Participant Care Coordinator

St Pauls Senior Services•SAN DIEGO, CA

About The Position

The Participant Care Coordinator (PCC) schedules participant appointments across services that may include medical, dental, therapy, specialty care, and transportation. The role ensures ordered appointments are completed in accordance with participants’ individualized care plans and regulatory requirements. PCCs support the interdisciplinary care team (IDT) in delivering coordinated care and communicate continuously with participants, interdisciplinary staff, and contracted providers to gather information for planning and coordinating clinical services.

Requirements

  • High school diploma or equivalent.
  • At least one year of administrative support experience.

Responsibilities

  • Schedule ordered appointments within regulatory timeframes established by DHCS and CMS.
  • Document necessary information accurately in participants’ medical records and make electronic entries across platforms according to department protocols.
  • Coordinate follow-up appointments and work with the medical records department to ensure providers and clinic staff have relevant information in a timely manner.
  • Prepare packets and documentation for specialty visits.
  • Attend daily interdisciplinary team (IDT) meetings.
  • Communicate appointment details and changes to participants, caregivers, and IDT members.
  • Answer the department’s inbound phone calls through the call queue.
  • Maintain scheduling-related KPIs, including appointment scheduling timeframes, rescheduling turnaround times, telephone call queue times, and appointment coordination efficiency.
  • Maintain accurate records and comply with privacy regulations.
  • Perform other duties as assigned.
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