Job Description - Care Coordinator

Community Health Plan of Imperial Valley (CHPIV) is Imperial County's Medi-Cal managed care plan. We are a locally managed public health care plan committed to working with members, providers, and the residents of Imperial County.

As we continue to build something great, we are looking for Care Coordinators to provide on-going case management services for CHPIV members.

Our next team member will do the following:

  • Complete activities that align with the model of care and that meet all regulatory requirements.
  • Manage caseload appropriately with regard to complexity of medical or psychosocial needs (RN, LSW, other allied fields).
  • Use electronic case management documentation system in compliance with standard processes, standard documentation styles, and HIPAA.
  • Promote multidisciplinary collaboration, provider outreach, and engagement of family and caregivers to enhance the continuity of care for members.
  • Participate in Interdisciplinary Care Team (ICT) meetings.
  • Complete care management assessments and develop and implement Individualized Care Plans (ICP’s) completely and timely in accordance with regulatory requirements
  • Complete the Transition of Care (TOC) assessment in accordance with timeframes for contact and per TOC protocols to ensure continuity of care and prevent unnecessary readmissions.
  • Provide care coordination for appropriate resources and services for members.
 
You may be right for this job if you have the following:
  • An active California LVN license
  • 3 or more years in case management, disease management, managed care or medical or behavioral health settings.
  • Knowledge of managed care principles and practices with emphasis in Care Management and/or Care Coordination.
  • Clinical knowledge and critical thinking skills with the ability to assess individualized whole-person care needs necessary to develop an effective care plan.
  • Working knowledge of and the ability to efficiently operate all applicable computer software, including computer applications such as Outlook, Word, Excel, and specific case management programs.
  • Excellent communication skills.
  • Experience partnering with multiple members of a healthcare team, both internally and externally.

Our commitment to you:

  • A competitive salary of $65,000-$80,000/ year
  • Health, dental, and vision insurance
  • Paid time off
  • A 401k plan with a generous match
  • A chance to make a real difference in the Imperial Valley community
Our next Care Coordinator will live within a reasonable commuting distance from Imperial, California.  

We are an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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