Integrated Care Plan Program Coordinator Job at Bayside Solutions, San Francisco County, CA

NTBjdm1Tb2FRVnhTd0VDQVRtWGxHZFp6Z0E9PQ==
  • Bayside Solutions
  • San Francisco County, CA

Job Description

Integrated Care Plan Program Coordinator

W2 Contract

Salary Range: $47,800 - $54,000 per year

Location: South San Francisco, CA - Hybrid Role

Job Summary:

As an Integrated Care Plan Program Coordinator, you will provide administrative support and assistance to the health insurance team, Integrated Care Management team, and the Clinical Oversight team. You will manage completed Health Risk Assessment (HRA) forms among the ICM team members responsible for completing Care Plans.

Duties and Responsibilities:

  • Support data entry by entering Health Risks Assessments (HRA) received by mail into GlobalForms and update in other systems and applications, including CareStat Database, PSICapture (an advanced document capture software), and MHK.
  • Work on "closed cases" in the "Pending ICM Queue" to the MedHOK (MHK) application. This task involves following the workflow outlined by ICM to get the case assigned to an ICM Model of Care (MOC) team member. The goal of this primary task is to clear the "ICM Pending Queue" Tab in CareStat Databased (CSDB) daily and assign a Care Manager to the case in MHK.
  • Support the Care Plan Program Manager in testing and validating system updates in CareStat Database, GlobalForms, PSICapture, and MHK.
  • Support the Member Assessment Unit (MAU) in special projects like HRA for members with significant changes in condition, etc.
  • Perform other duties as assigned.

Requirements and Qualifications:

  • High school diploma or GED required
  • College-level courses in health care are a plus.
  • One year of managed care experience, preferably in Care Coordination.
  • Experience working with the health needs of the population served.
  • Experience as a Medical assistant is a plus.
  • At least one year of direct Care Coordination
  • Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
  • Care management, Medi-Cal, Medicare benefits, and the complexities of working with the elderly and disabled population.
  • Bilingual skills are highly preferred, particularly in Spanish, Tagalog, or Chinese.

Desired Skills and Experience

Health Insurance, Health Risks Assessment, Integrated Care Management, care coordination, Medi-Cal, Medicare, MedHOK, Microsoft Office, Bilingual

Bayside Solutions, Inc. is not able to sponsor any candidates at this time. Additionally, candidates for this position must qualify as a W2 candidate.

Bayside Solutions, Inc. may collect your personal information during the position application process. Please reference Bayside Solutions, Inc.'s CCPA Privacy Policy at

Job Tags

Contract work,

Similar Jobs

TRACE Inc.

Night Custodian Job at TRACE Inc.

 ...Job Description Job Description Trace Inc. is a Military Contractor and has been in business since 1993. We are currently located on 19...  ...training individuals with disabilities to include Veterans and Civilians. Please note a Disability is not required. Trace is... 

Revel Painting

Canvasser (Entry Level) Job at Revel Painting

 ...Job Description Job Description We are a local, growing, company in the greater Minneapolis area and we are looking to build our canvass team. You will work in a fun, friendly, and fast-paced environment with plenty of advancement opportunities. This is an entry-level... 

ACT1 Federal

Acquisition Contracting Specialist Job at ACT1 Federal

Position Title: Acquisition Contracting Specialist Company: ACT1 Federal Location: Huntsville, AL About ACT1: ACT1 Federal advances our Nations and Allies missions by taking ACTION! We provide mission operations support, technical services, and innovative ...

Dish

Sales Rep - Training Provided Job at Dish

 ...Non-Negotiable Base Pay: $17.75/hour + Uncapped Commission 1st Year On-Target Earnings: $68,000. No sales experience required. Paid full-time training provided! This role is on-site at 350 N McClintock Dr, Chandler, Arizona 85226. Department Summary Our... 

TEKsystems

NetSuite Administrator (Remote) Job at TEKsystems

A TEKsystems client based in California is seeking a proactive and experienced NetSuite Administrator to support the successful implementation of NetSuite ERP in collaboration with it's large accounting partner. Post-implementation, this individual will serve as the internal...