“Service, Support and Advocacy for Individuals with Developmental Disabilities and their Families”

CAREER OPPORTUNITY ANNOUNCEMENT

Health Care Support Specialist
Bilingual: Spanish Required

Position Description:
Under the direct supervision of the Specialized Services Manager of Clinical Services, the Health Care Support Specialist works with service coordinators and families to identify and access public and/or private benefits available to eligible clients.

Essential Job Functions:

• Maintains current, centralized information related to public and private benefits to which regional center clients may be entitled (included but not limited to IHSS, Medi-Cal, and private insurance).
• Provides consultation and support in accessing Medi-Cal Managed Health Care benefits. This would include enrollments and changes in plans or providers.
• Provide support in coordinating care and services with the Independent Practice Associations (IPA) and medical groups. This will include denial of funding of a recommended medical service, therapy, durable medical equipment, EPSDT services, and home health care.
• Serves as a liaison with the Medi-Cal Managed Care Health Plan and with the Centers for Medicaid and

Medicare (CMS). This will include attending meetings at the county and state level.

• Work with the Medi-Cal Managed Care representatives to develop resource lists of clinical providers in our catchment area.
• Support in the enrollment/disenrollment of clients into the Medicare Advantage Programs under the federal managed care programs, including Medicare Part D.
• Support in coordinating with the Medi-Cal Managed Health Plan the transition of clients into the ICF/SNFs
• Provides support in coordinating services for the CBAS programs.
• Provides consultation for IHSS/Personal Care Hours benefits. This will include reviewing cases when clients/families are requesting advocacy to appeal for an increase of hours.
• Will stay up to date regarding changes in public and/or private benefits.
• This position provides coverage to other specialized positions within the Clinical Services Department.
• Provides support in accessing behavioral health services through private insurance. This will include appeals at the first and second level.
• Provides and/or coordinates training for clients, families, providers, and SG/PRC staff regarding various benefits available through public sources and private insurance.
• Other duties as assigned.

Education/Experience:
Bachelor’s Degree in social work, psychology, human development, sociology, public health nursing or a related field and two years of related experiences. A Master's degree in a related field can be substituted for one year of the required experience.

“Service, Support & Advocacy for Individuals with Developmental Disabilities and Their Families”
75 RANCHO CAMINO DR. POMONA CA 91766| (909) 620-7722

Knowledge and Abilities:

• Understanding of family systems and human dynamics.
• Knowledge of developmental disabilities.
• Good organizational skills.
• Demonstrated ability to work independently and cooperatively as a part of an interdisciplinary team.
• Ability to communicate effectively verbally and in writing at the highest professional level with staff and members of the community.
• Must be a self-starter who can work independently on complex problems, interacting with a wide variety of constituents with multiple priorities.
• Must exercise skill in creative problem solving with minimal supervision and direction.
• Must be proficient in the use of a computer including Microsoft programs.

Competencies Required:
Teamwork: values others, cooperates, is flexible, and collaborates.
Respectful Communication: has patience, manages own reactions, and ensures understanding.
Professionalism: Respects the Agency and its employees, is positive, responds, follows through, and maintains boundaries.
Acknowledge Differences: shows cultural awareness and is mindful of others.
Continuous Learning: Is technically competent, demonstrates good judgment, and maintains and builds own skills.

Other Requirements:
Employees using a private vehicle for agency purposes must maintain a valid driver’s license and minimum liability insurance coverage.

Salary

$23.00 to $44.14/ hour

POSTING DATE: February 27, 2023
IN-HOUSE CLOSING DATE: March 8, 2023 EXTERNAL CLOSING DATE: Open until filled

Application Procedure

Internal Candidates: A Resume and Letter of Interest must be submitted to the Human Resources Department by the In-House Closing Date.

External Application: Complete an application at or mail to: San Gabriel/Pomona Regional Center, 75 Rancho Camino Drive, Pomona, CA 91766. Fax (909) 622-1873 or e-mail Jobs@sgprc.org.

Interview Procedure Guidelines: An application is required for the interview process. The hiring decision will be made by the hiring panel.

SAN GABRIEL/POMONA REGIONAL CENTER IS AN EQUAL OPPORTUNITY EMPLOYER www.sgprc.org

HR:rs 02/2023

“Service, Support & Advocacy for Individuals with Developmental Disabilities and Their Families”

75 RANCHO CAMINO DR. POMONA CA 91766| (909) 620-7722

Job Type: Full-time

Pay: $47,840.00 - $91,811.20 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Pomona, CA 91766

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