Pediatric Public Programs Specialist
Core
Triaging and resolving member access to care issues for Health Net members, coordinating services with public programs like California Children's Services and Regional Centers, and promoting the Empower Living Program (H.E.L.P.).
Role type
Senior clinical care coordinator (pediatrics)
Builds
Member access to care and services for Health Net members
Domain
Healthcare / Public health programs
Deliverable
client delivery
Required skills
triaging access to care issues, coordinating with public agencies, conflict resolution documentation, preparing compliance reports, conducting escalated service coordination, in-person program support
Preferred skills
Medical Assistant Certification, Licensed Vocational Nurse (LVN) license, Pharmacy Technician Certification
Technologies
None stated
Responsibilities
Researching and resolving member access to care issues, collaborating with internal departments to resolve member issues, serving as liaison to public agency programs, receiving and resolving coordination of care referrals, conducting escalated service coordination on complex cases, supporting programs with in-person meetings, preparing conflict resolution documentation for appeals and grievances, submitting monthly and quarterly COC reports
Seniority
Mid-level, hands-on IC