Personal Care Coordinator Sr (Case Mgt)

Summary Of Need

We are seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The contractor will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The Personal Care Coordinator Sr will regularly assess the quality of service given to the member's care by identifying barriers and assisting in improving these barriers for all levels of care. The contractor will maintain strong working relationships with the PCP and health care team to ensure member access to timely services and coordination of care.

Duties & Responsibilities

• Program Support participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Maintains strong working relationships when collaborating with the PCP and health care team to ensure timely communication of member's clinical information and ensures appropriate documentation of all interventions.
  
  

Also, notifies member's care team of key event triggers.

• Collaborates with licensed professionals in development of a care plan for each member, incorporating the HNA or HRA all assessment findings.
• Facilitates communication of care plan to the PCP and member, as necessary.
• Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals.
• Facilitates and participates in interdisciplinary team meetings as applicable.
• Processes and maintains complex or sensitive documentation of member's case and care plan within medical management system.
• Facilitates referrals to Behavioral Health Services and identifies the need for referrals to Long-Term Support Services and community resources.
• Facilitates transfers to member's assigned case manager in accordance with member needs, when appropriate.
• Anticipates longer-term and more unique member needs by providing guidance in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, as appropriate.
• Maintains compliance with established departmental productivity guidelines; compiles and conducts basic analyses and reporting of productivity metrics to management as required.
• Coordinates and maintains cases in current case load in accordance with case management standards.
• Assists with collection of health risk or health needs assessments as well as gathers medical records as needed.
• Provides regular outreach to assigned members and evaluates quality of service given to members according to department contact standards.
• Serves as the main point of contact for assigned members to anticipate longer term member needs.
• Works with Case Management staff to expedite the resolution of member concerns.
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Maintains strong working relationships when collaborating with the PCP and health care team to ensure timely communication of member's clinical information and ensures appropriate documentation of all interventions. Also, notifies member's care team of key event triggers.
• Collaborates with licensed professionals in development of a care plan for each member, incorporating the HNA or HRA all assessment findings. Facilitates communication of care plan to the PCP and member, as necessary.
• Completes other projects and duties as assigned.
  
  

Qualifications

Minimum Qualifications:

• High School diploma or equivalent required.
• 2 years of experience working with the needs of members, such as but not limited to pediatric members, seniors or persons with disabilities (SPD) and/or special populations (e.g., homeless or at risk of homelessness) in a customer/member service capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
  
  

Preferred Qualifications

• Bachelor's degree in healthcare management, social work, human services or related field.
• 2 years of experience with health maintenance organization (HMO), Medi-Cal and health services.
• Experience working with individuals with behavioral health conditions or substance use disorders.
• Bilingual in English and one of defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).
  
  

Knowledge & Abilities

• Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
  
  

Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners.

Benefits Offered To Our Workers Include The Following

• Medical Insurance
• Vision & Dental insurance
• Life Insurance
• 401K
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options