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Personal Care Coordinator

2 months ago

Orange, United States Infojini Full time
Job DescriptionJob Description

Job Title - Personal Care Coordinator 
Location - Orange, California (Onsite Role)92868
6+ months 
 

 

Job Description: 
High School diploma or equivalent required.
1 year of experience working with the needs of pediatric members in a member service capacity required.

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. 
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 within Health’s medical management system. 
5% - Completes other projects and duties as assigned.

Preferred Qualifications:
Bachelor’s degree in healthcare management, social work, human services or related field. Health Maintenance Organization (HMO), Medi-Cal and Pediatric Health services experience. Bilingual in English and one of Health’s defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese)

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