Personal Care Coordinator - 6 months
Position Information:
Department:
Case Management
Salary
Grade: 303 - $24.88 - $34.8274
Work
Arrangement: ON-SITE
Duties
& Responsibilities:
85%
- Program Support Under general direction, supports with processing routine WCM
referrals, AMRs, and ICTs within appropriate timeframes for all Health members.
Collaborates with health networks to ensure timely receipt of members' clinical
information. Coordinates with OCHCA CCS to address health networks need for
necessary clinical information. Works with Case Management staff, OCHCA CCS and
other members of the health care team to facilitate medical care and expedite
the resolution of member concerns. Performs outreach to members to coordinate
the completion of the initial and annual HNA or HRA. Reviews member concerns or
questions that could potentially require additional support or outreach with
the Supervisor. Facilitates communication of initial care plan to the primary
care provider (PCP), health network and member, as needed. Facilitates
referrals to behavioral health services. Identifies member needs and assists
members with referrals to community resources to meet those needs. Guides
members in understanding and accessing the benefits they are entitled to under
Medi-Cal and CCS. Notifies the member's care team of key event triggers.
10%
- Administrative 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 documentation of the member's
case, care plan and interdisciplinary care team withing the management system.
5%
- Completes other projects and duties as assigned.
Minimum
Qualifications:
High
School diploma or equivalent required.
1
year of experience working with the needs of pediatric members in a 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 health care management, social work, human services or related field.
Health Maintenance Organization (HMO), Medi-Cal and Pediatric Health services
experience. Bilingual in English and one other language (Arabic, Chinese,
Farsi, Korean, Spanish, Vietnamese).
Required
Licensure / Certifications: N/A
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. To the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.