San Ysidro Health
PACE Case Manager (National City, CA)
San Ysidro Health, National City, California, United States, 92180
601 E 14th St, National City, CA 91950, USA
Overview
Position Summary:
Under the direction and supervision of the Social Services Supervisor, the Case Manager will be responsible for providing assistance to PACE participants in connecting them to PACE system of care and serving as a liaison between providers and participants, assisting with referrals, appointments, scheduling, and ensuring that participants receive the highest quality of services. Responsibilities
Essential Functions of the Job: Participation in IDT meetings as required; provide timely follow up in the coordination of needed services to PACE participants. Provide timely and high quality information and referral services to participants linking them to San Diego PACE services and any required medical, social, mental appointments Assists in coordinating appropriate internal and external referrals, delivery of supplies to participants homes, and services to PACE participants including transportation, day center attendance, therapy, medication, meals on wheels, supplies, DME, personal care, etc. Conducts home visits, hospital visits, nursing skill facilities visits as required Provide high quality and excellent customer service at all times Assists in providing basic information and education regarding PACE services Acts as a liaison between different disciplines, services and participants to ensure continuity of care and services. Maintain open communication with different disciplines, internal and external providers to ensure the highest level of care Welcomes and conducts tours of facility to all new participants Serves as a back-up to assist social services department to address any participants’ inquiries, providing guidance and assistance with any coordination and delivery of services. Assists management with related special projects including implementation of satisfaction surveys Facilitates communication among service providers, family, participants, caregivers. Maintains program specific records as required; submits reports, including activity, contact, etc. Schedules appointment for specialty care, special studies or other ancillary services. Responds to inquiries as to current status of authorizations by assessing the request and evaluating the circumstances to provide the correct information. Follows-up on missing documentation to obtain authorization or scheduling when appropriate. Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants. Makes phone calls to participants, caregivers and family member May assist with faxing/receiving paperwork to SNF/MD/ALF (orders, physicians reports, medication lists) Coordinating appointments -routine appts in place made by Clinical Coordinators or Access to Care needing transportation and/or companion Providing PCP with specialist notes (requesting from facility, emailing to SNF MD) Coordinating new appts requested from specialists for appropriate follow ups (usually needing new referral to be placed and following through with appointment being completed) Coordinating or setting up appointments with SNF staff on when telehealth visits will occur for each patient Assists MSWs and clinic team with completing forms (referrals to Glenner, etc.) Additional Duties and Responsibilities
Maintains established departmental policies and procedures, objectives quality assurance program, safety and environmental. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Attends meetings as required and participates in committees as directed. Performs other related duties as assigned or requested. Enhances professional growth and development through participation in educational programs current literature, in-service meetings and workshops. Adheres to and models SYHC’s core values and behaviors of Excellence, Empowerment, Integrity and Respect. Adheres to SYHC and PACE excellent attendance and punctuality policies and practices. Assists participants to fill out Adult Meal Benefit, HIPAA, Consents, and any required Performs other related duties as assigned or requested. Job Requirements
Education Required:
High School Diploma. Bachelor’s Degree preferred in Social Services, Psychology, Health Science or related field. Experience and Required Skills:
A minimum of one year of experience working with the elderly and healthcare industry. Proficient in Microsoft Office applications and use of electronic health data systems. At a minimum level have good computer literacy including internet navigation and research skills. Certifications/Licenses Required:
Valid CA driver’s license and access to an insured vehicle Verbal and Written Skills Required to Perform the Job:
Must have excellent oral and written communication skills. Equipment Used:
Computers, phones, personal vehicles, copy machines and fax machines and other office equipment. Working Conditions and Physical Requirements:
Sitting, standing, walking, lifting, noisy environment. Universal Requirements:
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws. 601 E 14th St, National City, CA 91950, USA
#J-18808-Ljbffr
Position Summary:
Under the direction and supervision of the Social Services Supervisor, the Case Manager will be responsible for providing assistance to PACE participants in connecting them to PACE system of care and serving as a liaison between providers and participants, assisting with referrals, appointments, scheduling, and ensuring that participants receive the highest quality of services. Responsibilities
Essential Functions of the Job: Participation in IDT meetings as required; provide timely follow up in the coordination of needed services to PACE participants. Provide timely and high quality information and referral services to participants linking them to San Diego PACE services and any required medical, social, mental appointments Assists in coordinating appropriate internal and external referrals, delivery of supplies to participants homes, and services to PACE participants including transportation, day center attendance, therapy, medication, meals on wheels, supplies, DME, personal care, etc. Conducts home visits, hospital visits, nursing skill facilities visits as required Provide high quality and excellent customer service at all times Assists in providing basic information and education regarding PACE services Acts as a liaison between different disciplines, services and participants to ensure continuity of care and services. Maintain open communication with different disciplines, internal and external providers to ensure the highest level of care Welcomes and conducts tours of facility to all new participants Serves as a back-up to assist social services department to address any participants’ inquiries, providing guidance and assistance with any coordination and delivery of services. Assists management with related special projects including implementation of satisfaction surveys Facilitates communication among service providers, family, participants, caregivers. Maintains program specific records as required; submits reports, including activity, contact, etc. Schedules appointment for specialty care, special studies or other ancillary services. Responds to inquiries as to current status of authorizations by assessing the request and evaluating the circumstances to provide the correct information. Follows-up on missing documentation to obtain authorization or scheduling when appropriate. Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants. Makes phone calls to participants, caregivers and family member May assist with faxing/receiving paperwork to SNF/MD/ALF (orders, physicians reports, medication lists) Coordinating appointments -routine appts in place made by Clinical Coordinators or Access to Care needing transportation and/or companion Providing PCP with specialist notes (requesting from facility, emailing to SNF MD) Coordinating new appts requested from specialists for appropriate follow ups (usually needing new referral to be placed and following through with appointment being completed) Coordinating or setting up appointments with SNF staff on when telehealth visits will occur for each patient Assists MSWs and clinic team with completing forms (referrals to Glenner, etc.) Additional Duties and Responsibilities
Maintains established departmental policies and procedures, objectives quality assurance program, safety and environmental. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Attends meetings as required and participates in committees as directed. Performs other related duties as assigned or requested. Enhances professional growth and development through participation in educational programs current literature, in-service meetings and workshops. Adheres to and models SYHC’s core values and behaviors of Excellence, Empowerment, Integrity and Respect. Adheres to SYHC and PACE excellent attendance and punctuality policies and practices. Assists participants to fill out Adult Meal Benefit, HIPAA, Consents, and any required Performs other related duties as assigned or requested. Job Requirements
Education Required:
High School Diploma. Bachelor’s Degree preferred in Social Services, Psychology, Health Science or related field. Experience and Required Skills:
A minimum of one year of experience working with the elderly and healthcare industry. Proficient in Microsoft Office applications and use of electronic health data systems. At a minimum level have good computer literacy including internet navigation and research skills. Certifications/Licenses Required:
Valid CA driver’s license and access to an insured vehicle Verbal and Written Skills Required to Perform the Job:
Must have excellent oral and written communication skills. Equipment Used:
Computers, phones, personal vehicles, copy machines and fax machines and other office equipment. Working Conditions and Physical Requirements:
Sitting, standing, walking, lifting, noisy environment. Universal Requirements:
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws. 601 E 14th St, National City, CA 91950, USA
#J-18808-Ljbffr