Under general supervision, performs duties providing case management services to assigned individuals. Participates in, and supports, the planning, development, implementation, and evaluation of services in accordance with contractual and departmental requirements and guidelines. Specific assignments vary depending on program, grant, and patient demographics, with a focus

Collaborate with multidisciplinary care team in coordinating a wide array of navigation, health care, case management, educational support and patient engagement functions in recruiting, supporting and connecting individuals to services at FHCSD. Facilitate enrollment of patients in FHCSD services. Schedule appointments and conduct intake per department guidelines and pro

Facilitate enrollment of patients in FHCSD services. Schedule appointments and conduct intake per department guidelines and productivity goals. Facilitate care transitions between providers, community partners, and specialty care providers through the use of the Electronic Health Record to ensure relevant correspondence is attached for each patient. Provide support for pa

Provide critical navigation services to patients and their family members, with exceptional customer service. Assist and help in identifying needs of the patient for a successful primary care visit through facilitating complete discharge planning. Perform patient assessments under protocol through use of evidence based practices and tools. Serve as a critical member of th

Collaborate with the multidisciplinary care team in coordinating a wide array of navigation, health care, case management, educational support, and patient engagement functions in recruiting, supporting and connecting individuals to services at FHCSD. Facilitate enrollment of patients in FHCSD services. Schedule appointments and conduct intake per department guidelines an

Provide care in a manner which ensures participant satisfaction and retention, and is in compliance with all regulatory requirements and guidelines. Assist with instrumental Activities of Daily Living (IADLs) across care settings. Assist participant in their home with light housekeeping, medication reminder, and meal preparation. Provide personal care to include bathing,

Deliver meals to PACE participants homes and satellite PACE facilities. Deliver meals in a timely manner to maintain correct holding temperatures. Maintain accurate record of meals, temperature logs and vehicle mileage. Follow food safety guidelines to promote safe food handling, which include, but are not limited to the practice personal hygiene, hand washing, and wearin

Develops, identifies, and provides referrals, within and outside of FHCSD, and effectively monitors and tracks such referrals. Effectively communicates with and recruits new patients into the clinic's or program's system of care, interacting well with community members and patients from diverse social, cultural, and economic backgrounds. Effectively leverages community re

Develops, identifies, and provides referrals, within and outside of FHCSD, and effectively monitors and tracks such referrals. Effectively communicates with and recruits new patients into the clinic's or program's system of care, interacting well with community members and patients from diverse social, cultural, and economic backgrounds. Effectively leverages community re

Impact Lives, Impact Community Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. Wi

Impact Lives, Impact Community Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. Wi

Impact Lives, Impact Community Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. Wi

Addresses routine messages in EHR within 2 days, urgent messages within 1 day. Attends Nursing in services or completes make up assignments within 2 weeks of assignment. Builds positive relationships, inspires others to perform at a higher level, prepares career development plans and retains an accountable workforce. Coaches and counsels staff and administers appropriate

Accurately completes referrals to include ICD 9 and CPT codes, following established department protocols. Makes initial appointments directly into CMIS; gives appointment cancelation information. Actively tracks follow up and referral pool(s); schedules patient services as required. Answers 30 40 incoming calls daily Communicates to clinic staff status of pending referra

Accurately completes referrals to include ICD 9 and CPT codes, following established department protocols. Makes initial appointments directly into CMIS; gives appointment cancelation information. Actively tracks follow up and referral pool(s); schedules patient services as required. Answers 30 40 incoming calls daily Communicates to clinic staff status of pending referra