Coordinated Entry System Liaison, Senior - Los Angeles (Short-Term Employment)

Blue Shield of California

  • Long Beach, CA
  • $77,990-116,930 per year
  • Temporary
  • Full-time
  • 1 month ago
Job Description:Your RoleThe Community Programs team provides high-touch engagement with member and community-based organizations to remove barriers to health care access, enhance population health initiatives and advance health equity. The Community Health Advocate - Coordinated Entry System (CES) Liaison will report to the Community Programs Manager, Operations. In this role you will be collaborating, supporting and pursuing connections between Blue Shield Promise and the Coordinated Entry System (CES) lead agencies. You will work collaboratively with local homeless services agencies and other local Continuums of Care (CoCs). In addition, you will assist the CES staff/providers with connecting members to the appropriate Blue Shield Promise resources and Blue Shield Promise staff with connecting members with the right resources within the CES system.Please note, this is a Short-Term Employment Opportunity.Your WorkIn this role, you will:
  • Assess psychosocial and social determinants of health needs for un-housed high-risk members, connect to appropriate services and document assessment results or augment available information in appropriate systems
  • Consult with or refer un-housed and/or previously un-housed members receiving services through the Coordinated Entry System (CES) to licensed staff (social worker, nurse case manager etc.) as required based on member social, health risk and medical complexity
  • Establish relationships and partner with CES staff at the Continuums of Care (CoCs), CES lead agency providers, community resources, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools, and conducting educational sessions on health plan offerings (e.g., benefits, transportation, Community Supports, Enhanced Care Management, etc.)
  • Assist members with problem solving barriers to high complexity health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments, offering a warm handoff to referring entity, providing follow-up to ensure connection was made, and assisting members with completing forms to access needed services
  • Actively engage, build rapport, establish trusting relationships and facilitate collaborative communication with Blue Shield Promise management, external partners, members and member family support systems
  • Provide training and support to external partners about Blue Shield Promise resources and programs. Collaborate with Blue Shield Promise Community Supports business units and provide appropriate guidance to match members with appropriate resources. Monitor complex cases to ensure member receives services through the appropriately matched Community Supports Program
  • Serve as the liaison between Blue Shield Promise and the CES. Inform internal staff on best practices for collaboration, challenges facing un-housed members and the providers serving the un-housed population. Identify gaps in workflows, processes and systems
  • Educate internal staff on the CES processes and how to work effectively with un-housed members and non-contracted un-housed services/housing providers
  • Develop and deliver educational presentations on programmatic research and findings to internal and external stakeholders
  • Serve as the Blue Shield Promise representative during external stakeholder meetings, participate in standing committees and leadership meetings. Report project status and outcomes to internal and external partners
Qualifications:Your Knowledge and Experience
  • Requires a bachelor's degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health, or Health related field or equivalent experience
  • Requires at least 5 years experience working with people who need assistance with complex health and social issues
  • Experience working with the un-housed population and with community-based providers required
  • Knowledge of Medi-Cal benefits and programs required
  • Knowledge of Los Angeles un-housed services, and familiarity with the Los Angeles Safety Net required
  • Skilled at navigating within the health plan / health care system and the un-housed services system required Strong problem-solving skills and follow through to ensure case closure required
  • Experience assisting providers and members with navigating public programs desired
Pay Range:The pay range for this role is: $ 77990.00 to $ 116930.00 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.About the Team:Blue Shield of California's 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 California's 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. That's 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 office
  • Hybrid - In a business unit approved office a few times per year to 3 days per week, on average
  • Office - In a business unit approved office 4+ days a week, on average. If the role you're 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.

Blue Shield of California