Care Management Specialist II

General Description 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. Duties \& Responsibilities **Essential Functions:** * 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. **Secondary Functions:** * Perform other duties as assigned. Qualifications The following represents the typical way to achieve the necessary skills, knowledge, and ability to qualify for this position: **Education and experience equivalent to:** * 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. **Abilities 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. **Other:** * Bilingual skills highly preferred, particularly Spanish, Tagalog, or Chinese. Physical Requirements \& Environmental Conditions of the Position Activity/Physical Function Not at all 33% or less 34% to 66% More than 66% Keyboarding/Repetitive Use of Hands X Standing X Walking X Sitting X Speaking X Hearing X Seeing X Lifting/carrying up to 20 lbs. X Lifting/carrying 21 to 50 lbs. X Lifting/carrying over 50 lbs. X Pushing or pulling X Overhead Reaching X Climbing/Kneeling//Crawling X Exposure to Environmental Conditions Not at all 33% or less 34% to 66% More than 66% High Temperatures (over 85 degrees) X Low Temperatures (under 50 degrees) X Wet or High Humidity X Sudden Temperature Changes X Noise – High Level X Noise \- Vibrations X Hazards – Mechanical \& Electrical X Fumes/Odors/Smoke/Gas X