Job Description

Position: Personal Care Coordinator Sr

Work location: 500, 505 City Pkwy W, Orange, CA 92868

Duration: Long term contract

Duties & Responsibilities:

• 95% - Program Support
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Maintains strong working relationships when collaborating with the PCP and health care team to ensure timely communication of member’s clinical information and ensures appropriate documentation of all interventions. Also, notifies member’s care team of key event triggers.
• Collaborates with licensed professionals in development of a care plan for each member, incorporating the HNA or HRA all assessment findings. Facilitates communication of care plan to the PCP and member, as necessary.
• Develops and implements a member’s specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals.
• Facilitates and participates in interdisciplinary team meetings as applicable.
• Processes and maintains complex or sensitive documentation of member’s case and care plan within CalOptima Health’s medical management system.
• Facilitates referrals to Behavioral Health Services and identifies the need for referrals to Long-Term Support Services and community resources.
• Facilitates transfers to member’s assigned case manager in accordance with member needs, when appropriate.
• Anticipates longer-term and more unique member needs by providing guidance in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, as appropriate.
• Maintains compliance with established departmental productivity guidelines; compiles and conducts basic analyses and reporting of productivity metrics to management as required.
• Coordinates and maintains cases in current case load in accordance with case management standards. Assists with collection of health risk or health needs assessments as well as gathers medical records as needed.
• Provides regular outreach to assigned members and evaluates quality of service given to members according to department contact standards.
• Serves as the main point of contact for assigned members to anticipate longer term member needs.
• Works with Case Management staff to expedite the resolution of member concerns.
• 5% - Completes other projects and duties as assigned.

Minimum Qualifications:

• High School diploma or equivalent required PLUS 2 years of experience working with the needs of members, such as but not limited to pediatric members, seniors or persons with disabilities (SPD) and/or special populations (e.g., homeless or at risk of homelessness) in a customer/member service capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications:

• Bachelor’s degree in healthcare management, social work, human services or related field.
• 2 years of experience with health maintenance organization (HMO), Medi-Cal and health services.
• Experience working with individuals with behavior health conditions or substance use disorders.
• Bilingual in English and one of Client’s defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).

Knowledge & Abilities:

• Develop rapport and establish and maintain effective working relationships with Client’s leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• 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 assignment.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Recruiter Name: Abhinaya Srivastava

Designation: Senior Technical Recruiter

Job Id: 25-33364

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