Care Management Specialist II

The Care Management Specialist II coordinates with a multidisciplinary team care to provide person- centered interventions to health plan members, through effective partnerships with their caregivers/families, community resources, and their physician. He or she facilitates shared decision- making within and across settings to achieve coordinated high-quality care that is collaborative and timely.

Position overview

• Independently handle requests for care coordination, assessing the member’s needs, and facilitating appropriate interventions and follow-ups.
• Administer Health Risk Assessment survey to members as needed.
• Prepare care plans for members for presentation at interdisciplinary team meetings.
• Assist members with appointments for specialists, educational classes, and transportation.
• Work with healthcare providers to coordinate and share plans of treatment.
• Perform data entry of medical information; maintain census tracking and reports.
• Assist Care Coordination Case Managers and staff to coordinate members’ appointments, equipment, social services, and home health needs.
• Actively participate in team meetings.

Requirements

These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply. 

Education and experience

• High school diploma or GED required.
• College level courses in health care, a plus.
• Three (3) years of managed care experience, preferably in Care Coordination.
• Experience working with the health needs of the population served.
• Experience as a Medical assistant or Licensed Vocational Nurse is a plus.
• At least one year of direct Care Coordination experience.

Knowledge of:

• Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
• Care management, Medi-Cal, and Medicare benefits as well as the complexities of working with the elderly and disabled population.
• Community resources.

Ability to:

• Work cooperatively with others.
• Work as part of a team and support team decisions.
• Communicate effectively, both verbally and in writing.
• Adapt to changes in requirements/priorities for daily and specialized tasks.
• Work cooperatively with others.
• Work as part of a team and support team decisions.
• Communicate effectively, both verbally and in writing.
• Adapt to changes in requirements/priorities for daily and specialized tasks.

Skills:

• Bilingual skills highly preferred, particularly Spanish, Tagalog, or Chinese.

Salary and benefits

The starting salary range is $30.29-$38.31 per hour, depending on the candidate’s work experience.

Excellent benefits package includes:

• HPSM-paid premiums for employee’s medical, dental and vision coverage (employee pays 10% of each dependent’s premiums)
• Fully paid life, AD&D and LTD insurance
• Retirement plan (HPSM contributes equivalent of 10% of annual compensation)
• 12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year
• Tuition reimbursement plan
• Employee wellness program

It is HPSM's policy to provide equal employment opportunity for all applicants and employees.  HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law.  HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.