Case Management Assistant (PHM)- Bakersfield 1.2

Description

Employment Details:

Location: Bakersfield, CA. (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule: Monday-Friday 8am-5pm

Benefits:

· Medical 

· Dental 

· Vision 

· Paid Time Off (PTO)

· Floating Holiday 

· Simple IRA Plan with a 3% Employer Contribution

· Employer Paid Life Insurance

· Employee Assistance Program

Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $19.34 and $24.17. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:  

The Case Management Assistant (CMA) provides administrative and care coordination support to the Population Health Management (PHM) team, including Nurse Case Managers and Social Services staff. The CMA assists by conducting outreach, gathering and organizing information, coordinating appointments and referrals, documenting activities, and helping to address routine member needs. This role is member-focused, ensuring individuals receive timely communication, follow-up, and access to services and resources. The CMA supports member engagement activities such as wellness calls, enrollment outreach, and care gap closure, helping to improve the overall member experience and promote better health outcomes. The CMA requires strong interpersonal and organizational skills to communicate effectively with members, assist with referrals, and help coordinate services among providers, community resources, and internal care teams. The CMA also supports the Interdisciplinary Care Team (ICT) activities by gathering information, preparing documentation, and relaying member needs to the case management team. 

Requirements

 Job Duties and Responsibilities:  

• Work collaboratively with Nurse Case Managers and Social Services staff on care coordination, member follow-up, communication with agencies.  

• Support PHM outreach activities by conducting calls for program enrollment, Health Risk Assessment (HRA) completion and other relevant questionnaires, wellness checks, and quality initiatives to help close care gaps.  

• Contact members at regular intervals per their acuity level and care plan needs. 

• Document all outreach, coordination activities, and member interactions in the case management system (CM System) accurately and in a timely manner, in alignment with program protocols.  

• Support members experiencing transitions of care by assisting case managers with coordination of post-discharge needs, follow-up appointments, and transportation.  

• Gather clinical information and assist with coordinating services such as home health care, prescriptions, durable medical equipment (DME), and social service referrals. 

• Prepare and send member correspondence, as directed by case managers or in alignment with case management protocols. 

• Report and escalate member concerns, variances, or changes in condition to the appropriate care team members to ensure timely intervention and coordinated follow-up. 

• Assist members with appointment scheduling, transportation, referral coordination, and other care coordination needs.  

• Gather clinical information from outside sources such as PCPs, specialists, hospitals, SNFs, and electronic health records, and upload them into the case management system.  

• Verify member eligibility, demographics, and benefits; confirm provider assignments to ensure authorizations are linked appropriately. 

• Support closed-loop referrals to community supports, housing, and social service agencies, with follow-up to confirm services were delivered.  

• Participate in ICT meetings by gathering and presenting information and communicating member needs and preferences to the care team.  

• May be assigned to manage a caseload of low-acuity PHM members, under the supervision of Nurse Case Managers or Social Services staff. 

• Serve as an associate and resource to members, providers, staff, and external customers regarding policies, benefits, and care coordination. 

• Provide administrative support, including answering phones, assisting with correspondence, filing, scanning, and maintaining department data systems.  

• Receive and route incoming faxes, medical records, and oth