Community Resource Center Representative, Intermediate (Bilingual Vietnamese) - El Monte
Company: Blue Shield Of California
Location: Long Beach
Posted on: May 9, 2024
|
|
Job Description:
JOB DESCRIPTIONYour Role* This position is located in our El
Monte Community Resource Center Location & require employee to work
5 days per week in the El Monte 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 Vietnamese 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
Jobble
Keywords: Blue Shield Of California, Pasadena , Community Resource Center Representative, Intermediate (Bilingual Vietnamese) - El Monte, Other , Long Beach, California
Click
here to apply!
|