Care Worker

Integrated Resources Inc. Title:         Care Worker Duration: 4+ Months (Possibility of extension) Location:  CA Orange 92868 Shift:          8AM-430PM (could possibly need to fill in for the 1130AM-8PM shift as needed) REQUIREMENTS: - Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources. - 1-2 years’ Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management. - Associate’s degree - PREFERRED 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. All your information will be kept confidential according to EEO guidelines.