About The Position

Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.

Requirements

  • High School Diploma or GED equivalent.
  • Minimum 3 years of full-time paid experience working in health education, case management, community outreach, in a healthcare field.

Nice To Haves

  • Bilingual English/Spanish with certificate of linguistic proficiency (Tier I). Preferred

Responsibilities

  • Outreach to eligible members for program overview and scheduling of initial appointment.
  • Assist clients by providing direct services in their homes, community or clinic setting.
  • Follow-up with clients via phone calls, home visits, and visits to other settings where clients can be found, which may include homelessness.
  • Provide and process referrals for services to community agencies as appropriate.
  • Assist clients in accessing health related services, including but not limited to obtaining a medical home, providing instruction on appropriate use of medical housing, overcoming barriers to obtaining needed medical care and/or social services.
  • Help clients connect with transportation resources and provide appointment reminders in special circumstances. Assist with transportation based on Community Services policy.
  • Work collaboratively with other clinical personnel assigned to the same client.
  • Act as a client advocate and specialist between the client/family and community service agencies.
  • Develops effective working relationships with agencies and organizations to advocate for consumer and family/caregiver empowerment.
  • Conduct community outreach and attend meetings which provide resources/linkage.
  • Attend regular staff meetings, trainings, and other meetings, as requested.
  • Document all client encounters and contacts made on behalf of the clients; complete and submit monthly reports; maintain comprehensive electronic records, which include client notes.
  • Always maintain HIPPA compliance.
  • Proficiently utilize motivational interviewing techniques in all client contacts to increase adherence, decrease non-compliance and promote the significance of the referrals.
  • Process and monitor incoming referrals and prepare them for review and submission to the appropriate program.
  • Monitor and review data exchange entries/reporting related to Community Based Organizations
  • Ensure closed-looped referrals are processed correctly
  • Conduct internal CBO audits to ensure regulatory compliance, improve quality of care and allow for training opportunities and financial optimization.
  • Responsible for ensuring all authorizations are received by the appropriate parties
  • Complete calls related to patient satisfaction
  • Join and actively engage in discharge planning alongside designated Community Based Organizations when deemed necessary
  • Performs miscellaneous job-related duties as assigned.
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