You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary:

Our client is seeking a dedicated Care Manager who will play a pivotal role in supporting the health and well-being of members by facilitating access to clinical and social support services. The position involves screening and enrolling members in programs, coordinating care, and managing referrals to enhance member engagement and outcomes.

Key Responsibilities:

• Conduct outreach to members via phone to assess needs and determine eligibility for support services.
• Guide members through enrollment in programs available at no cost through the Medicaid 1115 Waiver.
• Gather key information to connect members with appropriate clinical and social support services.
• Oversee and track referrals, transitions of care, and care plans to ensure timely completion.
• Conduct proactive outreach via phone, text, and digital platforms to support adherence to care plans.
• Identify and address barriers to care, including transportation, financial challenges, access issues, and social determinants.
• Coordinate services across providers, specialists, and community-based organizations.
• Educate members and caregivers on care plans, follow-up steps, and available resources.
• Support members in navigating healthcare and community-based services.
• Utilize motivational interviewing and culturally responsive communication to improve engagement and outcomes.
• Monitor referral status and ensure completion of feedback loops with proper documentation.
• Follow up with providers and service partners to confirm appointment attendance, outcomes, and next steps.
• Escalate delayed or unresolved referrals according to established protocols.
• Accurately document all interactions, referrals, and outcomes within care management systems.
• Ensure compliance with organizational policies, HIPAA, and regulatory requirements.
• Track and report key performance metrics, including referral completion, follow-up timelines, and care gaps closed.
• Collaborate with interdisciplinary teams to ensure high-quality service delivery and completed member outreach.
• Participate in team meetings and care reviews to support continuous quality improvement.

Qualifications:

• Care Management Experience.
• Quiet work environment with no distractions is a must.
• Reliable internet connection and speed.
• Ethernet chord.
• Must be a team player and open to change.
• Bilingual skills preferred.
• Remote care management experience preferred.

Skills:

• Proficient in care management systems.
• Strong communication and interpersonal skills.
• Ability to work in a fast-paced environment and adapt to changes.
• Motivational interviewing and culturally responsive communication.

Shift: Monday-Friday 9:00 AM - 5:30  PM

Hours Per Week:

40.0 with opportunities for overtime

Loaction: fully remote

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or citizenship status, mental or physical disability, genetic information, sexual orientation, gender identity and/or expression, marital status, veteran status, citizenship, age or any other characteristic protected by applicable law.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.