Community Support Outreach Specialist | Fountain Valley

Titanium Healthcare
Hybrid remote in … / Remote
30+ days ago
Titanium Healthcare
Titanium Healthcare
tihealthcare.com

Job Description

Job Summary: The Community Support Outreach Specialist is responsible for customer services tasks that ensure current and prospective members that have the information and assistance they need for the Community Support Program.


Position Responsibilities:

  • Follows established policies to outreach, enroll, and exclude members.
  • Verify eligibility for enrollment in the Community Supports program (CS).
  • Complete a referral when necessary.
  • Conducts appropriate member assessments telephonically and/or in-person.
  • Conduct in-person outreach as needed to comply with CS guidelines.
  • Responsible for coordinating with individuals and/or entities to ensure a seamless experience for the members and non-duplication of services.
  • Partners with healthcare professionals, community and social support services, and other healthcare entities to locate members.
  • Documents evidence of enrollment in the member’s EHR record concisely and abides by all deadlines.
  • Communicates and collaborates with Housing Navigators (HNs), regarding the members' progress and care needs.
  • Identifies, coordinates, and follows-up on member referrals to ensure continuity of care, and member needs are being met.
  • Investigates and directs member inquiries or complaints to appropriate staff members and follows up to ensure satisfactory resolution.
  • Facilitates care transitions between providers, partners, and referral sources and specialty care providers.
  • Follows established protocol around patients experiencing safety concerns and/or mental health concerns and creates safety plans, if necessary.
  • Recognizes signs of child and elder abuse and reports appropriately to Child/Adult Protective Services.
  • Understands and abides by all departmental and company-wide policies and procedures.
  • Complies with all safety and injury prevention policies and regulations.
  • Welcomes members and visitors to our Fountain Valley office as the first point of contact.
  • Performs other duties as assigned or required.

Position Requirements:

  • Member facing role with in-person requirements of meeting members based on provided locations.
  • Language: Fluent in English (written and verbal). Bilingual Spanish preferred.
  • License/certification: Current and valid Driver’s License and proof of auto insurance.
  • Skills required: Competent with computers, email, virtual platforms, MS Excel, MS Word, MS PowerPoint, MS Outlook, and other Microsoft Office based programs.
  • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear, effective manner.
  • Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures.
  • Ability to sit/stand/walk for long periods of time
  • Ability to lift/carry 10lbs

Benefits:

  • This is a hybrid role working from home while still servicing members in person!
  • Medical, Dental and Vision Insurance
  • We cover up to 100% of your premium and 50% of your dependent premium depending on the plan!
  • Flexible Spending Accounts, Health Savings Accounts & Dependent Care Accounts are also available!
  • Life, AD&D Insurance funded 100% by Titanium Healthcare
  • 401(k) plan
  • Employee Assistance Program
  • 12 Paid Holidays, 3 weeks of all-inclusive PTO per year (accrual begins on the first day of employment) as well as a separate Paid Sick Time balance

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