handle questions, requests, complaints, appeals, and incidents, address Medi-Cal and Medicare issues, and assist with disenrollments, satisfaction surveys, linkage to community resources, and other case management activities in collaboration with MSWs and interdisciplinary teams.

Qualifications

• Bachelor's degree in social work or another health or human services field required.
• Knowledge of Medi-Cal, Medicare, and Social Security benefits is required, including application and renewal requirements, and related forms and documentation.
• BLS/First Aid certificate is required.
• Experience in PACE or other healthcare settings serving the frail or elderly is preferred.
• Bilingual: Spanish/English, Chinese/English, or another second language is strongly preferred.

Responsibilities

• Assist the PACE IDT in coordinating essential PACE services and promote participant satisfaction and retention through consistent, high-quality customer service skills.
• Lead efforts to support and address participant and family service questions, requests, complaints, appeals, and incident reporting.
• Ensure Medi-Cal and Medicare issues are effectively addressed via established workflows to promote prompt resolution.
• Processing involuntary disenrollments.
• Facilitating on-site satisfaction surveys.
• Actively engaging in other center-wide participant experience activities.
• Will assist participants and families with linkage and referrals to community resources and perform other case management activities as needed.
• Works collaboratively with MSWs and the interdisciplinary teams to achieve program and organizational goals while adhering to established state and federal regulations.

Skills

Customer service

Case management

Bilingual

Education

Bachelor's degree in social work or related field

Job description

AltaMed Health Services Corp. is seeking a Social Worker to join the PACE IDT, coordinating essential services and promoting participant satisfaction through high-quality customer service.

You will handle questions, requests, complaints, appeals, and incidents, address Medi-Cal and Medicare issues, and assist with disenrollments, satisfaction surveys, linkage to community resources, and other case management activities in collaboration with MSWs and interdisciplinary teams.