Care Management Coordinator II
4 weeks ago
Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
The Care Management Coordinator II is responsible for outreach to members/caregivers, providers, Community Based Organizations (CBO), and others to help enroll our highest need members into the Care Management (CM), and Disease Management (DM) programs. The position is responsible to assess member’s strengths, challenges, needs, and barriers to care through conducting telephonic Health Risk Assessment (HRA). The position works with the member/caregiver, Care Management Specialist, Community Health Worker, and the Interdisciplinary Care Team (ICT) to support the development and implementation of the care plan and address unmet needs.
This position coordinates the flow of information between the CM team and the member/caregiver, provider, medical group, and other members of the ICT. The position supports the coordination of member care as instructed by the Care Management Specialist and outlined in the care plan including the reinforcement of health education and disease management information; coordinating benefits such as transportation and DME; and linking member to community resources to address the Social Determinants of Health (SDoH) of the member. The position is responsible to ensure the CM team meets the contractual and regulatory requirements and timelines by maintaining accurate documentation and following up with the member and provider as needed.
In addition, this position is assigned projects to support the department in meeting its regulatory and contractual requirements, such as running reports, data validation, quality checks and other projects. The position assists with the communication and coordination between programs and maintains confidentiality when communicating member information.
Duties
Responsible for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information, performing computer data input, faxing, emailing, filing of confidential member information, and maintaining logs of activity, etc. (40%)
Engages members to participate in the CM/Disease Management programs by reaching out and promoting the programs to address member’s unmet needs. (10%)
Completes telephonic calls to conduct the HRA with high risk members participating in the CM program. Assists the care team with developing and assessing health interventions. (10%)
Conducts telephonic outreach calls to members/caregivers regularly and evaluates and documents their progress towards their healthcare goals. Consults and collaborates with the Care Management Specialist to set up provider/specialist appointments and follow up on treatment plans. (10%)
Handles the incoming and outgoing calls to members/caregivers and providers to coordinate care as identified in the care plan. (10%)
Initiates follow up calls to members to administer screenings or confirm linkage to appropriate resources. Provides general information to members and providers about the CM and DM programs. (10%)
Performs other duties as assigned. (10%)
Duties Continued Education Required High School Diploma/or High School Equivalency CertificateEducation Preferred Associate's DegreeExperienceRequired:
At least 6 months of experience in an administrative and customer service role in a health care/health services setting .
Preferred:
1 year of Medical Assistant experience.
6 months of experience processing authorizations at a managed care/health plan setting.
Required:
Knowledge of medical terminology
Strong verbal and written communication skills
Proficiency in Microsoft Office with a high level of accuracy
Excellent organizational, and time management skills
Detail-oriented and a team player
Excellent customer service skills with compassion and empathy
Ability to demonstrate sensitivity and respect for the opinions, perspectives, customs, and individual differences of others.
Ability to value diversity of people and ideas, as well as interact with people from a wide range of backgrounds.
Ability to be flexible, open-minded, listen to and consider others’ viewpoints.
Ability to work well and develop effective relationships with diverse personalities.
Preferred:
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.
Preferred:
Motivation Interviewing
Trauma Informed Care
Physical Requirements LightAdditional InformationSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
-
Care Management Coordinator II
3 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeJob Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11258 Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income...
-
Enhanced Care Management Coordinator II
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $50, Min.) - $62, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...
-
Enhanced Care Management Coordinator II
1 month ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Care Management Specialist II
1 month ago
Los Angeles, United States L.A. Care Health Plan Full timeCare Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11494 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to...
-
Transitional Care Services Care Coordinator II
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $50, Min.) - $62, Mid.) - $75, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the...
-
Patient Care Coordinator II
2 weeks ago
Los Angeles, California, United States Cedars-Sinai Full timePosition OverviewJoin a prestigious organization recognized for its commitment to excellence. Cedars-Sinai has been honored with the National Research Corporation's Consumer Choice Award multiple times for delivering top-tier medical services in the region. Additionally, we have been acknowledged as the Advisory Board Company's Workplace of the Year for...
-
Inpatient After Hours Coordinator Level II
1 week ago
Los Angeles, United States MedPOINT Management Full time $24 - $26Job DescriptionJob DescriptionThe Inpatient After Hours Coordinator Level II is responsible for assisting the After Hour Nurse Case Managers with the coordination of patient care within established timeframes and utilizing established guidelines. They will report directly to the After Hours Lead.Duties and Responsibilities· Generates...
-
Care Management Specialist II
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $88, Min.) - $115, Mid.) - $142, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...
-
Care Management Specialist II
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...
-
Care Management Specialist II
2 months ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Outpatient Utilization Management Coordinator II
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewThe Outpatient Utilization Management Coordinator serves as the primary liaison between the Outpatient Utilization Management (UM) team and Health Plan representatives. This position is responsible for managing referral requests directed to Health Plans, including but not limited to tertiary care, durable medical equipment, and pharmacy services,...
-
Patient Care Coordination Specialist II
2 weeks ago
Los Angeles, California, United States Cedars-Sinai Full timeJob OverviewAlign yourself with a prestigious organization known for its excellence. Cedars-Sinai has been recognized multiple times for delivering top-tier medical services in Los Angeles, earning the National Research Corporation's Consumer Choice Award 19 times. We take pride in our workplace culture, having been awarded the Advisory Board Company's...
-
Project Engineer II
1 month ago
Los Angeles, United States Yang Management, Inc. Full timeJob DescriptionJob DescriptionGeneral Position Description:The Project Engineer II’s primary responsibility is to provide support and assistance to the other CPLT and CPT members in the performance of their respective responsibilities.The Project Engineer II is expected at times to step into the roles of more senior members of the project management team,...
-
Enhanced Care Management Clinical Specialist II
4 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members,...
-
Care Coordination Specialist
5 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob SummaryWe are seeking a highly organized and detail-oriented Care Coordination Specialist to join our team at MedPOINT Management. As a key member of our Case Management department, you will play a critical role in coordinating care for our members, ensuring seamless transitions and optimal health outcomes.Key ResponsibilitiesOpen and close cases in a...
-
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members,...
-
Enhanced Care Management Clinical Specialist II
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $88, Min.) - $115, Mid.) - $142, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...
-
Care Coordination Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewAs a vital member of the MedPOINT Management team, the **Care Coordination Specialist** operates under the guidance of the Lead Case Management Coordinator and the RN Clinical Supervisor. This role is primarily focused on the administrative aspects of managing care for cases assigned to Nurse Case Managers, ensuring adherence to all relevant...
-
Case Management Coordinator
1 month ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionUnder the direct supervision of the Lead Case Management Coordinator and the RN, Clinical Supervisor, the Case Management Coordinator performs major clerical work primarily responsible for coordinating care for cases assigned to Nurse Case Manager. Daily work incudes compliance with State, Federal and Health Plan as...
-
Care Management Initiatives Program Manager II
3 months ago
Los Angeles, United States L.A. Care Health Plan Full timeJob Summary The Care Management Initiatives Program Manager II is responsible for leading and managing a portfolio of strategic Care Management (CM) programs that are generally complex and large in scope. In this capacity, this position works collaboratively with leadership, management, cross-functional teams, regulatory body representatives, and other...