POSITION Community Support Specialist Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm (Hybrid Schedule M&F - WFH, Tue, Wed, Thurs - Onsite) Assignment Length: Approximately 6-Months, possibly Longer.
DESCRIPTION Under the direction of the Supervisor, Community Supports, the Community Supports Specialist is responsible for reviewing and processing Community Support Services authorization requests and decisions based on evidence-based criteria. This position also ensures provider and member outreach is made in a timely manner while maintaining a high level of customer service. The Community Support Specialist works directly with Community Support providers, community agencies, members/caregivers, and other entities supporting member care to ensure coordinated care and serve as a resource person for internal and external entities for Community Support benefits.
REQUIREMENTS - Minimum of three (3) years of experience performing or facilitating social work or related services in a community-based setting
- Preferred experience in performing social work or related services in a Managed Care environment
- Bachelor's degree required in social work or a related field from an accredited institution required
KEY QUALIFICATIONS
- Knowledge of community resources. Knowledge of Medicare and Medi-Cal benefits and eligibility criteria
- Skillful at offering information and education to members and their families
- Proven ability to:
- Maintain a strong working relationship with all IEHP internal departments
- Act as an advocate for members
- Model commitment to continuous quality improvement
- Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community
- Bilingual Spanish preferred
INDH