Overview:
To support new and ongoing, training and staff support needs within the Care Coordination
department, and to collaborate with other department leaders to support departmental referral
volumes, caseload distributions, systems and operational workflows.
Responsibilities:
- In collaboration with the Quality & Training Supervisor develops training program
courses and materials in accordance with PHC policies & procedures. -
Coordinates, conducts, implements assigned training modules.
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Provides mentorship, direction, resources, training and/or orientation to Care
Coordination staff; maintaining and active working knowledge of all departmental
policies/procedures. -
Identifies and leverages appropriate resources to meet support and/or training needs (e.g.,
Learning Management System, job aides, etc.). -
Establishes and maintains departmental training calendars with special attention to
tracking, attendance and staff completion rosters. -
Creates effective training materials including but not limited to desktops, flyers, FAQs,
informational emails, newsletters, etc. -
Assess existing training materials and other offerings, and recommends changes to meet
departmental objectives and PHC policies & procedures. -
Monitors and communicates progress of trainees through one-on-one observation and
audit results. Provides feedback to supervisors and/or managers on staff performance
related to accuracy of work and ability to apply lessons. -
Performs any User Acceptance Testing (UAT) needed to support PHC systems or
workflow initiatives and shares feedback per project outline. -
Supports departmental NCQA auditing and tracking activities.
-
Conducts ongoing internal audits of identified cases to ensure timely, appropriate
documentation in accordance with PHC policies, program criteria, and departmental
policies; communicates findings to Care Coordination Leadership. -
Creates spreadsheets and/or various reports as needed/directed.
-
Other duties as assigned.
Qualifications:
Education and Experience
High school diploma or equivalent required. Minimum two (2) years’
experience working in PHC Care Coordination department or
equivalent healthcare experience required. Four (4) years of experience
working in a health care setting recommended; general knowledge of
managed care with emphasis in case management preferred. Preference
may be given to individuals certified and/or licensed in a health or
communication related field.
Special Skills, Licenses and Certifications
Ability to use good judgment, take personal initiative, and use
discretion in performing job responsibilities. Ability to communicate
effectively with wide range of adult learners. Ability to use computer
software for word processing, spreadsheets, and email, operating
multiple computer programs simultaneously. Ability to function
effectively with frequent interruptions and direction from multiple team
members. Ability to work in an environment with diverse individuals
and groups. Ability to establish collaborative relationships. Ability to
work autonomously within a team setting. Ability to prioritize
workload and initiate action to acquire needed information from
professionals by phone. Bilingual skills in Spanish, Russian, or Tagalog
preferred.
Performance Based Competencies
Excellent Written/verbal communication skills with the ability to read
and interpret policies to create workflows/desktops. Ability to work
with ethnically and culturally diverse populations. Ability to translate
complex concepts into simple processes. Ability to communicate
effectively with coworkers, members, their families, physicians and
health care providers.
Work Environment And Physical Demands
Standard cubicle workstation with a shared common area. Use of
telephone, fax, computer, and photocopying machine is required.
Requires sitting in front of computer equipment and talking on
telephone for major portion of the workday. Must be able to work in a
fast paced environment and maintain courtesy and composure when
dealing with internal and external customers. When necessary, must be
able to lift, move, or carry objects of varying size, weighing up to 35
lbs. Able to travel to locations that will require occasional overnight
stay.
All HealthPlan employees are expected to:
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Provide the highest possible level of service to clients;
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Promote teamwork and cooperative effort among employees;
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Maintain safe practices; and
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Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$34.79 -$43.48
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change
