Personal Care Coordinator (Special Populations)
Posted on: June 1, 2021
Department(s): Case Management
Reports to: Manager, Case Management
FLSA status: Non-Exempt
Salary Grade: C - $41,000 - $53,000
This position will support CalOptima most vulnerable members
including those experiencing homelessness. The incumbent will
identify and assist in addressing barriers to members' care via
telephone and face to face interactions. The incumbent will work
closely with the Primary Care Provider (PCP), health care team
and/or health network, as applicable, to coordinate care and
support the members' timely access to CalOptima covered
- The incumbent will ensure timely follow up with members seen by
the Clinical Field Teams and members identified as needing housing
- The incumbent will provide outreach services at shelters,
community-based organizations, and designated events to provide
education and support to members. The incumbent will assess member
needs using a standardized Health Needs Assessment (HNA) requests
from health care providers and members with respect to CalOptima
- Provide telephone or face to face support to members treated by
Clinical Field Team.
- Provide outreach and education to members in offsite locations
including shelters, community-based organizations, and assigned
- Coordinate care and services with members including
face-to-face meetings at settings outside of CalOptima
- Collaborate with PCP, health network and health care team to
ensure timely communication of members' clinical and service needs
information, as appropriate.
- Appropriately document all interventions.
- Facilitate referrals to Case Management, behavioral health
services and other support services providers, as needed.
- Identify need for referrals to Long Term Support Services
(LTSS) and community resources, as needed.
- Facilitate warm transfers to members' assigned CalOptima or
health network case manager in accordance with member needs, when
- Guide members in understanding and accessing the benefits they
are entitled to under Medi-Cal and Medicare.
- Notify members' care team of key event triggers.
- Maintain compliance with established departmental productivity
- Ensure reporting of productivity metrics to supervisor as
- Other projects and duties as assigned.
Possesses the Ability To:
- Maintain accurate records and documentation.
- Effectively interview members to determine strengths, problems,
functional status, goals and need for specific
- Contribute to the development of the member care plan based on
assessment of the members' physical, psychosocial, functional,
strengths/barriers and mental health needs.
- Develop rapport and establish and maintain effective
interpersonal relationships with internal and external contacts at
- Work with Case Management, health network, provider staff and
community-based organizations to expedite the resolution of member
- Communicate effectively, both verbally and in writing, with
individuals from varying clinical/nonclinical and cultural/ethnic
- 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
Experience & Education:
- High school diploma or equivalent required.
- 2+ years experience working with the needs of persons who are
homeless or at risk of homelessness required.
- Valid driver's license and vehicle, or other approved means of
transportation, an acceptable driving record, and current auto
insurance will be required for work away from the primary office
20% of the time or more.
- Bachelor's degree in Social Work or related field
- Experience working with individuals with behavior health
conditions or substance use disorders preferred.
- HMO, Medi-Cal and Medicare and health services experience
- Bilingual in English and one of CalOptima's defined threshold
languages (Spanish, Vietnamese, Arabic, Farsi, Korean, and Chinese)
- Medi-Cal/Medicare eligibility and benefits.
- Long term services and support.
- Issues that face members who are homeless or at risk of
homelessness and who have behavioral health conditions or substance
- Principles and practices of health care service delivery.
- Principles and techniques to serve the homeless population in
diverse social and ethnic groups.
- Effective charting practices and guidelines.
- Computers, keyboarding, and appropriate software to produce
correspondence, data entry, and/or other information applicable to
CalOptima is an equal employment opportunity employer and makes
all employment decisions on the basis of merit. CalOptima wants to
have qualified employees in every job position. CalOptima prohibits
unlawful discrimination against any employee, or applicant for
employment, based on race, religion/religious creed, color,
national origin, ancestry, mental or physical disability, medical
condition, genetic information, marital status, sex, sex
stereotype, gender, gender identity, gender expression,
transitioning status, age, sexual orientation, immigration status,
military status as a disabled veteran, or veteran of the Vietnam
era, or any other consideration made unlawful by federal, state, or
local laws. CalOptima also prohibits unlawful discrimination based
on the perception that anyone has any of those characteristics or
is associated with a person who has, or is perceived as having, any
of those characteristics.
If you are a qualified individual with a disability or a
disabled veteran, you may request a reasonable accommodation if you
are unable or limited in your ability to access job openings or
apply for a job on this site as a result of your disability. You
can request reasonable accommodations by contacting Human Resources
Disability Management at 657-900-1134.
Keywords: CalOptima, Orange , Personal Care Coordinator (Special Populations), Other , Orange, California
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