Participant Care Coordinator

St. Paul's Senior Services•San Diego, CA

About The Position

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE provide a hands-on approach coordinating medical, social, and home care services so individuals no longer need to manage their medical care alone. This is a temporary position with an anticipated duration of 6 months. Hours: Monday - Friday 8:00 am to 4:30 pm. Job Summary: The Participant Care Coordinator (PCC) is responsible for scheduling participant appointments across various services which may include medical, dental, therapy, specialty care, and transportation. This role ensures ordered appointments are effectuated as outlined in participants individualized care plans and regulatory requirements. PCCs support the interdisciplinary care team (IDT) in delivering seamless care and are in continuous communication with participants, interdisciplinary staff, and contracted providers to obtain information from participants and from their respective team meetings for overall planning and coordinating of clinical services.

Requirements

Education: High School Diploma or equivalent required
Experience: Minimum of one year of administrative support experience.
YOU MUST BE ABLE TO CLEAR FINGERPRINTS THROUGH DOJ AND FBI IN ADDITION TO A DRUG SCREEN CLEARANCE.

Responsibilities

Schedules ordered appointments within the regulatory timeframes as set by DHCS and CMS
Accurately documents any necessary information in the participants medical records and performs electronic entries across multiple platforms as established by department protocols
Coordinates follow-up appointments and works collaboratively with the medical records department to ensure providers and clinic staff have pertinent information to successfully care for the participant in a timely manner.
Prepare packets and documentation for specialty visits.
Active attendee at the daily IDT meetings
Communicate appointment details and changes to participants, caregivers, and IDT members.
Answers department’s inbound phone calls via call queue
Maintain scheduling-related Key Performance Indicators (KPIs), including appointment scheduling timeframes, rescheduling turnaround times, telephone call queue times and overall appointment coordination efficiency.
Maintain accurate records and ensure compliance with privacy regulations.
Performs other duties as assigned