The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Family Specialist who will serve as a member/family liaison, providing assistance with care coordination for HPSM members. Primary focus is developing relationships with members, families, providers, and community partners, completing interventions that address member/family problems, and tracking care coordination work in technology systems. Additional responsibilities include serving as the internal expert on member/family relations, participation in committees and team meetings, and creating educational resources or programs as needed.
The essential duties and responsibilities will include the following:
Handle referrals and requests for care coordination, assessing the request, the member’s needs, and facilitating appropriate interventions and follow up.
Assist members to coordinate appointments, equipment, social services, and home health needs.
Provide information and refer clients to appropriate social services agencies; research community resources for clients; work closely with County and HPSM staff to coordinate various functions of outreach and referrals.
Assist Members/Families in a wide variety of daily living activities, such as completing applications and forms, providing transportation, budgeting, and navigating support service systems.
Organize and coordinate workshops, meetings, or sessions for individuals and groups in the community involved in specific programs.
Assist staff in developing strategy for conducting and maintaining effective relationships with the community; interpret community needs and cultural patterns to professional staff members.
Conduct home and field visits to develop relationships with members, families, and providers. Conduct in-person assessments and provide referrals and assistance as needed with issues that arise in the field.
Participate in team meetings.
Develop educational programs and content to assist members and families with developing skills to function independently and self-manage their health care.
Work with Members/Families and Providers to develop and disseminate customized care plans, as well as facilitating the participation of members/families and providers in scheduled interdisciplinary team meetings.
Participate in internal committees as an advocate and expert regarding the family perspective of a pediatric Health Plan of San Mateo member with special health care needs.
Work within existing technology systems to document all care coordination activities, including planned interventions to resolve any urgent problems.
Perform other duties as assigned.
Other: ***Fluency in Russian, Chinese, or Spanish is preferred for this position.***
Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s Medical, Dental and Vision coverage. Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits. Additional HPSM benefits include fully paid life, AD&D, and LTD insurance; retirement plan (HPSM contributes equivalent of 10% of annual compensation); holiday and vacation pay; tuition reimbursement plan; onsite fitness center and more.
How to Apply
Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080or via fax: (650) 616-8039. File by: Continuous until filled. The Health Plan of San Mateo is proud to be an Equal Opportunity Employer and encourages minority candidates of all backgrounds to apply.
Education and Experience:
High school diploma or GED required. Bachelor’s degree strongly preferred. Masters in Social Work, a plus. One year of managed care experience preferably in Care Coordination. At least 3 years of experience working with the health needs of the population served. At least one year of direct Care Coordination or Social Work experience.
Care management, Medi-Cal, and Medicare benefits as well as the complexities of working with the pediatric and disabled population. Community resources and how to initiate referrals. Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.
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.
Internal Number: 1234
About Health Plan of San Mateo
HPSM is a local community-based health plan with a vision that Healthy is for Everyone – and we fight to make that possible. By partnering with providers and community organizations, we are able to advocate for the health of our members and meet the highest standards for quality of care. Learn more about our Mission, Vision and Values