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Partnership HealthPlan of California · 1 month ago

Wellness Guide

US-CA-Santa Rosa

Full-time

Onsite

Entry Level

$28.94/hr - $34/hr

2+ years exp

Partnership HealthPlan of California is seeking a Wellness Guide to provide support and guidance to members for wellness services and incentive programs. This role involves engaging members in healthy activities, connecting them to resources, and maintaining communication to encourage wellness participation.

Health CareInsuranceNon Profit

Culture & Values

Responsibilities

Performs wellness campaign outreach activities for assigned membership/campaigns

Provides members with information about benefits supporting member wellness and helps members schedule appointments for wellness services

Engages members to discuss wellness programs and health screening opportunities

Maintains active caseload and call volume appropriate to the acuity of the outreach campaign

Appropriately screens members and refers to community resources, providers, and additional Partnership resources and programs (Healthy Living programs, Case Management support) in accordance with department guidelines

Conducts targeted assessments to encourage members to remain healthy and to support campaign goals

Initiates and processes referrals to appropriate Care Coordination programs in accordance with Partnership policies

Completes timely and accurate documentation in appropriate systems in accordance with department policies

Responds to member queries on the ACD telephone line, determines call urgency, and routes calls appropriately

Provides excellent customer service and communicates with others in accordance with Partnership standards and expectations

Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees

Responds to inquiries in a timely manner

Connects members to wellness services and community resources, as appropriate

Exhibits high professional standards as outlined in Partnership's Code of Conduct

Provides support and assistance to Wellness Guide staff, as needed

Collaborates with internal Partnership departments to resolve issues

Attends required meetings and trainings in-person, when assigned

Provides periodic coverage during vacations or sick time for Wellness Guide staff as needed within assigned team

Performs other duties as assigned by the direct supervisor, including the assumption of new duties

Qualification

Health coachingBehavioral changeMedical terminologyMotivational interviewingBilingual skillsCustomer serviceAutonomous workAttention to detailCollaborationTime management

Required

High school diploma or equivalent combination of experience and education required

Two (2) years of experience working in a health care setting recommended, to include experience in health coaching, behavioral change, or any work experience, training or specialized education that would likely provide the ability to perform the essential functions of the position

Ability to use good judgment, take personal initiative, and use discretion in performing job responsibilities

Attention to detail and accuracy

Basic knowledge of medical terminology and coding

Ability to listen actively and practice motivational interviewing

Ability to use computer software for word processing, spreadsheets, and email, operating multiple computer programs simultaneously

Ability to function effectively with frequent interruptions and direction from multiple team members

Ability to work in an environment with diverse individuals and groups

Ability to establish collaborative relationships

Ability to work autonomously within a team setting

Ability to prioritize workload and initiate action to acquire needed information from professionals by phone

Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees

Models appropriate behavior for department

Ability to work effectively with Medi-Cal and other special needs populations

Ability to work with ethnically and culturally diverse populations

Ability to maintain positive, cooperative relationships with the community, professional groups, public officials, and agencies, and represent the department with professionalism

Ability to manage multiple tasks

Preferred

Associate's or bachelor's degree preferred

Preference may be given to individuals certified and/or licensed in a health-related field

Bilingual skills in a Partnership threshold language preferred

Company

Partnership HealthPlan of California

Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.

Founded in 1994

Fairfield, California, USA

1001-5000 employees