Enhanced Case Management Coordinator - (Ecm Coordinator)
Community Medical Wellness Center
Long Beach, California, United States
- Health Plan Data Exchange S-FTP Site Administration: Responsible for the download and distribution of Admission Discharge Transfer (ADT Alert) data and Member Information File (MIF) to case managers.- Internal Case Management Audits Oversight: Supervise audits to ensure case managers adhere to health plan contract policies, procedures, and workflows. Prioritize tasks and actively seek peer feedback throughout the process.- Case Manager Assistance: Support case managers with technical and analytical tasks related to member caseloads, including generating letters and mailings, and submitting member referrals to the health plan.- Find Help Platform Utilization via Health Net Provider Portal: Demonstrate familiarity with the platform to facilitate referrals for members in need.- Benefitscal.com Utilization: Efficiently navigate the platform to promptly enroll members for benefits such as Cal Fresh and General Relief.- Coordination Liaison: Act as a central point of contact for both internal and external inquiries regarding member referrals, community resource location (food, shelter, recuperative care), and obtaining hospital records. Additionally, manage the coordination of transportation services with the health plan.- Training Coordination: Coordinate and communicate with case managers about health plan training opportunities, both in-person and virtual.Skills:- Adobe Acrobat: Proficient in creating forms.- Microsoft Word/Excel Spreadsheet: Skilled in managing member data and building forms using developer mode.- Microsoft Teams: Utilize the platform for effective communication with internal departments and leadership.- Canva: Employ the platform to create and maintain workflow, policy, and procedure manuals for the Enhanced Case Management Team.