In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

The Member Engagement Specialist serves as a liaison between the organization and the communities that we serve. This role includes project management/coordination and support of various programs and committees including but not limited to: outbound call projects, Consumer Advisory Committee activities, informative presentations, and community events. Additionally, the Member Engagement Specialist supports department leadership in developing, implementing, and sustaining the Member Engagement Program strategies and objective to achieve Partnership’s mission and goals.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

To provide daily oversight, leadership, support, training and direction of both clinical and non-clinical staff. Supports and assists the Team Manager in developing and maintaining a cohesive team with a high level of productivity and accuracy to achieve the department's overall performance metrics. Designs and implements high quality, cost-effective care plans to enable members to achieve health goals.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting quality and cost-effective outcomes.

To facilitate access to medical care by coordinating Non-Emergency Medical (NEMT) Transportation, Non-Medical Transportation (NMT) transportation and travel-related benefits for members. Coordinates care in collaboration with internal and external partners to help members overcome barriers to care created by lack of transportation.

The Supervisor of Provider Systems will supervise the day-to-day operations of the Provider Relations (PR) Department functions involving provider data used for operations, reporting and claims processing. Provides supervision, support and guidance to the PR Systems staff. Monitors inventory and disseminates work based on timeliness standards and competing priorities.

In collaboration with departmental and organizational leadership, supports the organization’s Population Needs Assessment activities through active and meaningful engagement in identified community workgroup and initiatives. On behalf of the health plan identifies and supports, key strategic activities and interventions that support alignment of collective agency efforts that promote and support efforts to encourage member health outcomes.

To plan, organize, manage, and implement projects.

The Accountant II-Cash Management (Banking Operations) position will be a key member of the cash management team and is responsible for various treasury functions, including monitoring and recording of daily bank transactions, completing month end close and reconciliation activities related to bank and investment account activity and will assist in the completion and analysis of various cash and treasury related reports such as the cash flow statement, cash flow projections and investment reports. Banking activity includes managing the information flow from the banks and to the banks.   This position will be one of the main points of contact for external parties such as bankers...

To prepare, analyze, report, and manage compliance of PHC’s Wellness & Recovery program, through both internal and external efforts. Works collaboratively with departments companywide to identify data needs, develop and maintain tools, and complete accurate reporting of compliance.

The Epidemiologist will work with the Chief Medical Officer and collaboratively with Health Services leaders and stakeholders to plan, design, implement, and analyze data for key projects and initiatives. The Epidemiologist will monitor population health outcomes, provide recommendations for improvement, evaluate program practices, and contribute to evidence-based decision-making in support of Partnership’s mission.

To be responsible for executing and managing diversity, equity, and inclusion (DEI) training programs and initiatives to enhance the skills, knowledge and performance of the company, network provider, subcontractors, downstream subcontractors, etc. Participates in DEI training meetings. Supports DEI Training all plan letter requirements set forth by DHCS. Supports monitoring of training completion of Partnership staff, network providers, subcontractors, downstream subcontractors etc.

In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.

In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.

To provide coordination and implementation support of defined tasks for the assigned program(s). In addition to the Program Coordinator I duties, the Program Coordinator II has a higher level of experience, conducts business analysis to evaluate programs, tracks and reports data to a higher complexity level, coordinates daily activities, communicates program status to stakeholders, and confirms that outcomes are meeting program requirements.