High Intensity Coordinator HHP in Orange at Prospect Medical Systems

Date Posted: 2/11/2021

Job Snapshot

  • Employee Type:
  • Location:
    600 City Parkway West
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
  • Job ID:

Job Description

High Intensity Coordinator HHP

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Serves as a community-based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.

Job Responsibilities/Duties

  • Performing telephonic Initial health assessments and documentation include assessment of health status, activities of daily living and instrumental activities of daily living, mental/cognitive health status, life planning, cultural/linguistic needs, visual/hearing, and caregiver resources.
  • Evaluate members for eligibility and current/past participation for health and other service program benefits including but not limited to mental health services carved out to the county, In Home Supportive Services, Community Based Adult Services, Multipurpose Senior Services Program, SSI, and disability. Other pertinent financial information may be discussed to identify needs for HUD housing, utility assistance, nutrition programs (WIC, SNAP), etc.
  • Document and maintain Care Plans/Health Action Plan (HAP) based on member assessment and is housed in the care management platform. The HAP is customized to reflect specific programs, goals and interventions that are populated depending on the member’s responses to assessments, which may include but is not limited to behavioral health needs, housing needs, palliative care needs, and trauma informed care.
  • Assist members with the following: Health Promotion & Disease Prevention Strategies; Transportation, managing medications, managing provider referrals and follow-up, lining up community-based social support; Monitors and supports treatment adherence; Monitors medication management and reconciliation; Provides coaching to members and family/support persons about chronic conditions and ways to manage health conditions; Connects members with resources for self-help, self-care, management and other resources/services based on member’s needs; Assist with outside organizations to manage member care (i.e., food stamps); Connects members and their family/support persons to peer support and/or support groups; Advocates for the member and their family to identify and obtain needed resources; Performs ongoing care charting; Reviews preventative measures to close care gaps; Ensures members see their PCP within 60 days of program enrollment.
  • Addresses member’s needs in the following areas: Housing; Access to food; Social and community support; Education; Employment; Childcare; Environment, water, sanitation; Legal issues; Safety.
  • Collaborates with and supports team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, skilled nursing facilities, shelters, or doctor’s offices.
  • Empowers members by helping them navigate and maximize their health plan benefits.  Assistance may include scheduling appointments with providers, arranging transportation for healthcare visits, getting prescriptions refilled, and following up with the member after missed appointments.
  • Assists members with accessing social services such as community-based resources for housing, food employment, etc.
  • Provides outreach to locate and/or provide support for disconnected members with special needs.
  • Conducts research with available data to locate members that provider has been unable to contact (reviewing internal databases, contacting member providers or caregiver, or travel to last known address or community resource locations such as homeless shelters, etc.)
  • Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face to face).
  • Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
  • 100% remote position. 
  • Maintain work process, filing, data input in accordance with departmental policies and procedures.
  • Perform other duties as assigned.  
  • Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients.  Proactively ensuring that these needs are met or exceeded.
  • Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
  • Engage in excellent communication which includes listening attentively and speaking professionally.
  • Set and complete challenging goals.
  • Demonstrate attention to detail and accuracy in work product.
  • Other duties as assigned by Manager.


Minimum Education: Associate degree preferred.

Minimum Experience: Minimum one-year experience working with underserved or special needs populations, with varied health, economic and educational circumstances. Medical Terminology. 

Req. Certification/Licensure: Social Worker or Mental Health Specialist. Valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.

How to Apply

To apply for this role, or search our other openings, please visit   http://pmh.com/careers/  and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm