The Outpatient Pediatric CCS Coordiantor is responsible for coordinating non-clinical tasks to support the delivery of cases who meet case management criteria to the Pediatric case manager. Repsonsiblities include but are not limited to assisting the case manager in scheduling medical appointments, durable medical equipment, home health, eligibility/ benefit verification, requesting medical records, data entry, and review of medical management reports. Also, the outpatient coordinator is accountable for reaching out to memebers telephonically to introduce and invite them to Case Management. The coordinator will maintain high quality and reliable information related to reports, data, cases, and be able to identify and report any discrepancies.

Essential Duties and Responsibilities include the following:

• Establishes and maintains a relationship with the member and the family where the CM prioritizes and addresses the medical, social, functional, and psychosocial needs of the member.
• Demonstrate knowledge and understanding of the CCS system to make the appropriate referrals and assist with community resources for this population in order to address the needs of the member. Under the direction of the Pediatric CCS case manager.
• Ability to identify CCS covered benefits and direct members to utilize appropriate provider and receive timely care. Coordinate with the Pediatric CM member/family/caregiver teaching, referrals and follow-up care for CCS members and work with the team to assist CCS eligible members to obtain coverage as needed.
• Assists with documents; member assessment and reassessment, individualized care plans, and other pertinent information completed in the member’s medical record

6. Communicates the Care Coordination to physicians and other members of the team to assist the peds CM

• Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
• Responsible for the coordination of post-discharge clinic appointments, medication reconciliation, PCP and SPC visits, transportation and communication assistance.
• Collaborates and communicates with all members of the healthcare team.

Competencies:

• Communicate verbally and in writing through appropriate channels.
• Maintain confidentiality and follow HIPAA policies.
• Demonstrate sound clinical judgment
• Expert Care Coordination skills
• Participate in staff meetings.
• Notify supervisor in writing of time off requests.
• Be courteous and promote professionalism.
• Be flexible and adaptable.
• Promote organizational goals.
• Know and follow safety standards.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Paid Time Off (PTO)
• Company celebrations
• Employee Assistance Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Ability to commute/relocate:

• Northridge, CA 91325: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Customer service: 1 year (Preferred)
• Medical terminology: 1 year (Required)
• Computer skills: 1 year (Required)

Work Location: One location

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