Care Management Coordinator II

Job Category:
Administrative, HR, Business Professionals

Department:
Care Management

Location:

Los Angeles, CA, US, 90017

Position Type:
Full Time

Requisition

Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents.

The Care Management Coordinator II is responsible for outreach to members/caregivers, providers, Community Based Organizations (CBO), and others to help enroll our highest need members into the Care Management (CM) and Disease Management (DM) programs. The position is responsible for assessing members’ strengths, challenges, needs, and barriers to care through conducting telephonic Health Risk Assessments (HRA). The position works with the member/caregiver, Care Management Specialist, Community Health Worker, and the Interdisciplinary Care Team (ICT) to support the development and implementation of care plans and address unmet needs.

This position coordinates the flow of information between the CM team and the member/caregiver, provider, medical group, and other members of the ICT. It supports the coordination of member care as instructed by the Care Management Specialist and outlined in the care plan, including reinforcing health education and disease management information, coordinating benefits such as transportation and DME, and linking members to community resources to address the Social Determinants of Health (SDoH).

The position is responsible for ensuring the CM team meets contractual and regulatory requirements and timelines by maintaining accurate documentation and following up with members and providers as needed.

In addition, this position is assigned projects to support the department in meeting its regulatory and contractual requirements, such as running reports, data validation, quality checks, and other projects. The position assists with communication and coordination between programs and maintains confidentiality when communicating member information.

Associate's Degree

Required: At least 6 months of experience in an administrative and customer service role in a health care/health services setting.

Preferred: 1 year of Medical Assistant experience; 6 months of experience processing authorizations at a managed care/health plan setting.

Required:

• Knowledge of medical terminology
• Strong verbal and written communication skills
• Proficiency in Microsoft Office with a high level of accuracy
• Excellent organizational and time management skills
• Detail-oriented and a team…