Eligibility and Retention Specialist

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    "datePosted": "2024-06-18T08:34:27.853Z",
    "description": "<h2>Compensation</h2>\n<p><em><strong>Salary Range: $25.20 - $30.00 / hour</strong></em></p>\n<p> </p>\n<p><em>The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. </em><em>If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs</em></p>\n<p> </p>\n<p>This is a grant funded position from June 2026 to June 2027</p>\n<h2>Responsibilities</h2>\n<p><u>Position Overview:</u></p>\n<p> </p>\n<p>Community Memorial Healthcare (CMH) is seeking a full-time Eligibility and Retention Specialist to support Gold Coast Health Plan members with Medi-Cal enrollment, re-enrollment, retention, and eligibility-related needs. This position focuses on assisting members ages 19–64 with maintaining healthcare coverage by providing outreach, education, navigation, and support in resolving enrollment barriers.</p>\n<p> </p>\n<p>The Eligibility and Retention Specialist serves as a liaison among patients, Gold Coast Health Plan, and healthcare providers at Community Memorial Healthcare to ensure continuous access to healthcare services. This role emphasizes proactive outreach, timely intervention, and member-centered support to reduce coverage disruptions and improve health outcomes.</p>\n<p>This position requires an individual who thrives in a dynamic environment, possesses strong customer service and problem-solving skills, and is passionate about helping vulnerable populations access and maintain healthcare coverage.</p>\n<p> </p>\n<p>This is a grant-funded position with a one-year term and the possibility of extension based on funding availability and program needs.</p>\n<p> </p>\n<p><strong>This is a grant funded position from June 2026 to June 2027</strong></p>\n<h2>Qualifications</h2>\n<p><u>Required:</u></p>\n<ul>\n <li>High School Diploma or equivalent (GED) </li>\n <li>One (1) year of experience in healthcare, insurance enrollment, customer service, case management, community outreach, or a related field </li>\n <li>Knowledge of Medi-Cal, managed care plans, or public assistance programs </li>\n <li>Proficiency in Microsoft Office and electronic documentation systems</li>\n <li>Valid California driver's license</li>\n <li>Current and ongoing Motor Vehicle Report (MVR) considered insurable under CMH insurance coverage</li>\n</ul>\n<p><strong><u>Preferred:</u></strong></p>\n<ul>\n <li>Bilingual in Spanish and English</li>\n <li>Strong organizational, communication, and documentation skills</li>\n <li>Proficiency in electronic health records and data tracking systems</li>\n <li>Experience reporting and analyzing data</li>\n <li>Ability to manage multiple priorities and maintain professional composure in a fast-paced environment</li>\n <li>Demonstrated ability to work collaboratively with multidisciplinary teams in primary care settings</li>\n <li>Understanding of managed care principles, Medi-Cal eligibility, and medical terminology</li>\n</ul>\n<p> </p>\n<h2>Overview</h2>\n<p><em><strong>Nationally Recognized. Community Focused.</strong></em></p>\n<p> </p>\n<p></p>\n<p> </p>\n<p>Community Memorial Healthcare is proud to earn the 2026 Outstanding Patient Experience Award™ from Healthgrades, placing Community Memorial Hospital – Ventura among the top 15% of hospitals nationwide and one of only 13 hospitals in Southern California recognized for patient experience excellence. Extraordinary patient care begins with extraordinary teams.</p>\n<p> </p>\n<p>View all of our awards and accreditations and learn more about us as you explore career opportunities with a team committed to compassionate, award-winning care.</p>\n<p> </p>\n<p>Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve.</p>\n<p> </p>\n<p><strong>Community Memorial Healthcare Benefits</strong></p>\n<p>To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.</p>\n<p> </p>\n<ul>\n <li>Competitive Pay</li>\n <li>Shift Differentials</li>\n <li>In-House Registry Rates</li>\n <li>Fidelity 403(b) Retirement Plan</li>\n <li>Paid Time Off</li>\n <li>Medical (EPO/PPO), Dental, & Vision Insurance Coverage</li>\n <li>Voluntary Worksite Benefits</li>\n <li>Employee Assistance Program Available 24/7 (EAP)</li>\n <li>Tuition Reimbursement </li>\n <li>Public Service Loan Forgiveness (PSLF)</li>\n <li>Recognition programs</li>\n <li>Employee service recognition events</li>\n <li>Home, Retail, Travel & Entertainment Discounts</li>\n <li>National Hospital Week and National Nurses Week celebrations</li>\n</ul>\n<p> </p>\n<p><em>Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.</em></p>\n<p> </p>\n<p><strong>“We are an AA/EEO/Veterans/Disabled Employer”</strong></p>",
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