Pace Case Manager (Vista, CA - Onsite)

Position Summary:

Under the direction and supervision of the Social Work Supervisor, the PACE Case Manager will be responsible for providing assistance to PACE participants in connecting them to PACE system of care and serving as a liaison between providers and participants, assisting with referrals, appointments, scheduling, and ensuring that participants receive the highest quality of services.

Essential Functions of the Job:

• Provide timely and high quality information and referral services to participants linking them to San Diego PACE services and any required medical, social, mental appointments.

• Assists in coordinating appropriate internal and external referrals and services to PACE participants including transportation, day center attendance, therapy, medication, meals on wheels, supplies, DME, personal care, etc.

• Conducts home visits, hospital visits, nursing skill facilities visits as required.

• Provide high quality and excellent customer service at all times.

• Assists in providing basic information and education regarding PACE services.

• Acts as a liaison between different disciplines, services and participants to ensure continuity of care and services.

• Maintain open communication with different disciplines, internal and external providers to ensure the highest level of care.

• Welcomes and conducts tours of facility to all new participants.

• Serves as a back-up to assist social services department to address any participants' inquiries, providing guidance and assistance with any coordination and delivery of services.

• Assists management with related special projects including implementation of satisfaction surveys.

• Facilitates communication among service providers, family, participants, caregivers.

• Maintains program specific records as required; submits reports, including activity, contact, etc.

• Schedules appointment for specialty care, special studies or other ancillary services.

• Responds to inquiries as to current status of authorizations by assessing the request and evaluating the circumstances to provide the correct information.

• Follows-up on missing documentation to obtain authorization or scheduling when appropriate.

• Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants.

• Makes phone calls to participants, caregivers and family members.

Additional Duties and Responsibilities:

• Maintains established departmental policies and procedures, objectives quality assurance program, safety and environmental.

• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.

• Attends meetings as required and participates in committees as directed.

• Performs other related duties as assigned or requested.

• Enhances professional growth and development through participation in educational programs current literature, in-service meetings and workshops.

• Adheres to and models SYHC's core values and behaviors of Excellence, Empowerment, Integrity and Respect.

• Adheres to SYHC and PACE attendance and punctuality policies and practices.

• Assists participants to fill out Adult Meal Benefit, HIPAA, Consents, and any required.

• Performs other related duties as assigned or requested.

Job Requirements

Education Required:

Bachelor's degree in psychology, social services, or related field.

Certifications/Licenses Required:

Valid CA driver's license and an appropriately insured personal vehicle. (Local travel to different sites and home visits are required.)

Experience Required:

A minimum of 1 year of experience providing case management services to the elderly in the healthcare industry.

Proficient in Microsoft applications and use of electronic health data systems, At a minimum level have good computer literacy including internet navigation and research skills.

Demonstrates ability to be culturally sensitive and respect diversity, work effectively with individuals of different cultures and socio-economic status.

Verbal and Written Skills Required to Perform the Job:

Must have excellent oral and written communication skills. Bilingual (English/Spanish) is required.

Equipment Used:

Computers, phones, vehicle, copy machines and fax machines, and other office equipment.

Working Conditions and Physical Requirements:

General office environment. Periods of sitting, walking, and standing. Occasional lifting, pushing, pulling up to 10-15 lbs. Driving to meet participants in the community, in-home assessments, and occasional travel to other sites are required.

Universal Requirements:

Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.

Other details

• Pay Type Hourly

• Min Hiring Rate $25.26

• Max Hiring Rate $34.77

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• 1840 West Dr, Vista, CA 92083, USA