Care Coordinator Specialist

Description

Job Summary:

Conduct community education regarding opportunities to obtain health care services through affordable public programs and community health center services. Conduct public program enrollment and application assistance. Conducts timely and thorough follow-up and assists the applicant to overcome barriers within the defined guidelines. As directed, participates in events, gives presentations and conducts one-on-one orientation. The CCS may assist with the new patient registration as part of the application process. Educates families and individuals as to the retention and utilization of benefits and educate families on the importance of preventive health. Participates in fairs and other community events.

Supervisory Responsibilities: N/A

Essential Duties and Responsibilities:

• Demonstrates thorough knowledge of available public funded programs including but not limited to Covered California, Medi-Cal, AIM, FamilyPACT, CPD, BCCTP, Sliding Fee, CHDP, Presumptive Eligibility and others as determined appropriate. 
• Conducts presentations at various community sites including at schools, churches, food banks, work sites, WIC offices and other community based organizations. CCS will represent DAP Health at health fairs and community events as assigned.
• Conducts enrollment and application assistance for public programs. Must thoroughly assess low to moderate income families for qualifications. Promotes program application as an opportunity for healthcare coverage. Also assists with applications for the sliding fee scale. Demonstrates thorough knowledge of all software programs and practice management system used to perform these responsibilities.
• Accurately completes patient registration when indicated for new patients including demographic information and household assessment according to policies and procedures. Maintains accurate and current information in the practice management system when there are changes in eligibility.
• Provides assistance and helps families or individuals who face access, utilization/service or retention (staying in the program) problems. Communicates effectively with program representatives and eligibility workers to identify an intervention that assists the applicant in the resolution of limiting barriers to eligibility. Assists applicants to resolve communication barriers regarding eligibility by conducting three-way phone calls, contacting the appropriate agency and educating the applicant as to the required documentation.
• Provides extensive follow-up/case management to confirm enrollments to programs, ensure utilization of services and retention of benefits/coverage. 
• Facilitate access to healthcare services by informing the applicants of their benefits and services available to them. Assist patients in understanding preventive health and facilitate coordination of appointments within the organization.
• Assist families with health plan enrollment or transfer of primary physician.
• Identifies newborn infants that may be eligible for Medi-Cal and assist with expedited enrollment.
• Submits reports of work completed, on a daily, weekly, and/or monthly basis as requested by management.
• Other duties as assigned.

Qualifications

Qualifications:

Minimum Qualifications (Education and Experience):

• Current CEC certification.
• Diploma from an approved High School or GED Equivalent.
• 1-2 years of experience in the health care or social service industry preferred.

Knowledge, Skills and Abilities:

• Excellent oral and written communication skills.
• Bilingual in Spanish/English preferred.
• Demonstrated excellent interpersonal communication and presentation skills.
• Understanding of diverse populations demonstrating compassion and understanding.
• Excellent organizational skills in independently managing workload.
• Attention to detail required for tracking cases and following-up with clients on a timely basis.
• Have the ability to multi-task and handle multiple cases.
• Team player – willing to learn, assist and help other team members as required.
• Demonstrate genuine concern as to the health care and social wellbeing of all people.
• Ability to use office equipment, i.e. copier, fax, credit card.
• Ability to use the computer, spreadsheet, e-mail, internet and practice management software.
• Basic math skills and ability to handle cash.

Customer Service:

• Actively supports, promotes, and works to fulfill the Mission, Vision and core values.
• Provides excellent internal and external customer service.
• Demonstrates DAP Health’s Standards of Customer Service.
• Participates in on-going customer service trainings.
• In every action, seeks to promote the clinic as a top service organization.

Quality Management:

• Contribute to the success of the organization by participating in quality improvement activities.
• Complies with all policies and procedures and pro-actively participates in the implementation of new initiatives.

Safety:

• Ensures compliance with policies and procedures related to safe work practices.
• Uses all appropriate equipment and/or tools to ensure workplace safety. 
• Immediately reports unsafe working conditions.

Privacy/Compliance:

• Maintains privacy and security of all patient, employee, and volunteer information and access to such information. Such information is accessed on a need to know basis for business purposes only. 
• Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent or unlawful behavior or activity.
• Upholds strict ethical standards.   

Flexibility: Available for all shifts and, when required, able to work evenings and weekends.

Additional Requirements: (Licenses/Certifications)

• All staff that is presently working within a clinic is required to have a Current and Valid CPR and First Aide certification on file with the Human Resources Department. This is for clinical and administrative staff. This new license requirement is mandatory for continued employment, CPR and First Aide certification must be obtained through the American Heart Association. Internet certificates do not comply and for this reason are not valid.