Senior Care Advocate II
About the role
As a member of the social work department, 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. Responsibilities also include processing involuntary disenrollments, as well as facilitating on-site satisfaction surveys and 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.
Responsibilities
- Assist the PACE IDT in coordinating essential PACE services
- 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
- Process involuntary disenrollments
- Facilitate on-site satisfaction surveys
- Actively engage in center-wide participant experience activities
- Assist participants and families with linkage and referrals to community resources
- Perform other case management activities as needed
- Work collaboratively with MSWs and interdisciplinary teams to achieve program and organizational goals while adhering to state and federal regulations
Requirements
- Bachelor’s degree in social work or another health or human services field
- Minimum of 2 years of customer service or case management experience (preference for healthcare field)
- Knowledge of Medi-Cal, Medicare, and Social Security benefits, including application and renewal requirements, and related forms and documentation
- BLS/First Aid certificate
Qualifications
- 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
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
Pay
$27.51 - $32.32 hourly. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.