Community Resource Center Representative, Intermediate (Bilingual Spanish) - Wilmington
Company: Blue Shield Of California
Location: Long Beach
Posted on: May 9, 2024
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Job Description:
JOB DESCRIPTIONYour Role*This position is located in our
Wilmington Community Resource Center Location & require employee to
work 5 days per week in the Wilmington Community Resource
Center*The Community Resource Center (CRC) team is responsible for
managing the Blue Shield Promise Health Plan Information Resource
Center (IRC) and jointly operating CRCs throughout Los Angeles
County with L.A. Care. The IRC and CRCs connect members from both
Blue Shield Promise and L.A. Care health plans, and the Los Angeles
community, to classes and personalized services that foster
community connections, address social needs, and keep people
active, healthy, and informed. The Blue Shield Promise CRC
Representative provides in-person support to Blue Shield Promise
members and consumers who visit a CRC. That support includes, but
is not limited to, health plan member services, explanation of
benefits, linkage to enrollment assistance, and referral to social
services and care planning. In addition, the CRC Representative
assists with engaging members on select quality events and
participating in CRC-sponsored activities.Your WorkIn this role,
you will:Resolve issues and inquiries concerning members
eligibility, benefits, provider information, clinical, pharmacy and
other health or social service needsCompose routine and non-routine
correspondence to answer benefits/provider inquiries in
writingCoordinate membership changes such as members primary care
physician. May participate in quality and efficiency workgroups to
continuously improve quality member/customer satisfactionAnalyze
available programs, determine program eligibility, and connect
member to appropriate BSC vendors, Health Advocates, Social
Workers, Pharmacy Techs, and PharmacistsConduct outreach calls and
activities to inform members about the Community Resource Centers,
how to access health plan benefits, and assist with scheduling
appointmentsCoordinates membership changes such as members primary
care physicianVerify the member is included in or targeted for any
outreach or care gap programs and connect members to programs or
services when appropriateAssist with organization and hosting of
unique quality events and participating in on-site, off-site
Community Resource Center activitiesQUALIFICATIONSYour Knowledge
and ExperienceRequires at least 3 years of professional
experienceRequires broad knowledge of operational systems and
practices typically gained through extensive experience and/or
educationRequires being bilingual in Spanish as demonstrated by
successful completion of an oral language proficiency testRequires
at least 6 months of experience with Medi-Cal enrollment
guidelines, specifically Medi-Cal renewal/redetermination
processRequires customer service backgroundMust demonstrate a
positive attitude, flexibility, professionalism, and dependability
in all workplace activitiesPay Range:The pay range for this role
is: $ 20.47 to $ 28.66 for California.Note:Please note that this
range represents the pay range for this and many other positions at
Blue Shield that fall into this pay grade. Blue Shield salaries are
based on a variety of factors, including the candidate's
experience, location (California, Bay area, or outside California),
and current employee salaries for similar roles.* If selected to
move forward, a portion of the interview and selection process will
include a pre-recorded video interview*ABOUT THE TEAMBlue Shield of
Californias mission is to ensure all Californians have access to
high-quality health care at a sustainably affordable price. We are
transforming health care in a way that genuinely serves our
nonprofit mission by lowering costs, improving quality, and
enhancing the member and physician experience.To fulfill our
mission, we must ensure a diverse, equitable, and inclusive
environment where all employees can be their authentic selves and
fully contribute to meet the needs of the multifaceted communities
we serve. Our continued commitment to diversity, equity, and
inclusion upholds our values and advances our goal of creating a
healthcare system that is worthy of our family and friends while
addressing health disparities, promoting social justice, and
integrating health equity through our products, business practices,
and presence as a corporate citizen.Blue Shield has received awards
and recognition for being a certified Fortune 100 Best Companies to
Work, Military Friendly Employer, People Companies that Care, a
Leading Disability Employer, and one of Californias top companies
in volunteering and giving. Here at Blue Shield, we strive to make
a positive change across our industry and communities join us!Our
Values:Honest . We hold ourselves to the highest ethical and
integrity standards. We build trust by doing what we say we're
going to do and by acknowledging and correcting where we fall
short.Human . We strive to be our authentic selves, listening and
communicating effectively, and showing empathy towards others by
walking in their shoes.Courageous . We stand up for what we believe
in and are committed to the hard work necessary to achieve our
ambitious goals.Our Workplace Model:Blue Shield of California is
dedicated to making work-life balance a reality. Whether you prefer
to work in an office or from home, we understand flexibility is
more important than ever. Thats why Blue Shield is a hybrid
company, offering you the opportunity to decide where you can do
your best and most meaningful work.Two ways of working: Hybrid (our
default) and officeHybrid In a business unit approved office a few
times per year to 3 days per week, on averageOffice In a business
unit approved office 4+ days a week, on average. If the role youre
applying for is deemed an Essential Role, the company has
determined that the role can only be performed in a Blue Shield
office or in the field and would require your to meet the office
worker classification.Physical Requirements: Office Environment -
roles involving part to full time schedule in Office Environment.
Due to the current public health emergency in California, Blue
Shield employees are almost all working remotely. Based in our
physical offices and work from home office/deskwork - Activity
level: Sedentary, frequency most of work day.Equal Employment
Opportunity: External hires must pass a background check/drug
screen. Qualified applicants with arrest records and/or conviction
records will be considered for employment in a manner consistent
with Federal, State and local laws, including but not limited to
the San Francisco Fair Chance Ordinance. All qualified applicants
will receive consideration for employment without regards to race,
color, religion, sex, national origin, sexual orientation, gender
identity, protected veteran status or disability status and any
other classification protected by Federal, State and local laws.by
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Keywords: Blue Shield Of California, Pasadena , Community Resource Center Representative, Intermediate (Bilingual Spanish) - Wilmington, Other , Long Beach, California
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