At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to excellence and innovation. As a leading force in the business landscape, we take pride in bringing together great people and great organizations by fostering a work environment that values creativity, diversity, and growth. If you're ready to embark on a rewarding career journey with a company that prioritizes its employees, explore our current job opportunities below.

Job Summary
The Personal Care Coordinator (PCC) will be responsible for supporting members in completing their health risk assessment (HRA). This role will involve ensuring the communication of the member’s HRA and care plan with the member, Primary Care Provider (PCP), and the healthcare team. The incumbent will identify barriers to member’s care and assist in improving these barriers for all levels of care. The incumbent will work closely with the PCP and healthcare team to ensure member access to timely services and coordination of care.

**This is an on-site position**

Position Responsibilities

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Performs outreach to members to coordinate completion of the initial and annual HRA, conducts telephonic and/or in-person HRAs as necessary and ensures data entry of HRAs received via email.
• Interviews members to determine strengths, problems, functional status, goals and need for specific services/resources.
• Maintains documentation of member’s case, care plan, interventions, and interdisciplinary care team within the medical management system.
• Collaborates with PCP and health care team to ensure timely communication of member’s clinical information.
• Partners with licensed professionals in the development of an initial care plan for each member, incorporating the HRA and all assessment findings.
• Facilitates communication of initial care plan to the PCP and member, as necessary.
• Identifies the need for, and facilitates, referrals to Long Term Support Services (LTSS), Behavioral Health and community resources.
• Oversees warm transfers to member’s assigned Case Manager in accordance with member needs, when appropriate.
• Works with Case Management staff to expedite the resolution of member concerns.
• Guides members in understanding and accessing the benefits they are entitled to under Medi-Cal.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Notifies member’s care team of key event triggers.
• Maintains compliance with established departmental productivity guidelines.
• Ensures reporting of productivity metrics to supervisor as required.
• Completes other projects and duties as assigned.

Experience & Education

• High School diploma or equivalent required.
• 1 year of experience working with the needs of seniors or persons with disabilities (SPD) in a customer/member service capacity required.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.

Preferred Qualifications:

• Bachelor’s degree in healthcare management or related field.
• 1 year of Health Maintenance Organization (HMO), Medi-Cal and/or health services experience.
• Bilingual in English and one of the defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese) required.

Knowledge & Abilities:

• Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Sunshine Enterprise USA is an “Equal Opportunity Employer—Minorities, Females, Veterans and Disabled Persons”