Medi-Cal Assessment Coordinator
Summary
Coordinates Medi-Cal enrollment and healthcare access for participants reentering the community, serving as a liaison between participants, providers, and agencies to ensure continuity of care.
POSITION SUMMARY:
The Medi-Cal Assessment Coordinator is responsible for ensuring that participants enrolled in the program receive timely assessment, enrollment assistance, and connection to Medi-Cal and other healthcare benefits necessary to support successful community reentry. This position serves as the liaison between participants, Managed Care Plans (MCPs), County Behavioral Health, healthcare providers, correctional partners, and community agencies to facilitate continuity of medical and behavioral health services upon release from incarceration. Essential Job Functions include those listed below. Other duties may be assigned as needed
ESSENTIAL JOB FUNCTIONS:
- Conduct comprehensive assessments to identify participants' healthcare, behavioral health, and Medi-Cal eligibility needs.
- Develop healthcare access plans that support successful community reentry and integrate with individualized service plans.
- Coordinate access to medical, behavioral health, substance use disorder treatment, and other healthcare services based on participant needs.
- Assist participants with Medi-Cal enrollment, reinstatement, renewal, and eligibility verification.
- Coordinate Managed Care Plan selection, primary care assignment, and referrals to appropriate healthcare providers.
- Monitor enrollment status and resolve barriers that may delay access to healthcare services.
- Serve as the liaison between participants, CDCR staff, Managed Care Plans, County Behavioral Health, healthcare providers, and community partners to ensure continuity of care.
- Participate in multidisciplinary case reviews and collaborate with program staff to support participant treatment and reentry goals.
- Maintain timely, accurate, and complete documentation of assessments, referrals, enrollment activities, and participant progress in accordance with CDCR, Medi-Cal, HIPAA, and organizational requirements.
- Assist with program reporting, quality assurance activities, and contract compliance efforts.
- Educate participants on available healthcare benefits, preventive care, and community resources to promote long-term health and self-sufficiency.
- Advocate for participants by identifying and addressing barriers to healthcare access and service engagement.
- Must Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation; and
- Perform all other duties as assigned.