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.