Job Description

Requisition #1572

Enhanced Care Management (Inland Empire)
Program Assistant I - IEHP/Molina Health Plan

REPORTS TO: ECM APM-PM - Director of IE ECM & ILOS-CS Programs

HOURS: Monday-Friday - 8:00am-4:30pm

CLASSIFICATION: Hourly

SUMMARY: The Program Assistant plays an important role in supporting both office and program administrative functions of the location assigned. The PA is a member of the IE ECM team which includes outreach and engagement, medical services/care coordination and core administrative duties, program intake and operations tasks in support of the IE Step Up ECM Program and staff at worksite and other worksites as necessary. The Program Assistant will be responsible for organizing, coordinating, and monitoring all non-clinical operations under the direction of the APM – PM - Director. Services are provided to staff, enrolled members, and families, as appropriate.

DUTIES:

Leadership, Administration, Oversight

Coordinate and/or provide receptionist services, triage calls welcome enrolled clients and visitors.
Prepare letters, memos, reports, etc. as requested.
Participate in team meetings as needed.
Act as the program’s point of contact with healthcare vendors and suppliers within the ECM Department and case management scope.
Maintain office equipment, resources, protect keys and logs for program assigned company vehicles, etc.
Order all program/office supplies for ECM care team

Direct Service and Support

Coordinate timely and accurate submission of staff time sheets, T & E, expense reimbursements and other administrative paperwork. Submit to Director for approval and then Accounting and Support at specified intervals.
Complete and Fax Program support documents as required or requested by Healthcare Plan and/or Physician’s offices, hospitals, and health care facilities as needed.
Maintain condition of charts, filing documents as needed.
Schedule all transportation appts for members with the assigned healthcare plans.
Attend and participate in supervision group and educational trainings for staff development as appropriate.
Provide any additional support to the ILOS-CS and ECM teams as needed to ensure successful daily operation.

Documentation and Data Collection

Monitor all ECM Clinical Measures and PIR, MCR reports, and statistic report back to PM and Director on a weekly basis.
Analyze reports and provide findings and determinations to management as needed.
Monitor all ECM monthly, quarterly, and annual reports to ensure they are submitted in a timely manner.
Act as point person for EHR Welligent: prepare and complete new client record, opening administrative paperwork including, upload of completed member intakes, ID and insurance cards, etc.
Maintain demographic and client data changes and updates in coordination with agency data requirements.
Maintain health plan contractual portals and reports as needed.
Prepare Welligent reports for chart administration for internal and external audits as needed.
Track outcome Measures (working side bt side with APM, PM, and or Director.)
Manage and ensure completion of program specific Outcome Data such as Step Up’s internal program data reporting requirements, and data reporting for IEHP, Molina Healthplan and other health contracts (includes monthly, quarterly, and annual data reporting requirements)
Assist with Claims and Billing as needed
Facilitate timely and accurate disbursements by processing disbursements following accounting department procedures monthly.
Process paperwork in a timely and accurate manner.

SKILLS: Strong intake, analysis and organizational skills are needed. Ability to work collaboratively with others and on a team. Initiative and solution focused practice. Uses good time management skills and resources to balance case load direct service and paperwork. Understands and promotes safety first to self and team members.

QUALIFICATIONS: Bachelor's degree preferred. Knowledge of medi-cal billing/claims/encounters a plus. Responsible for data analysis, intake management, organizing, coordinating and monitoring all non-clinical operations under the direction of the Director of CalAIM ECM-CS Programs. Strong computer skills with knowledge of Microsoft Office and intermediate MS Excel skills are required. In-office; Prolonged period of sitting at a desk. Must own a vehicle, have a clean driving record and current California’s driver’s license and insurance. Pre-Hire Live Scan and driving background check required.

PHYSICAL REQUIREMENTS: While performing the duties of this job, the employee is regularly required to sit; use hands and fingers; handle or feel; reach with hands and arms; talk; and hear. The employee is frequently required to walk, balance, stoop, kneel, and/or crouch. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Keyboard data entry required.

Step Up utilizes the principles of trauma-informed care and mental health recovery. These principles inform our Core Values of Hope, Wellness, Voice and Choice, Respect, and Collaborative Relationships. As representatives of Step Up, employees agree to adhere to these values in their interactions with members, colleagues, supervisors, and associated community members.

Disclaimer: Work with the homeless population whether on the streets, in shelters or other places of habitation or services, may present inherent challenges and difficulties such as: exposure to bed bugs or other infestations, unpleasant smells or odors, unclean individuals or homes due to homelessness or mental health symptoms or poverty. While Step Up as an agency strives to protect all employees from adverse events, Step Up is not responsible for rectifying the outcome of such exposures and considers this the nature of the environment and Workplace. Step Up utilizes the principles of trauma-informed care and mental health recovery. These principles inform our Core Values of Hope, Wellness, Voice and Choice, Respect, and Collaborative Relationships. As representatives of Step Up, employees agree to adhere to these values in their interactions with members, colleagues, supervisors, and associated community members.

HOPE – We believe all people have the capacity for positive growth and change. We use hope to inspire and motivate ourselves, our members, our colleagues, and our community.

WELLNESS – We believe in promoting a culture that supports healthy and fulfilling lives. We use a supportive environment to foster well-being for ourselves, our members, our colleagues, and our community.

VOICE AND CHOICE – We believe in the right to choose and be heard. We use voice and choice to create meaningful outcomes and empowerment for ourselves, our members, our colleagues, and our community. RESPECT – We believe in promoting interactions that are non-judgmental, transparent. We use respect to guide all our words and actions with ourselves, our members, our colleagues, and our community.

COLLABORATIVE RELATIONSHIPS – We believe in forming partnerships to share resources, knowledge, and experiences. We use collaborative relationships to strengthen accomplishments for ourselves, our members, our colleagues, and our community.

Step Up is committed to providing quality services that adhere to the highest ethical standards and principles. All Step-Up employees agree to adhere to the ethical policies and codes of conduct, as outlined in the Employee Handbook and those specified for this grant. .

Step Up provides equal employment opportunities without regard to age, ancestry, color, creed, mental or physical disability, marital status, medical condition, national origin, race, religion, sex, sexual orientation, veteran status, or any other consideration made unlawful by federal, state, or local laws.

STEP UP IS AN EQUAL OPPORTUNITY EMPLOYER

Job Type: Full-time

Pay: $24.51 - $25.48 per hour

Expected hours: 40 per week

Schedule: