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Personal Care Coordinator, Sr.

Personal Care Coordinator, Sr.

The Midtown GroupOrange,, California
30+ days ago
Job type
  • Full-time
Job description

One of our most prestigous healthcare clients is seeking a highly motivated an experienced TEMPORARY - 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 incumbent 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 incumbent 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 incumbent will maintain strong working relationships with the PCP and health care team to ensure member access to timely services and coordination of care.

Position Information :

  • Department :   Case Management
  • Pay Range :   $25.87 - $38.80 / hr
  • Offer will be made by the client based on experience and based on their internal scale!
  • Work Arrangement :   Fully in-office
  • Work Schedule :   Monday to Friday 8am to 5pm

Duties & Responsibilities :

  • 95% - 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 the 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.
  • 5% - Completes other projects and duties as assigned.

    • Minimum Qualifications :

  • High School diploma or equivalent required PLUS 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 behavior health conditions or substance use disorders.
  • Bilingual in English and one of the defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).

    • Required Licensure / Certifications :

  • N / A

    • 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.

    • Physical Requirements (With or Without Accommodations) :

  • Ability to visually read information from computer screens, forms and other printed materials and information.
  • Ability to speak (enunciate) clearly in conversation and general communication.
  • Hearing ability for verbal communication / conversation / responses via telephone, telephone systems, and face-to-face interactions.
  • Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
  • Lifting and moving objects, patients and / or equipment 10 to 25 pounds

    • Work Environment :

    If located at the 500, 505 Building or a remote work location :

  • Work is typically indoors and sedentary and is subject to schedule changes and / or variable work hours, with travel as needed.
  • There are no harmful environmental conditions present for this job.
  • The noise level in this work environment is usually moderate.

    • If located at PACE :

  • Work is typically indoors in a clinical setting serving the frail and elderly.
  • There may be harmful or hazardous environmental conditions present for this job.
  • The noise level in this work environment is usually moderate to loud.

    • If located in the Community :

  • Work is typically indoors and sedentary and is subject to schedule changes and / or variable work hours, with travel as needed.
  • Employee will occasionally work outdoors in varied temperatures.
  • There may be harmful or hazardous environmental conditions present for this job.
  • The noise level in this work environment is usually moderate to loud.

    • The Midtown Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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