Care Coordinator

Company Information:

Calibrated Healthcare is a Business Process Outsourcing (BPO) company providing healthcare administration and administrative support through staffing augmentation for medical management in the Healthcare industry. Headquartered in Ontario, California, we currently have offices in India and the Philippines providing various administrative services to our clients. Calibrated is an Enhance Care Management (ECM) provider for IEHP, we continue to grow with the services we offer as well as the clients we serve.

Position Overview:

An ECM Care Team is a multidisciplinary, integrated team comprised of four primary roles: Registered Nurse Care Manager (RN CM), Behavioral Health Care Manager (BH CM), Care Coordinator (CC), and Community Health Worker (CHW). ECM is a statewide Medi-Cal managed care plan (MCP) benefit that provides person-centered, community-based care management to the highest need members. It is the highest care management tier of the Medi-Cal MCP Population Health Management continuum. This job description is for the Care Coordinator position.

Responsibilities:

The Care Coordinator/Housing Coordinator provides care coordination and connection to services and social supports for ECM Members, including appointment scheduling and referral management;

· Provides on-going monitoring of the Targeted Engagement List (TEL);

· Assigns Members to the appropriate ECM Care Team members based on risk category and available clinical data for ECM engagement activities;

· Responsible for primarily working with a caseload of Members identified as being low risk (Tier 3);

· Conducts periodic telephonic outreach and follow-up to low-risk ECM Members as outlined on the Shared Care Plan;

· Supports RN Care Manager, BH Care Manager and Community Health Worker with delegated tasks

· Assists in the coordination of appointments and referrals for physical and behavioral health appointments;

· Collaborates on Member care issues with other ECM Care Team Members, participating in weekly systematic case reviews and ad hoc case reviews, and consults with Registered Nurse Care Manager and/or the Licensed Practical Nurse Care Manager before taking any action that is clinical in nature;

· Connects ECM Member to other social services and supports he/she may need;

· Uses relationship-based strategies to engage Members in care as well as motivational interviewing;

· Assists with arrangements such as transportation, directions and completion of durable medical equipment requests; and

· Coordinates with ECM Member in the most easily accessible setting, within IEHP guidelines (e.g. could be patient home, provider or regional office, or other setting).

Educational Requirement:

· Associate's Degree, Bachelor's preferred.

Skills & Experience Requirements:

· Driver’s license.

· Excellent communication skills in verbal, written, and interpersonal communication.

· Ability to work independently and as part of a team.

· Proficient in Microsoft Outlook, Excel, Word

· Healthcare experience, Care Coordination

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• Are you agreeable to a Drug screen and a background check?

Work Location: On the road