• Under the supervision of the Program Director, the Speech Therapist provides comprehensive speech therapy services to participants • Evaluating participants and developing individualized treatment plans • Deliver therapy and educate families and staff on techniques to support participant progress • Ensure all services are in compliance with Title 22, California Code of Regulations • Work collaboratively with interdisciplinary team members and contribute to care planning • Support the program in achieving its service and quality goals.

• Provide occupational therapy services virtually • Conduct occupational therapy assessments using interviews, standardized tools, and informal assessment techniques • Develop and implement evidence-based intervention plans in collaboration with clients and caregivers • Assign, supervise, and monitor occupational therapy assistants as appropriate • Maintain accurate, timely, and professional documentation, including: Assessment findings, Care plans, Progress and discharge summaries, Reports aligned with referral source requirements and COTO standards

Role Description As the Regional Director of Care Navigation, you will provide members with exceptional support by delivering high-quality, professional, and efficient service. You will also liaise with members and providers to assist in the coordination of care related to medical access complexities. A Day in the Life - Answer incoming calls and support members in scheduling appointments and accessing appropriate care. - Maintain open, continuous communication between members and providers. - Research accepting physicians or facilities based on plan design, member needs, and access barriers. - Partner closely with Account Management, Contracting, Advocacy, Pre-Neg, and TPA teams to resolve access issues. - Own the end-to-end member experience—from intake through resolution ensuring timely follow up, documentation, and clear next steps. - Make outbound calls to providers, clients, and partners to gather information, educate stakeholders, and provide updates. - Attend training and team meetings to stay current on workflows, tools, and plan updates. Duties & Responsibilities - Member Advocacy & Support - Deliver a high-empathy, member-first experience in every interaction. - Acknowledge frustration, build trust, and help members confidently navigate their benefits. - Explain open-network plans, reference-based pricing, and member benefits in simple, jargon-free language. - Own each case through resolution with proactive updates and follow-through. - Document all interactions thoroughly and accurately to ensure continuity of care, compliance, and quality. - Provider Communication & Problem Solving - Liaise professionally with providers to clarify plan details, payment processes, and network structure. - Navigate provider pushback with calm, respectful communication. - Identify accepting or RBP-friendly facilities and provide alternative options when needed. - Coordinate Single Case Agreements (SCAs) or escalations based on internal criteria. - Investigate delays or barriers that threaten timely care and act decisively to overcome them. - Operational Excellence - Follow established workflows, boundaries, and escalation protocols with precision. - Use internal research tools (OnPoint, PON, provider lookup systems) to verify provider options. - Prioritize inquiries based on urgency, member risk, and available details. - Collaborate across departments to establish processes that remove barriers to care. - Uphold compliance standards, including HIPAA and Department of Labor guidelines. - Maintain confidentiality of all sensitive information. - Clinical & Benefit Literacy - Understand key clinical terms, service types, and the implications of delays in care. - Confidently communicate around pre-authorization processes, diagnosis implications, and provider requirements—without crossing clinical boundaries. - Recognize scenarios requiring escalation due to potential impact on timelines or safety. Qualifications - High school diploma or equivalent required. - Foundational understanding of medical cost containment products (RBP, out-of-network, access coordination). - Knowledge of CPT codes, claims forms, or general medical insurance preferred. - Experience in healthcare navigation, patient access, medical office operations, insurance verification, case management, or high-emotion customer service environments strongly preferred. - Exceptional verbal and written communication skills. - Empathy, emotional resilience, and the ability to stay calm under pressure. - Strong judgment and ability to navigate sensitive or ambiguous situations. - Persistent, detail-oriented, and committed to accurate documentation. - Ability to manage multiple tasks simultaneously and adapt to frequent changes. - Skilled in problem-solving and anticipating member needs. - Bilingual (Spanish) preferred. Success Indicators - A successful Care Navigator consistently demonstrates: - High-quality member experience characterized by trust, clarity, and empathy. - Timely and accurate case documentation and workflow adherence. - Ability to professionally overcome provider resistance. - Strong cross-functional collaboration. - Sound judgment, composure, and reliability under pressure. - Ownership and follow-through on all assigned cases. Working Environment - Fast-paced, member-centric operations setting. - Frequent balancing of urgent inquiries, provider calls, and detailed research. - Highly collaborative environment with emphasis on communication, teamwork, and adaptability. - Culture built around mindfulness, problem-solving, and “outward mindset” principles. Benefits - 401(k) with matching - Dental insurance - Health insurance - Vision insurance - Health savings account - Paid time off Ready to apply? If this job sounds like a fit for you, then click on the ‘apply’ button below. Good luck!

• Provide OT interventions, including ADL/IADL strategies, equipment recommendations, and home modifications. • Use a collaborative, interdisciplinary approach to care and services. • Support a restorative approach to health, offering interventions, health coaching, and self-management support. • Utilize our digital platforms for care delivery, collaboration, documentation, and intervention.