Personal Care Coordinator (Healthcare) Needed!

Position Responsibilities:

• Outreach to members to coordinate completion of the initial and annual HRA.

• Conduct telephonic HRAs.

• Data entry of HRAs received via mail.

• Collaborate with PCP and health care team to ensure timely communication of member’s clinical information.

• Ensure appropriate documentation of all interventions.

• Collaborate with licensed professionals in the development of an initial care plan for each member, incorporating the HRA and all assessment findings.

• Facilitate communication of initial care plan to the PCP and member, as necessary.

• Maintain documentation of member’s case, care plan and interdisciplinary care team within he organization’s medical management system.

• Facilitate referrals to behavioral health services.

• Identify need for referrals to Long Term Support Services (LTSS) and community resources.

• Facilitate warm transfers to member’s case manager when appropriate, to meet member needs.

• Guide members in understanding and accessing the benefits they are entitled to under Medi-Cal.

• Notify member’s care team of key event triggers.

• Maintain compliance with established departmental productivity guidelines.

• Ensure reporting of productivity metrics to supervisor as required.

• Other projects and duties as assigned.

Possess the Ability To:

• Maintain accurate records and documentation.

• Effectively interview members to determine strengths, problems, functional status, goals and need for specific services/resources.

• Contribute to the development of a plan based on assessment of the member’s physical, psychosocial, functional, strengths/barriers and mental health needs.

• Develop rapport and establish and maintain effective interpersonal relationships with internal and external contacts at all levels.

• Work with Case Management staff to expedite the resolution of member concerns.

• Remain knowledgeable of the Medi-Cal benefit set.

• Communicate effectively, both verbally and in writing with individuals from varying cultural and ethnic backgrounds.

• Speak, understand, read and/or write a second language in addition to English may be required for some assignments.

Experience & Education:

• High school diploma or equivalent required.

• Bachelor’s degree desired.

• 2+ years experience working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity.

• HMO, Medi-Cal and health services experience preferred.

• Bilingual in English/Spanish, English/Vietnamese, English/Korean, English/Mandarin, English/Arabic or English/Farsi is preferred.

Knowledge of:

• Medi-Cal eligibility and benefits preferred.

• Long term services and supports.

• Issues that face members with special needs, such as seniors and persons with disabilities.

• Principles and practices of health care service delivery and managed care, Medi-Cal, and the organization’s eligibility and benefits.

• Principles and techniques to serve the SPD population in diverse social and ethnic groups.

• Effective charting practices and guidelines.

• Computers, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position.

If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today!

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