Managed Care Coordinator jobs at Agape Home Healthcare

Apply fast, check the full description by scrolling below to find out the full requirements for this role. * The Respiratory Care Clinical Care Leader is responsible for developing and sustaining an environment that promotes excellence in clinical practice and patient / family satisfaction, while striving for optimal efficiency and productivity of all resources. The CCL works to coordinate daily clinical activities for patient care areas. Leadership skills and current evidence based clinical knowledge are utilized to assess the health needs of patients, collaborate with health team members to coordinate patient care, anticipate outcomes of interventions, and set criteria for the quality of patient care. Reports to department leadership. * ESSENTIAL DUTIES AND RESPONSIBILITIES * Utilizes leadership skills and current evidence based clinical knowledge to assess the health needs of patients, collaborate with health team members to coordinate patient care, anticipate outcomes of interventions, and set criteria for the quality of patient care. * Coordinates daily clinical activities for patient care areas. * Provides patient and staff education, clinical oversight / supervision, and participates in department based activities to include but not limited to quality assessment, shared governance, scheduling, quality review, and staff development in-services. * Serves as a resource for clinical expertise and insight; utilizes evidence-based practice to develop and implement standards of practice that guide practice improvement initiatives. * Assesses patient condition based on medical history, observation, examination, physician's diagnosis, laboratory findings and the results of specific test or respiratory function and other appropriate diagnostic procedures. * Develops or modifies the respiratory care plan and makes specific recommendations to physicians regarding indicated therapy. * Administers appropriate diagnostic tests and procedures to evaluate therapeutic responses including: blood gas sampling and interpretation, oxygen saturation, end-tidal carbon dioxide measurement, pulmonary mechanics, inhaled medications and may assist with endotracheal intubation and bronchoscopy. * Responds to respiratory and other defined emergencies such as transfer of neonatal high risk patients, cardiopulmonary arrest, and trauma activations. * Maintains artificial airways and provides mechanical ventilation, in addition provides transport of those patients with an artificial airway or mechanical ventilation to locations in order to facilitate tests and procedures. * Initiates patient and caregiver teaching as appropriate. * Completes necessary documentation of all pertinent observations related to patient care treatments, response to therapy, and all recommendations for modification in the treatment plan. * May assume responsibility and accountability for 24-hour management of the Respiratory Care department in the absence of both the manager / director. * Performs all other duties as assigned. * LICENSES AND/OR CERTIFICATIONS * Required Licenses and/or Certifications * Current registration as a Registered Respiratory Therapist from the National Board of Respiratory Care required. * American Heart Association (AHA) certification such as Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS) designation is required and/or must be obtained within 45 days of hire. * American Academy of Pediatrics (AAP) certification such as Neonatal Resuscitation Program (NRP) designation is required and/or must be obtained within 45 days of hire. * Advanced credential from the National Board of Respiratory Care such as Neonatal/Pediatric Specialty (NPS) or completion of the Asthma Educator certification required, must obtain within 6 months of hire. * CPR Training required and/or must be obtained within 45 days of hire. * Must provide record of a completed diploma (or equivalent) or academic transcript for those areas performing complexity testing. * Preferred Licenses and/or Certifications * None preferred. * MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS * Required Education and Experience * Bachelor's degree required; will consider associate's degree in respiratory and actively enrolled in a bachelor's program - bachelor's must be obtained within three years from date of hire. * 2+ years relevant experience required. * Preferred Education and Experience * 2+ years in pediatric and neonatal ICU experience preferred. * Required Knowledge, Skills and Abilities * Demonstrates the ability to work independently in all clinical areas within the health system. * WORKING CONDITIONS * Expected to work in a patient care environment with minimal exposure to environmental hazards such as, but not limited to, excessive noise, dust, or extremes in temperatures. Exposure to communicable diseases and moderately adverse working conditions due to the need to perform certain patient care activities can be expected. xevrcyc * PHYSICAL REQUIREMENTS * Click here to view physical requirements. ( )

/ RESPONSIBILITIES The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable.

/RESPONSIBILITIES Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

Job Description Join the team that's redefining eye care! Eye Care Solutions Coordinator - $19.43/hr. Full-Time | Monday-Friday | 10:30 AM-7:00 PM Ready to make a real difference every day? As a Eye Care Solutions Coordinator, you'll be the first point of contact for patients, playing a vital role in our mission to Save Lives by Saving Sight! Bring your customer service excellence and organizational skills to a team that values collaboration and compassion! Our Purpose & Passion Make a Real Difference: Help improve eye health and restore vision through innovative biologic tear solutions. Purpose-Driven Work: Every role enhances life for patients with dry eye disease. Innovation in Healthcare: Work at the intersection of science, compassion, and technology in a rapidly growing field. Benefits That Go Beyond Competitive Pay and performance-based incentives. Free health insurance, fully paid by us-so you can focus on what matters. Enjoy generous paid time off and a hybrid environment that provides work-life balance. Be celebrated for your impact with meaningful rewards and opportunities to advance your career. What Your Day Looks Like Be the first friendly voice patients hear-welcome and guide them through their care journey. Call patients with updates on their medical orders and walk them through next steps. Help patients stay on track by following up on expiring prescriptions or treatments. Build trust through thoughtful follow-ups and second-touch calls. Collaborate with your call center teammates to deliver seamless, patient-first support. Why You Are A Great Fit You're a great communicator who listens first and speaks with empathy. You can juggle tasks like a pro and stay cool when priorities shift. You're comfortable in a fast-moving, structured medical call center environment. Job Posted by ApplicantPro

JOB SUMMARY Under the supervision of the NOPS Director or designee, assist in planning, organizing, implementing and evaluating the activities occurring in the administration department by performing facilitator duties and maintain the physical environment of the area. Performs a variety of responsible and specialized administrative and office support functions; creates and maintains specialized reports, records and files required in connection with department work processes. Must use effective interpersonal skills in managing the complex interactions involved with the position related to Central Command. EDUCATION, EXPERIENCE, TRAINING High School Diploma or equivalent. Current Basic Life Support (CPR) AHA card. Reading and comprehension of English required. Minimum one year experience in acute hospital preferred. Experience with Excel, Microsoft Word.

Care Coordinator, CAW External Description: Care Anywhere--Care Coordinator The Clinical Coordinator manages a case load of field-based and clinic providers and extenders to ensure high quality services and care coordination activities are delivered to high risk members. The Care Coordinator is responsible for UM/CM Coordinator functions as defined below: General Duties/Responsibilities: (May include but are not limited to) Review Daily Census for new Admissions Obtain medical records from Provider offices, hospitals and SNF's Attach medical records to authorizations Enter referral requests/authorizations in system Monitor Fax Folders Monitor task lists in EHR Post discharge scheduling of appointments Follow up scheduling and re-scheduling of no-show appointments Assist NP team with visit preparation needs Appointment reminders to members Assign members to NP in EHR Provide needed documentation to NP for visits each day Direct inbound calls from members/family related to medication refills Assist in Hospice Enrollments Complies with tasks assigned by nurse and, as appropriate, documents accordingly. Maintains documentation on members contacted. Assists with COC's Notifies NP/nurse If members appear to be non-compliant or there appears to be a change in condition Assists with outreach activities to members in all levels of Case Management Programs. Assists with maintaining and updating member's records Assists with mailing or faxing correspondence to PCP's, Specialists, related to, as needed. Recognizes work-related problems and contributes to solutions. Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs). Works with outside vendors to provide appropriate care needs for members Maintains confidentiality of information between and among health care professionals. Other duties as assigned by CM Manager or Director of Case Management. Communication with multidisciplinary teams Covering for other team members when needed, ie PTO, sick time Minimum Education and/or Experience: High school diploma or general education degree (GED) required; with one year related experience and/or training; or equivalent combination of education and experience. No licensure required. Knowledge of ICD9 and CPT codes Knowledge of Managed Care Plans Experience entering referrals and prior authorizations Basic Computer Skills, 25 WPM (Microsoft Outlook, excel, word) Bilingual (English/Spanish) preferred Medical Terminology Certificate preferred Knowledge working in Access Express/Portal, epic, essette (not mandatory) Good oral, written and telephone skills Skills and Abilities: Language Skills: Ability to read and interpret documents and follow up on orders from NP's/MD's. Ability to read and follow instructions and procedure manuals. Ability to write routine reports and correspondence. Communicates effectively using good customer relations skills. Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Other Skills and Abilities: Good organizational skills Ability to reason and carry out instructions. Good interpersonal skills. Read, write and speak English fluently. File systematically. FLSA Status: Non-Exempt Approved by/ Date: Melissa Bryson 8.2.2019 City: Orange State: California Location City: Orange Schedule: Full Time Location State: California Community / Marketing Title: Care Coordinator, CAW Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.

. The Withdrawal Management Coordinator is the coordinator of community and client services for participants in Prototypes' Withdrawal Management Programs. This can include services in areas of domestic violence, substance abuse and issues of mental health. Key Responsibilities Provide comprehensive assessments and evaluations of service needs, counseling and discharge planning, and have knowledge of all procedures as they relate to the individual program services for Residential and Withdrawal management programs. Have the ability to assess and record vital signs and withdrawal symptoms utilizing standardized assessment tools with strict adherence to medical orders and procedures. Recommend interventions to client and/or inter-disciplinary team members as appropriate. Foster and develop relationships with client's family and friends, arranging for therapeutic visits and/or family sessions as indicated on the client's Treatment Plan. Coordinate services with other involved services providers. Provide referrals and linkages to services specific to client's needs. Provide follow-up to ensure services are obtained. Provides daily individual counseling and advocacy for withdrawal management clients as needed. Provide crisis intervention as needed within scope of practice for all clients. Communicate effectively with inter-disciplinary team and participate in team meetings to review cases. Responsible for being in compliance with HIPAA and 42CFR regulations, Prototypes/HealthRIGHT 360 policies and procedures and all other licensing and funding mandates. Education and Knowledge, Skills and Abilities To perform successfully in this position, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. AA Degree Preferred but not required. State Substance Abuse Registration or Certification required. Experience working with withdrawal management clients and clients in Mental Health, Substance Abuse, Domestic Violence and/or related field. Bilingual English/Spanish preferred. Good written and verbal skills. Dependable automobile and insurance, registration and valid California Driver's License. Knowledge and respect of all confidentiality issues. People oriented. Professional and honest. Other qualifications may be required according to program and/or contractual needs. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. We will consider for employment qualified applicants with arrest and conviction records.

Do you want to work in a fun, meaningful, family-oriented environment with a diverse group of colleagues and an excellent supportive network? Are you looking for a substance use treatment experience? Then you've come to the right place! ASATS (Adult Substance Abuse Treatment Services) was first established in 1996 as a managed care program for providing, culturally and linguistically proficient outpatient substance abuse services in Santa Clara County. ASATS initially specialized in treatment services for the Asian and Pacific Islander (A/PI) communities, but has proven to be effective in working with diverse communities at large. Clients in this program range from 18 years old and over. Intern can shadow services that include Intake and Assessment, Treatment Planning, Group and Individual Counseling, Targeted Case Management and Continuing Care/Recovery services. Most services can be shadowed at clinic/agency site, and at times, can be shadowed in the community and in-home. We are looking for dedicated, passionate, and enthusiastic interns who want to make a positive impact in our client's lives as well as in the community. Key Responsibilities Experience in providing counseling services to adults. Experience with Drug Medi-CAL Documentation. Knowledge of treating clients with substance use disorders. Provide counseling services to adult clients participating in Outpatient Drug Treatment Services. Timely and impeccable documentation of services in agency's Electronic Health Recover System, using Drug Medi-Cal Documentation standards. Working within a team of clinicians, intake coordinators, clinical supervisors, and other support staff. Maintain positive working relationships with outside Providers, Community Based Organizations, and funders. Utilize evidence based practice and models. Adhere to State, County, Agency requirements relating to processes, documentation, productivity, quality improvement, and whole person care. Education and Knowledge, Skills and Abilities Certification in a Drug and Alcohol program recognized by DHCS OR Bachelor's Degree in Counseling, Social Work, related to field with current registration in a Drug and Alcohol Certification program recognized by DHCS. Knowledge of substance use recovery principles and resources; including Co-occurring disorders and Trauma-informed treatment. Experience with Electronic Health Records is desired! Registration with Board of Behavioral Sciences (BBS) is preferred! Fluency in reading and writing in Spanish and/or Vietnamese is a MAJOR plus! Tag: IND100.

. North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community. North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our residential facility serves up to 120 women (with capacity for up to 20 children under 5 years of age) seeking recovery from substance use disorders. The ideal candidate for SUD Care Coordinator I & II will display strong problem solving skills, the ability to work with diverse population, and strong documentation and organizational skills. To be successful in this role you must have a passion in providing learning experience opportunities and offer clinical support to assist participants in meeting their treatment goals. Other desired compentencies include experience in Gender Responsive, Trauma Informed services, integrity to handle sensitive information in a confidential manner, and experience working with Substance Abuse, Mental Health, Criminal Justice and Child Welfare Services population. Must be knowledgeable in working with women and children, clinical skills development and working with diverse populations. Key Responsibilities Facilitates individual counseling sessions with each caseload participant Pro-actively links participants to both internal and external resources based on their treatment needs and follows up on the progress/status Maintains a safe and gender responsive program environment Maintains appropriate and ethical boundaries with participants at all times Performs crisis intervention and communicates with treatment team as unforeseen situations arise Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards Properly documents all services provided and any other documentation needed in the participant record and ensures that the golden thread is documented throughout the chart Work with treatment team to develop and assess effectiveness of individualized treatment plans and participant progress Ensure that all clinical documentation is completed in a timely and accurate manner, and entered into the various electronic systems Confirms that there is a progress note for every scheduled appointment whether kept, missed, or canceled Education and Knowledge, Skills and Abilities Required: - Care Coordinator II - Drug and Alcohol Certification recognized by (DHCS) - High School diploma or equivalent - First Aid Certified within 30 days of employment - CPR Certified within 30 days of employment - A valid California driver's license and automobile insurance - Culturally competent and able to work with a diverse population - Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications - Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency - Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data - Professionalism, punctuality, flexibility and reliability are imperative - Excellent verbal, written, and interpersonal skills - Integrity to handle sensitive information in a confidential manner - Action oriented - Strong problem-solving skills - Excellent organization skills and ability to multitask and juggle multiple priorities - Outstanding ability to follow-through with tasks - Ability to distinguish between therapeutic and social relationships and able to maintain clear boundaries - Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility - Strong initiative and enthusiasm and willingness to pitch in whenever needed - Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations - Able to work within a frequently changing project scope while maintaining overall direction and structured priorities - Self-motivated, dependable, creative and proactive approach to work; understands the importance of working independently and within a team environment - Openness to and comfort with change; and the ability to facilitate change in others - High degree of self-awareness and self-regulation - Acts with a sense of urgency to ensure the highest quality of care possible for our participants - Ability and willingness to learn new systems, topics, and methods - Must not be on active parole or probation Desired: - Knowledge of gender-responsive, trauma informed and co-occurring treatment - Knowledge of Clinical documentation (treatment plans, progress notes etc.) - Experience working with criminal justice population - Bachelors Degree in Psychology, Counseling or Social Services - Bilingual English & Spanish Tag: IND100.

Job Code:2025-93-33-001 Location:Flexible Department:Operations Full Time/Part TimeFull Time or Part Time Job Responsibilities: The Care Coordinator plays a critical role in supporting patients by navigating healthcare systems, coordinating care, and linking them to community resources to promote better health outcomes. They assist with enrollment, eligibility, patient engagement, and social service referrals while ensuring patients receive appropriate follow-up care. This role requires working across all locations, including, but not limited to, clinic sites, carceral settings, the emergency room, community co-locations (e.g. Salvation Army, Kitsap Rescue Mission, school-based sites, and any other PCHS-assigned location. Essential Duties and Responsibilities * Act as a liaison between patients, caregivers, providers, and community resources to ensure access to clinical services (e.g. Medical, Behavioral Health, Dental and Pharmacy) * Help patients connect with transportation resources and connect and provide transportation services * Act as a liaison between patients, caregivers, providers, and community resources to ensure access to social services (e.g. housing, food assistance, and employment) * Maintain knowledge of community resources appropriate to patients' needs * Provide care coordination and ongoing follow-up to patients, assisting with transitions of care between hospital, community, and outpatient settings * Support insurance navigation, including Medicare and Medicaid enrollment, and assist patients aging out of parent coverage. * Report performance measures (e.g. patients served, interventions provided, resource connections offered, transportations provided) * Familiar with using electronic health record (Ex. Athena and NextGen) * Other duties as assigned. Supervisory Responsibilities This position has no direct reports. Pay Range: $16.66 - $19.39 Qualifications * Valid driver's license (required) * One (1) year of customer service experience (preferred) * If qualified, will become SHIBA and Medicaid certified. Benefits and Compensation PCHS offers a wide variety of benefits through a customizable cafeteria plan. In addition to receiving employer-paid basic life and long-term disability insurance, eligible employees can choose between several employer-subsidized health insurance plans and YMCA and Costco memberships. PCHS also offers a 403(b)-retirement plan, pet insurance, and legal and long-term care plans, among others. Skills Must have excellent communication skills. Ability to work independently and as part of a team; to receive and respond well to feedback. Possess strong interpersonal and problem-solving skills; time-management and organizational skills, including being punctual, responsive, and efficient. Perform job with professionalism and good judgment. Work Environment and Physical Demands With multiple locations and settings, PCHS' work environment and physical demands vary greatly depending on the employee's role. Essential job functions include the following: The employee is required to talk, hear, see, smell, sit and stand. The employee is frequently required to move around the facility; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift and/or move up to 10 pounds and occasionally required to lift and/or move up to 25 pounds. Employees may be exposed to mechanical parts and moderate noise levels. Reasonable accommodations may be available to individuals with disabilities to perform their essential job functions. Equal Opportunity Peninsula Community Health Services is an equal opportunity/Affirmative Action employer and does not exclude persons from employment or application for employment from receipt of or participation in programs, activities, services on the grounds of race, color, sex, national origin, age, military status, marital status, religion, the presence of a physical, mental, or sensory disability, sexual orientation, gender identity, genetic information, victim of domestic violence, sexual assault or stalking, or any other characteristic protected by federal, state or local law. Vaccination PCHS requires that all employees provide proof of specific vaccinations. All offers are contingent, and your vaccination status will be verified during onboarding. Make a Difference with PCHS Join Peninsula Community Health Services (PCHS) in making a difference in people's lives and the surrounding community every day. PCHS exemplifies a culture of community service that is Patient Driven, Empathetic, and Staff Empowered. We are, a Federally Qualified Health Center supporting access to healthcare services (medical, dental, pharmacy, behavioral health) for Kitsap County, Mason County, and Rural Pierce County. Our Mission PCHS exemplifies a culture of community service. Our patients come from all walks of life. PCHS services are available to our patients without regard for ability to pay. Our Vision PCHS strives to eliminate healthcare disparities in our community. We have medical and dental clinics located throughout Kitsap and Mason and rural Pierce County and a dedicated team working together to create a care plan that's right for you. We also bring that care directly to our patients who can't easily make it into our traditional clinics through our mobile clinics, school-based health centers, and by partnering with our community service agencies to deliver care on their premises. Our Guiding Principle Here at PCHS, our guiding principle is to see and value every person. We believe all patients have the right to be treated with respect and dignity with an acknowledgment that this includes their cultural, social, spiritual, and personal values and beliefs. Our Core Values Every member of PCHS stands by our Core Values: Patient driven. Empathetic. Staff Empowered. * * *

This position will work with a criminal justice population to assist with reintegration back into society by teaching them to lead a moral lifestyle, free from drugs and criminal activity. This is accomplished through individual counseling, treatment planning, and education cognitive-process groups along with preparing them to reenter back into society. This position will work in an In-Custody setting providing treatment, counseling and outside resources alongside the Counselors/Case Managers. KEY RESPONSIBILITIES: •Provides learning experience opportunities and offers clinical support to assist clients in meeting their treatment goals. •Performs crisis intervention and communicates with treatment team as unforeseen situations arise. •Documents client updates and incidents in the facility log daily. •Performs transitions in level of care, coordination of referrals (including connections with and transportation to physical and mental health services), monitor progress in services, and patient advocacy. •Provides individualized intervention, assistance in accessing public benefits/Medi-Cal Outreach and Enrollment; information/referral regarding access to health; and encourages participation in educational opportunities, such as self-help support groups. •Provides follow-up supportive services to enrolled participants in accordance with program policies and procedures. Coordinates, prepares, and maintains required charting and documentation in a timely and thorough manner. •Maintains participant records according to HIPAA and 42 CFR, adheres to all participant confidentiality requirements and standards. •Provides direct services to incarcerated participants to plan their successful return to the community to assist them with accessing supportive resources following release. •Works with program SUD Counselors/Case Managers to ensure that each participant's transition plan is consistent with their individualized treatment and rehabilitation plan. •Creates and develops relationships with community providers of housing, employment, education, food assistance, childcare support, substance abuse treatment, primary care, mental health treatment, and other supportive services that will benefit the client upon reentry to the community. Also maintains copies of provider literature and program materials for participants to review. •Collaborates with Counselors and/or Case Managers and other available internal and external resources to develop/maintain treatment plans; transition plans; progress notes and appropriate updates in support of the health and recovery needs of the client. •Maintains accurate records by entering data into various electronic systems for all caseload clients in accordance with guidelines established by Prototypes/HealthRIGHT 360 to satisfy internal and external evaluating requirements. And, all other duties as assigned. COMPETENCIES: (To perform the job successfully, an individual should demonstrate the following competencies): Communication, Written : Delivers written communications that have clarity and impact including emails. Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone. Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines. Time Management: Organizes and establishes priorities; gets the job done in a timely manner. Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external. Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. Teamwork : Accountable to team; participates effectively in group- and team-work; collaborates positively with other team members; giving and accepting constructive criticism. Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities. Attention to Detail : Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance. Decision Making : Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others. Integrity and Ethics : Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact. Additional Competencies: Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy. Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning. Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues. Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes. Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status. Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives. EDUCATION AND KNOWLEDGE, SKILLS AND ABILITIES QUALIFICATIONS: Education and Experience -Required: High School Diploma/GED -Required: Registration or certification from a recognized certifying organization, agency, or Board evidencing training and expertise in areas appropriate to SUD services (CAADAC, CCAPP, CADTP, CADDE, CARR) -Minimum of 2 years experience providing SUD services Background Clearance Required: -Must not be on active parole or probation -Ability to pass and maintain a CDCR security clearance, includes FBI and DOJ Knowledge Required: -Culturally competent and able to work with a diverse population -Strong proficiency with Microsoft Office applications, specifically Word Outlook and Internet applications -Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency Skills and Abilities Required: - Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data - Professionalism, punctuality, flexibility and reliability are imperative -Excellent verbal, written, and interpersonal skills -Integrity to handle sensitive information in a confidential manner -Action oriented -Strong problem-solving skills -Excellent organizational skills and ability to multitask and juggle multiple priorities -Outstanding ability to follow-through with tasks -Ability to work cooperatively and effectively as part of an interdisciplinary team and independently assume responsibility -Strong initiative and enthusiasm and willingness to pitch in whenever needed -Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations -Able to work within a frequently changing project scope while maintaining overall direction and structured priorities -Prior Care-Coordinator Experience -First Aid and CPR Certified -TB Clearance Desired: -Knowledge of co-occurring disorders and trauma informed treatment -Experience working with criminal justice population -Bilingual Spanish Speaking PHYSICAL REQUIREMENTS: In an eight hour workday employee is required to perform work: Sitting: 4 Standing: 2 Walking: 2 Driving: Occasionally

LifeLong Medical Care has an exciting opportunity for a Care Coordinator at our Family Medical Residency Program in Richmond, California. The Care Coordinator will provide short term resource coordination and occasional longer term case management to patients in a busy primary care clinic serving a diverse and vulnerable population. This is a full time, benefit eligible position. Bilingual English/Spanish a must. This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. Benefits Compensation: $22 - $23/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan. Responsibilities Clinical: Direct Service * Assesses patients' psychosocial needs, assists in developing a patient-centered plan of care, and arranges for service delivery as needed. Meets with clients in clinic or community as safe and appropriate. Documents visits appropriately in EHR. * Develops relationships with community agencies and service providers and links clients to these services as needed. Coordinates with behavioral health team to act as an advocate for the client and liaison with outside agencies. * Assist and support patients in following through with medical care plans (e.g., attending specialist visits, obtaining labs or imaging, etc.) Communicate with providers and RN (Registered Nurse) team regarding outcomes. * Provides care coordination services, including referrals to community resources, advocacy for school-based interventions (IEP, 504 Plans, school-based counseling), coordination with medical and mental health providers, troubleshooting around insurance, medication, or transportation issues. Areas of assistance include Legal aid Paratransit and other Transportation programs Applications for financial benefits (SSI, SDI, GA, etc.) * Supportive housing services (Section-8, HUD (Housing and Urban Development), etc.) * Perform ongoing assessment of food insecurity and link patients to Jenkins-based and community-based resources for nutrition support (meals on wheels, WIC (Women with Infants and Children), Wellness Center, etc.). * In consultation with medical providers, provide ongoing assessments of in-home support (IHSS (InHome Supportive Services), Home Health, etc.). * Patient medication compliance and need for additional support (i.e., bubble packs). * Support medical team and families with discussions around end-of-life care and documentation (DNR/DNI, POLST, etc.) * Provides some clinical case management to individual clients. * Refers patients to eligibility team for assistance with insurance and other entitlement programs (Medi-Cal, Contra Costa CARES, CalFresh, etc.) Clinical: Team Participation * Participates constructively in both behavioral health team and interdisciplinary team to address the clinical and psychosocial needs of individual clients. * Be available for in-person warm-hand-offs for on-site consultation with patients. * Attends staff clinical team meetings. * Collaborates professionally with interdisciplinary team members and partners including other Behavioral Health providers, Patient Advocates, Primary Care Providers, Community Health Workers, Medical Assistants, and office support staff. * Advances the integration of Behavioral Health and Medical approaches to patient care through constructive and respectful partnerships. * Participates in agency and/or grant driven directives and outcomes. Qualifications * Patient-Centered approach to working with vulnerable communities. * Strong organizational, administrative, and problem-solving skills, and ability to be flexible and adaptive to change while maintaining a positive attitude. * Ability to prioritize tasks, work under pressure and complete assignment in a timely manner. * Ability to effectively present information to others, including other employees, community partners and vendors. * Ability to seek direction/approval on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy. * Work in a team-oriented environment with several professionals with different work styles and support needs. * Excellent interpersonal, verbal, and written skills and ability to effectively work with people from diverse backgrounds and be culturally sensitive. * Conduct oneself in external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident, and sensitive staff. * Ability to see how one's work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations. * Make appropriate use of knowledge/ expertise/connections of other staff. * Be creative and mature with a "can do," proactive attitude and an ability to continuously "scan" the environment, identifying and taking advantage of opportunities for improvement. * Commitment to working directly with low-income persons from diverse backgrounds, in a helpful, supportive manner. Job Requirements: * Associate's Degree in Social Work, Health or Human Services field or equivalent combination of education and/or experience. * Bilingual in English/Spanish required. * Administrative experience in health or social service setting. * Knowledge of East Bay health and social service resources. * Previous work providing services to persons who are disabled, homeless, substance users, and/or psychologically impaired. * Proficient in Microsoft office word with ability to manage databases.

Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved - patients, families, community staff members, providers, and payers. We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital. Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us! The Opportunity The Primary Care Coordinator (PCC) serves as the central point of contact for our primary care team. This specific role is a Float Primary Care Coordinator supporting our practice in Reno, Nevada, called Geriatric Specialty Care (GSC). The role focuses on coordinating patient care, maintaining relationships with senior living facilities, and ensuring excellent healthcare delivery through effective communication and documentation. Key Responsibilities: - Centralized Triage - Fax Management - Pod Coverage - New patient onboarding - Proactive outreach - Workflow Innovation - Administrative Support - Scheduling - Participate in mandatory after-hours shift rotation Key Evaluation Metrics: Success will be measured in the following focus areas: Inbound Phone Calls: -Answer 95% of inbound calls within 60 seconds and expect ~30 inbound calls / day -Aim for an average wait time of less than 30 seconds -Ensure caller wait times do not exceed 2 minutes Task Completion: -Messages and Clinical Emails: Address 95% within 2 hours -Complete routine tasks within 7 days; STAT tasks completed within 24 hours -Proactively contact all newly enrolled patients within 24 hours to schedule a welcome visit -Complete 100% of visit reminder calls each day and expect to make ~20 reminder calls / day Voicemails: -Close/resolve all urgent voicemails within 1 hour -Return non-urgent voicemails within 1 business day -Ensure after-hours voicemails are addressed within first 2 hours of next business day Patient Care Management: -Ensure accurate logging of all patient encounters for chronic care management -Log 6 hours per day of care coordination using our custom logging software -Assist with improvement projects related to quality and efficiency -Achieve a patient satisfaction survey score of 8.5/10 or higher Requirements: - High School Diploma (some college preferred) - Basic understanding of Primary Care Operations - Medical Assistant Certification preferred - Comfort with healthcare technology platforms - Ability to thrive in a fast-paced, changing environment - Attendance is critical in this role to ensure quality patient care - Must be able to work ~5 on call overnights and/or weekends - Ongoing Regulatory Requirement: Must not be on any exclusion or debarment from participation in Federal Health Care Programs at any time and must remain in good standing with government regulators such as the OIG, CMS, etc. Benefits Designed For You and Yours Paid Parental Leave Medical, Vision, and Dental Insurance 401K Retirement Plan Mileage and Cell Phone Reimbursement Annual Wellness Allowance Professional and Personal Development Annual Allowance FSA and Dependent Care FSA 10 Paid Holidays Paid Time Off Paid Sick days Physical Requirements: - Ability to remain seated for extended periods - High proficiency with computers and mobile devices - Remote Work Requirements: Candidates must maintain a private, HIPAA-compliant home office space free from interruptions and unauthorized access, stable high-speed internet connection, and standard remote work technology including computer, webcam, headset etc. This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned. All job requirements are subject to possible revision to reflect changes in the position requirements or to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws). Continued employment remains on an “at-will” basis.

Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved - patients, families, community staff members, providers, and payers. We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital. Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us! The Opportunity The Primary Care Coordinator (PCC) serves as the central point of contact for our primary care team. This specific role is a Float Primary Care Coordinator supporting our practice in Reno, Nevada, called Geriatric Specialty Care (GSC). The role focuses on coordinating patient care, maintaining relationships with senior living facilities, and ensuring excellent healthcare delivery through effective communication and documentation. Key Responsibilities: - Centralized Triage - Fax Management - Pod Coverage - New patient onboarding - Proactive outreach - Workflow Innovation - Administrative Support - Scheduling - Participate in mandatory after-hours shift rotation Key Evaluation Metrics: Success will be measured in the following focus areas: Inbound Phone Calls: -Answer 95% of inbound calls within 60 seconds and expect ~30 inbound calls / day -Aim for an average wait time of less than 30 seconds -Ensure caller wait times do not exceed 2 minutes Task Completion: -Messages and Clinical Emails: Address 95% within 2 hours -Complete routine tasks within 7 days; STAT tasks completed within 24 hours -Proactively contact all newly enrolled patients within 24 hours to schedule a welcome visit -Complete 100% of visit reminder calls each day and expect to make ~20 reminder calls / day Voicemails: -Close/resolve all urgent voicemails within 1 hour -Return non-urgent voicemails within 1 business day -Ensure after-hours voicemails are addressed within first 2 hours of next business day Patient Care Management: -Ensure accurate logging of all patient encounters for chronic care management -Log 6 hours per day of care coordination using our custom logging software -Assist with improvement projects related to quality and efficiency -Achieve a patient satisfaction survey score of 8.5/10 or higher Requirements: - High School Diploma (some college preferred) - Basic understanding of Primary Care Operations - Medical Assistant Certification preferred - Comfort with healthcare technology platforms - Ability to thrive in a fast-paced, changing environment - Attendance is critical in this role to ensure quality patient care - Must be able to work ~5 on call overnights and/or weekends - Ongoing Regulatory Requirement: Must not be on any exclusion or debarment from participation in Federal Health Care Programs at any time and must remain in good standing with government regulators such as the OIG, CMS, etc. Benefits Designed For You and Yours Paid Parental Leave Medical, Vision, and Dental Insurance 401K Retirement Plan Mileage and Cell Phone Reimbursement Annual Wellness Allowance Professional and Personal Development Annual Allowance FSA and Dependent Care FSA 10 Paid Holidays Paid Time Off Paid Sick days Physical Requirements: - Ability to remain seated for extended periods - High proficiency with computers and mobile devices - Remote Work Requirements: Candidates must maintain a private, HIPAA-compliant home office space free from interruptions and unauthorized access, stable high-speed internet connection, and standard remote work technology including computer, webcam, headset etc. This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned. All job requirements are subject to possible revision to reflect changes in the position requirements or to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws). Continued employment remains on an "at-will" basis.

North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community. North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our residential facility serves up to 120 women (with capacity for up to 20 children under 5 years of age) seeking recovery from substance use disorders. Criminal Justice Care Coordinators are responsible for assessing participant strengths in relation to their criminal justice needs and concerns. Responsible for supporting health and recovery in a structured, safe and culturally sensitive setting. In conjunction with participant and the treatment team, the Criminal Justice Care Coordinator assists participants in completing treatment plan goals through individual counseling that includes, but not limited to, substance abuse recovery skills, strategies for coping with trauma, parenting interventions, family relationship skill building, enhancement of educational skills, health awareness, vocational development, treatment planning and ongoing assessments, etc. based on participant need. Criminal Justice Care Coordinators assist participant's in navigating systems of care while maintaining communication and compliance will legal stakeholders within a supportive treatment environment. Key Responsibilities Facilitates individual case management sessions with each caseload participant who is involved with probation, parole or other legal systems and Keeps consistent contact with probation and parole officers. Proactively links participants to both internal and external resources based on their treatment needs and follows up on the progress/status. Facilitates case conferences which include all parties involved in participant's case as needed. Provides advocacy and support for participants within and without the milieu. Facilitates group sessions as assigned. Performs crisis intervention and communicates with treatment team as unforeseen situations arise. Documents participant updates, incidents, changes in legal status in the facility log daily. Attends required trainings and meetings. Maintains accurate records by entering documentation into various electronic systems for all participants in accordance with guidelines established by HealthRIGHT 360, HIPAA, 42CFR, Drug Medi-Cal and funder standards to satisfy internal and external evaluating requirements. Collaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Properly documents all individual and group counseling sessions and completes the discharge paperwork/process and required agency assessments in timely manner. And, other duties as assigned. Education and Knowledge, Skills and Abilities Required: Registration with Drug and Alcohol Certification recognized by Department of Health Care Services (DHCS). High School diploma or equivalent. First Aid Certified within 30 days of employment. CPR Certified within 30 days of employment. A valid California driver's license. Culturally competent and able to work with a diverse population. Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications. Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency. Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Professionalism, punctuality, flexibility and reliability are imperative. Excellent verbal, written, and interpersonal skills. Integrity to handle sensitive information in a confidential manner. Action oriented. Strong problem-solving skills. Excellent organization skills and ability to multitask and juggle multiple priorities. Outstanding ability to follow-through with tasks. Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility. Strong initiative and enthusiasm and willingness to pitch in whenever needed. Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations. Able to work within a frequently changing project scope while maintaining overall direction and structured priorities. Desired: Drug and Alcohol Certification recognized by Department of Health Care Services (DHCS). Bachelor's Degree in related field. Experience with Drug Medi-Cal Organized Delivery System. Experience with ASAM Diagnostic Assessment. Knowledge of gender-responsive, trauma informed and co-occurring treatment. Knowledge of Clinical documentation (treatment plans, progress notes etc.). Experience working with criminal justice population. Bilingual English/Spanish. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For POP Health, Care Coordinator manages cases regarding utilization review, discharge planning, and patient services coordination. Collaborates with insurers, managed care organizations, referral providers, patients, and families to assist in developing case management guidelines. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30- 4:00pm | Location: Brier Clinic, San Bernardino, CA ESSENTIAL FUNCTIONS AND DELIVERABLES Performs daily screenings using EMR-generated appointment reports and vitals for patients. Alert the provider of the need to place an order for an appropriate screening exam. Performs care coordination to ensure completion of provider-ordered screening exams. Uses relationship-based strategies to engage patients in care. Ensures that screening results are received timely and entered into the electronic medical record (EMR). Actively monitors results to ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate. Assists patients to follow through on their care plan wellness goals, using both phone and in-person contact. Uses established care guidelines to implement provider-directed reminders and recalls in the EMR. Utilizes EMR-generated appointment reports to capture missed appointments. Assists in the coordination of appointments and referrals for physical and behavioral health appointments. Performs abstractions of historical screening results into the EMR system. Identifies internal and external challenges related to patient and staff cooperation. Recommends improvements to processes as appropriate. Meets with the Manage Care Team continually, holding documented meetings to review issues and progress. Serves as a liaison between patient and provider to ensure proper communication is had. Facilitates and ensures recommendations are communicated across the health care team. Works with patients to identify health/wellness goals and incorporates these goals into shared care plans. Maintains accurate and up-to-date tracking system for screening management. Monitors and reports productivity statistics, program status, challenges, updates, and developments to the Managed Care Team. Other duties as outlined in the official job description. QUALIFICATIONS: Education: High School Diploma or GED required. Graduation from a Certified Medical Assistant Program is required. Associate degree preferred, or equivalent work experience in a medical/mental health setting preferred. Licensure/Certification: Medical Assistant Diploma/Certificate is required. Valid California driver's license, and auto insurance is required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. Experience: 2+ years as a Medical Assistant in Care Management or Population Health setting or related experience is required. Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases. Interpersonal Skills: Must have excellent communications skills both orally and in writing. Must possess the ability to communicate with and relate to a diverse group of people including patients, community, and other staff. Must have strong conflict and problem resolutions skills. Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills. Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For POP Health, Care Coordinator manages cases regarding utilization review, discharge planning, and patient services coordination. Collaborates with insurers, managed care organizations, referral providers, patients, and families to assist in developing case management guidelines. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30- 4:00pm | Location: Brier Clinic, San Bernardino, CA ESSENTIAL FUNCTIONS AND DELIVERABLES * Performs daily screenings using EMR-generated appointment reports and vitals for patients. * Alert the provider of the need to place an order for an appropriate screening exam. * Performs care coordination to ensure completion of provider-ordered screening exams. Uses relationship-based strategies to engage patients in care. * Ensures that screening results are received timely and entered into the electronic medical record (EMR). * Actively monitors results to ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate. Assists patients to follow through on their care plan wellness goals, using both phone and in-person contact. * Uses established care guidelines to implement provider-directed reminders and recalls in the EMR. * Utilizes EMR-generated appointment reports to capture missed appointments. Assists in the coordination of appointments and referrals for physical and behavioral health appointments. * Performs abstractions of historical screening results into the EMR system. * Identifies internal and external challenges related to patient and staff cooperation. * Recommends improvements to processes as appropriate. * Meets with the Manage Care Team continually, holding documented meetings to review issues and progress. * Serves as a liaison between patient and provider to ensure proper communication is had. * Facilitates and ensures recommendations are communicated across the health care team. Works with patients to identify health/wellness goals and incorporates these goals into shared care plans. * Maintains accurate and up-to-date tracking system for screening management. * Monitors and reports productivity statistics, program status, challenges, updates, and developments to the Managed Care Team. * Other duties as outlined in the official job description. QUALIFICATIONS: * Education: High School Diploma or GED required. Graduation from a Certified Medical Assistant Program is required. Associate degree preferred, or equivalent work experience in a medical/mental health setting preferred. * Licensure/Certification: Medical Assistant Diploma/Certificate is required. Valid California driver's license, and auto insurance is required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. * Experience: 2+ years as a Medical Assistant in Care Management or Population Health setting or related experience is required. * Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases. * Interpersonal Skills: Must have excellent communications skills both orally and in writing. Must possess the ability to communicate with and relate to a diverse group of people including patients, community, and other staff. Must have strong conflict and problem resolutions skills. * Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills. * Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Care Coordinator-ECM who: The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools. Essential Functions: Meet with all new patients, explaining PCP's, Patient Portal and all aspects to accessing care. Assign patients to provider panels ensuring balance. Receives monthly panel report and reviews PCP assignments. Determines continuity percentages for each provider - assure that majority of visits with PCP Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment. Collaborates with appropriate site. communication with outside provider to ensure continuity. Proactively engage priority patients to promote availability of expanded access clinic and reduce unnecessary Emergency Room utilization. Run, manage and analyze standard CSV reports. Oversee and analyze data from assigned panels in regard to CSV-priority conditions. This includes the running of reports within the CSV computer structure, Excel etc. Responsible for clinic-wide compliance with CSV, PCMH, CMS, Meaningful Use and California Department of Public Health (CDPH) requirements. Clinic-wide required to meet or show consistent improvement on CSV clinical quality goals. You'll be successful with the following qualifications: Education: Medical Assistant certification or program completion preferred. Computer proficiency: Excel, Word, Outlook, PDF, Electronic Health Records, etc. Bilingual (Spanish-English) preferred. Maintain excellent internal and external customer service at all times. Maintain the highest degree of confidentiality possible when performing the functions of this department. Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality. Must be able to work independently, handling high volume and multiple tasks. Must be reliable with attendance. Must be highly organized and detail oriented. Possess knowledge of modern office equipment, systems and procedures. Ability to multi-task and work efficiently in a potentially stressful environment. Ability to apply common sense understanding when carrying out detailed written or oral instructions. Must have excellent verbal and written communication skills. Ability to effectively present information and respond to questions from internal and external customers. Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors. Teamwork skills a must. Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Job Description Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Care Coordinator-ECM who: The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools. Essential Functions: Meet with all new patients, explaining PCP's, Patient Portal and all aspects to accessing care. Assign patients to provider panels ensuring balance. Receives monthly panel report and reviews PCP assignments. Determines continuity percentages for each provider - assure that majority of visits with PCP Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment. Collaborates with appropriate site. communication with outside provider to ensure continuity. Proactively engage priority patients to promote availability of expanded access clinic and reduce unnecessary Emergency Room utilization. Run, manage and analyze standard CSV reports. Oversee and analyze data from assigned panels in regard to CSV-priority conditions. This includes the running of reports within the CSV computer structure, Excel etc. Responsible for clinic-wide compliance with CSV, PCMH, CMS, Meaningful Use and California Department of Public Health (CDPH) requirements. Clinic-wide required to meet or show consistent improvement on CSV clinical quality goals. You'll be successful with the following qualifications: Education: Medical Assistant certification or program completion preferred. Computer proficiency: Excel, Word, Outlook, PDF, Electronic Health Records, etc. Bilingual (Spanish-English) preferred. Maintain excellent internal and external customer service at all times. Maintain the highest degree of confidentiality possible when performing the functions of this department. Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality. Must be able to work independently, handling high volume and multiple tasks. Must be reliable with attendance. Must be highly organized and detail oriented. Possess knowledge of modern office equipment, systems and procedures. Ability to multi-task and work efficiently in a potentially stressful environment. Ability to apply common sense understanding when carrying out detailed written or oral instructions. Must have excellent verbal and written communication skills. Ability to effectively present information and respond to questions from internal and external customers. Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors. Teamwork skills a must. Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!