Personal Care Coordinator
Company: Sunshine Enterprise USA LLC
Location: Orange
Posted on: May 6, 2024
Job Description:
At Sunshine Enterprise USA, we're not just a company; we're a
community of dedicated professionals committed to excellence and
innovation. As a leading force in the business landscape, we take
pride in bringing together great people and great organizations by
fostering a work environment that values creativity, diversity, and
growth. If you're ready to embark on a rewarding career journey
with a company that prioritizes its employees, explore our current
job opportunities below.Job SummaryThe Personal Care Coordinator
(PCC) will be responsible for supporting members in completing
their health risk assessment (HRA). This role will involve ensuring
the communication of the member's HRA and care plan with the
member, Primary Care Provider (PCP), and the healthcare team. The
incumbent will identify barriers to member's care and assist in
improving these barriers for all levels of care. The incumbent will
work closely with the PCP and healthcare team to ensure member
access to timely services and coordination of care.**This is an
on-site position**Position Responsibilities
- Participates in a mission-driven culture of high-quality
performance, with a member focus on customer service, consistency,
dignity and accountability.
- Performs outreach to members to coordinate completion of the
initial and annual HRA, conducts telephonic and/or in-person HRAs
as necessary and ensures data entry of HRAs received via
email.
- Interviews members to determine strengths, problems, functional
status, goals and need for specific services/resources.
- Maintains documentation of member's case, care plan,
interventions, and interdisciplinary care team within the medical
management system.
- Collaborates with PCP and health care team to ensure timely
communication of member's clinical information.
- Partners with licensed professionals in the development of an
initial care plan for each member, incorporating the HRA and all
assessment findings.
- Facilitates communication of initial care plan to the PCP and
member, as necessary.
- Identifies the need for, and facilitates, referrals to Long
Term Support Services (LTSS), Behavioral Health and community
resources.
- Oversees warm transfers to member's assigned Case Manager in
accordance with member needs, when appropriate.
- Works with Case Management staff to expedite the resolution of
member concerns.
- Guides members in understanding and accessing the benefits they
are entitled to under Medi-Cal.
- Assists the team in carrying out department responsibilities
and collaborates with others to support short- and long-term
goals/priorities for the department.
- Notifies member's care team of key event triggers.
- Maintains compliance with established departmental productivity
guidelines.
- Ensures reporting of productivity metrics to supervisor as
required.
- Completes other projects and duties as assigned.Experience &
Education
- High School diploma or equivalent required.
- 1 year of experience working with the needs of seniors or
persons with disabilities (SPD) 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 is also qualifying.Preferred
Qualifications:
- Bachelor's degree in healthcare management or related
field.
- 1 year of Health Maintenance Organization (HMO), Medi-Cal
and/or health services experience.
- Bilingual in English and one of the defined threshold languages
(Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese)
required.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.Sunshine Enterprise USA is an "Equal Opportunity
Employer-Minorities, Females, Veterans and Disabled
Persons"Compensation details: 23-31 Hourly
WagePIe47f99935552-31181-34403666
Keywords: Sunshine Enterprise USA LLC, National City , Personal Care Coordinator, Other , Orange, California
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