Personal Care Coordinator - Full Time, Days (Orange) at Prospect Medical Systems - CA in Orange, California

Job Description:

Personal Care Coordinator - Full Time, Days (Orange)

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Personal Care Coordinator (PCC) will serve as a liaison between OneCare members, the Prospect Medical Group, CalOptima, medical providers, behavioral health providers and Long Term Support Service (LTSS) providers. The PCC will identify and reduce barriers to members' care, assist the member in locating and accessing resources and educate the member on the importance of accessing care promptly. The PCC will serve as the primary point of contact for the member and will be an integral part of the member's interdisciplinary care team. The PCC provides support to the member as they self-navigate the health care system and works closely with member's case management team to resolve access, medical and psychosocial related issues. The PCC must be able to efficiently manage and prioritize a caseload of 400-500 members while working under the direct supervision of a licensed clinical professional to ensure optimal coordination of care for the OneCare members.

Job Responsibilities/Duties

• Collaborate with CalOptima PCC to ensure timely communication of member's clinical information.
• Guide members in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, through the OneCare program.
• Assist with coordination of member's health care and social service needs both within and outside the Medical Group and CalOptima.
• Facilitate communication of initial care plan to the primary care physician (PCP), PMG CalOptima and member, as indicated.
• Assist the member with the following; preventive care goals and scheduling of appointments, facilitate referrals to LTSS, behavioral health and community resources. Initiate referrals to both internal and external care management departments and other department government or community agencies and facilitate warm transfers to member's assigned case manager in accordance with member needs, when appropriate.
• Outreach to members to complete assessment when there are changes to a member's health status.
• Prompt communication member's case notes, HRA, care plan and interdisciplinary care team (ICT) proceedings to CalOptima's PCC for integration in CalOptima's medical management system.

Qualifications

Minimum Education: Minimum of AA degree required.

Minimum Experience: Two (2) plus years' experience working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity.

Req. Certification/Licensure: None.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol. Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm. For this reason, we require applicants to pass a screening for drug use as a condition of employment. This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.

How to Apply

To apply for this role, or search our other openings, please visit https://prospectmedicalsystems.com/about-us/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

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