Community Liaison

CalOptima is a nationally recognized County Organized Health System that provides health insurance to over 300,000 Orange County, California residents through multiple product lines. Our mission is to provide our members with access to quality health care services delivered in a cost-effective and compassionate manner. 

 

COMMUNITY LIAISON

 

The Community Liaison functions as a liaison between members, health networks, providers and community based organizations. Responsibilities include resolving member service issues for individual or groups of disabled and/or senior members, conducting member orientations as well as educational sessions for providers and community-based organizations. Duties of this position include conducting member assessments to identify healthcare issues, developing a care plan and implementing a resolution, maintaining documentation of member cases within the Facets system as well as initiating referrals to both internal and external care management departments, and other government agencies.

 

The individual in this position must have great communication skills, the ability to  prepare comprehensive written reports and maintain accurate records, as well as prepare and provide effective orientations and educational presentations. Knowledge of health plans and CalOptima?s benefit structure is a must.

 

This position requires two years experience working with the needs of persons with disabilities in a customer/member services capacity. HMO, Medi-Cal/Medicaid and health services experience preferred. Driver?s License and vehicle or other approved means of transportation may be require for some assignments.

 

CalOptima offers an excellent work environment that includes flexible scheduling plans, a highly competitive benefits package and an organizational mission that drives our employees to excel!