Senior Care Advocate II
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
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 high-quality customer service.
- Lead efforts to address participant and family service questions, requests, complaints, appeals, and incident reporting.
- Ensure Medi-Cal and Medicare issues are effectively addressed via established workflows.
- Process involuntary disenrollments.
- Facilitate on-site satisfaction surveys and engage in center-wide participant experience activities.
- Assist participants and families with linkage and referrals to community resources.
- Perform case management activities as needed.
- Collaborate 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 required.
- A minimum of 2 years of customer service or case management experience is required, with a preference for experience in the 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 is required.
- 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.
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. This role may also qualify for discretionary bonuses or incentives.
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