Required:
Current knowledge of clinical standards of care and disease processes.
Critical thinking skill.
Excellent customer service skills.
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions.
Ability to triage immediate member health and safety risks.
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders.
Ability to use a personal computer, and knowledge of medical information systems.
Knowledge of and ability to comply with HIPAA compliance.
Ability to interview, assess and coordinate care. Ability to prioritize caseload.
Knowledge of community resources.
Knowledge of Medi-Cal and Medicare regulations.
Ability to work as a part of a diverse team and gain consensus and resolution of problems.
Preferred:
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.