Participant Care Coordinator

St Pauls Senior Services • SAN DIEGO, CA

3d

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 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 set by DHCS and CMS.
• Accurately document necessary information in participants’ medical records and make electronic entries across multiple platforms according to department protocols.
• Coordinate follow-up appointments and work with the medical records department to ensure providers and clinic staff have pertinent information in a timely manner.
• Prepare packets and documentation for specialty visits.
• Attend daily 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 overall appointment coordination efficiency.
• Maintain accurate records and comply with privacy regulations.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED