PACE Scheduling Lead (Program Coordinator)

CalOptima HealthGarden Grove, CA
Onsite

About The Position

Join Us in this Amazing Opportunity The Team You’ll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a PACE Scheduling Lead (Program Coordinator) and help shape the future of healthcare where you’ll be an integral part of our PACE - Administrative team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Office. If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. Under general direction, the Program Coordinator (PACE (Program for All-Inclusive Care for the Elderly) Scheduling Lead) will specialize in the coordination, communication, development and implementation of PACE Contracted Specialist scheduling processes. You will be responsible for leading the scheduling coordination processes and assists the Supervisor in the scheduling department. The overall objective of the position is to standardize and strengthen the coordination of outside specialty care for PACE enrollees. You will interact with various levels of PACE staff, including department management and the PACE scheduling and medical records team. Together, we are building a stronger, more equitable health system.

Requirements

  • High school diploma or equivalent PLUS 2 years of experience of appointment scheduling and/or care coordination with other health networks or health plans 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.
  • CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire.
  • Develop rapport and establish and maintain effective working relationships with CalOptima Health'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.
  • Ability to visually read information from computer screens, forms and other printed materials and information.
  • Ability to speak (enunciate) clearly in conversation and general communication.
  • Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
  • Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
  • Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Nice To Haves

  • Bachelor’s degree in health care administration, public health, or a related field.
  • Medical Assistant Certification.
  • Clinical background.
  • Bilingual in English and in one of CalOptima Health PACE’s defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).

Responsibilities

  • 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.
  • Serves as a Scheduling Lead and maintains oversight of the PACE scheduling dashboard to ensure compliance with CMS regulations for timely scheduling of appointments.
  • Schedules for specialty appointments with providers on behalf of participants.
  • Assists the Supervisor with day-to-day scheduling department operations.
  • Investigates and resolves customer service issues related to specialty appointment scheduling and coordination.
  • Acts as a subject matter expert in certain aspects of the PACE Electronic Health Records system as well as of vendor’s portal and medical records systems.
  • Arranges transportation services with participants, family, caregivers and contracted transportation vendors.
  • Maintains communication with participants and/or families regarding specialty services.
  • Coordinates specialty appointments and services in collaboration with the clinical team.
  • Reports any pertinent information to the clinical team and Interdisciplinary Team (IDT) to facilitate completion of specialty appointments.
  • Documents interactions into medical records as per current workflows.
  • Completes other projects and duties as assigned.

Benefits

  • competitive compensation
  • A comprehensive benefits package
  • CalPERS pension program and additional retirement packages.
  • A generous PTO program
  • A quality work life balance
  • Various wellness programs
  • Tuition Reimbursement
  • Professional development opportunities
  • Career development opportunities
  • Flexible scheduling
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