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Interdisciplinary Team Specialist

myPlaceHealth · 30+ days ago
Negotiable
Full-time
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About myPlace Health
myPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. 
 
Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant’s preferred place.  
 
myPlace Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets. 

Do you excel at fostering collaboration and accountability within interdisciplinary teams to truly align care with each individual’s unique values and goals? Are you excited about joining a mission-driven organization where your leadership can make a meaningful impact on the quality of life for our participants? Then we would love to have you our team!

We’re excited to welcome an experienced and passionate Care Team Specialist to our growing organization. In this vital role, you’ll work closely with our Center Director and lead an 11-discipline Interdisciplinary Team (IDT) to ensure our participants receive the highest quality care. Your leadership and experience will play a key role in facilitating Interdisciplinary Team Meetings, ensuring we meet all regulatory requirements, and fostering a collaborative, accountable environment that truly aligns with each participant’s values, goals, and preferences.

If you’re driven by a desire to improve the quality of life for others and thrive in a team-centered, mission-driven environment, we’d love to have you join us!

What will success look like for our Care Team Specialist

  • Work closely with our interdisciplinary team to truly understand and honor each participant's goals, values, and preferences, ensuring that our care plans are person-centered and reflect What Matters Most (WMM) to them.
  • Embrace and apply the principles of Patient Priorities Care (PPC) and Goal Concordant Care, guiding our approach to delivering compassionate, individualized care.
  • Lead and facilitate Care Team Meetings, morning huddles, and care planning discussions, ensuring that all important details are accurately captured in our Electronic Medical Record (EMR).
  • Create and maintain efficient workflows for care planning, documentation, and compliance, making sure everything aligns with regulatory requirements while supporting our high standards of care.
  • Serve as a go-to expert in our EMR system, providing ongoing support and guidance to your team members, helping them feel confident and capable.
  • Keep everything on track by monitoring and ensuring the timely completion of assessments, care plans, service determination requests, and other IDT-related tasks.
  • Step in as a supportive backup for the Scheduling Coordinator, ensuring assessments are completed within the required 30-day timeframe.
  • Partner with our Quality Improvement and Compliance team to audit care plans and ensure we’re always meeting regulatory requirements with excellence.
  • Offer coaching, support, and nurturing a culture of accountability, positivity, and continuous improvement.
  • Support team members in delivering compassionate care wherever it’s needed, meeting participants where they are—physically, emotionally, and spiritually.
  • Other duties and responsibilities as needed to support the growth of the IDT team

What does an ideal team member look like?

  • Passion and mission orientation for serving high-risk seniors and frail older adults 
  • Thrives in a fast-paced environment and a culture that values collaborative, team-based approach 
  • Brings a patient-centered mindset, focusing on what matters most to the patient and enabling patients to reach their care goals 
  • Bachelor's Degree in a relevant field (e.g., nursing, social work, healthcare administration), Masters in Social Work or Healthcare Administration strongly preferred.
  • Minimum of two years of experience providing direct care for participants, preferably in a PACE or similar setting 
  • At least one year of experience in a PACE organization or value-based care organization 
  • Strong leadership and communication skills, with a proven ability to hold others accountable and foster collaboration among team members 
  • Compliance-focused mindset and familiarity with regulatory requirements related to PACE 
  • Proficiency in Microsoft Word, Excel, and PowerPoint 
  • Experience using Electronic Medical Records (EMR) systems 
  • Have one of the following licenses: LVN, RN, LCSW (preferred but not required).

Other pertinent information

  • This position is 100% onsite, and supporting our Greater Los Angeles Market.
  • Schedule is Monday - Friday 8am - 5pm
  • This position will require to be in our on-call rotation.
Your Application
Please submit your resume/CV.
 
Our Commitment to Diversity, Equity and Inclusion
At myPlace Health, we value the diversity of our team members, and we are committed to building a culture of inclusion and belonging.  We pride ourselves to be an equal opportunity employer.  People seeking employment at myPlace Health are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
 
COVID-19 Vaccination Policy
At myPlace Health, we provide safe and high-quality care to our participants. To achieve this, we have a policy that strongly recommends Covid-19 vaccination to keep both our team members and participants safe. Medical and religious exemptions can be granted based upon review of proper documentation. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.
 
Beware of Scams and Fraud
Please beware of scams that solicit interviews or promote jobs for opportunities that are not listed on our website or are not directly related to a job you applied for yourself. Please be advised that myPlace Health will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/

Last updated on Aug 29, 2024

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