Managed Care Provider Relations Manager jobs in Stockton, CA

Use your Experience to Truly Make a Difference! Join the Master•Care team as a Care Navigator!

Master•Care, Inc. is a Managed Services Organization (MSO) created exclusively to bridge medical and non-medical services under California’s new CalAIM program. Enhanced Care Management, Housing Navigation, and Nursing Facility Transition are just a few services we provide.

POSITION SUMMARY: A Master•Care Care Navigator provides Care Management to patients in a non-clinical setting according to the “Master•Care Plan.” The Master•Care Plan is a comprehensive roadmap that incorporates the physical, behavioral, social, environmental, and financial well-being of our patients. 

This position requires the ability to serve patients in person and remotely within the assigned region.

Duties and Responsibilities

·      Primary contact with local medical and nonmedical providers

·      Develop and foster solid professional relationships, conduct provider outreach, program education (“in-services”), and promotion to achieve Company goals

·      Develop referral relationships and placement providers to reach Company objectives

·      Assists in the development and provider relations of local resources.

·      Conducts Comprehensive Assessments of assigned Enhanced Care Management (ECM) and Community Supports (CS) patients

·      Develops and executes the Master Care Plan for assigned ECM and CS patients

·      Respects and understands the assigned ECM and CS patient’s goals and wishes, and whenever possible, implements these goals and wishes to improve overall health and well-being

·      Conducts In-home or Facility Assessments as necessary or required

·      Develops awareness of and remains sensitive to patient’s, and patient’s families’ values, beliefs, and perspectives

·      Provides person-centered care management to patients in a non-clinical setting, bringing together the clinical needs and social determinants of health to create a comprehensive care plan that serves the whole person

·      Is responsive and dedicated to seamless communication, smooth and safe coordination, and well-orchestrated patient transfers

Skills and Specifications:

·      Communicates professionally and effectively with patients, families, providers, and team members.

·      Maintains a compassionate and professional demeanor

·      Exhibits and embodies excellent leadership qualities

·      Is an active and devoted team player

·      Anticipates obstacles and challenges, proactively providing innovative solutions

·      Is an effective trainer

·      Possesses excellent oral and written communication skills

·      Exhibits exceptional customer service skills

·      Builds strong relationships and networks

·      Is proficient with technology

·      Is punctual, organized, and efficient

Education and Qualifications:

·      Bachelor’s degree or equivalent experience in marketing, discharge planning, and/or social work with an emphasis in healthcare, geriatric services, social services, or senior housing and care

·      Three or more years of marketing and/or social services in healthcare, community-based senior services, senior living, or a similar environment

·      Knowledge of and experience with both clinical and non-clinical services for elderly populations

·      The ability to perform the physical demands of this position include:

•      Sit and/or stand for long periods

•      Navigate stairs, bend, and reach

•      Lift, push, or pull a minimum of 10 lbs.

•      Ability to travel throughout assigned territory as required: San Joaquin & Stanislaus County

Benefits

·      Starting Pay: $28.85 per hour

·      Incentives  

·      Medical, Dental, Vision, Life, 401K, and PTO

·      All business mileage and expenses are reimbursed