• Responsible for guiding individuals with developmental disabilities, and their families, through a new California Policy called Self Determination • Lead people through a person-centered planning process • Develop person-centered plans • Guide them through a budgeting process • Advocate for them with Regional Centers • Assist customers with finding tailored support services, community supports, activities, and direct support staff

• Provides care management support to a panel of patients who require specialty services integrated and in support of their overall plan of care. • Interacts with and supports the specialty care providers, primary care providers and the interdisciplinary care team across the continuum of care. • Assesses, plans, implements, documents, coordinates, monitors, evaluates, and updates the plan of care by collaborating with all members of the health care team to provide evidenced-based care. • Works to establish collaborative processes that promote quality and cost-effective care that optimizes the physical and psychosocial health of patients. • Responsible for supporting decisions that impact health care outcomes, resource allocation and customer experience. • Engages in quality improvement initiatives and program development.

• Engaging daily with clients and teammates to build and sustain positive relationships • Monitoring device readings and managing inbound calls • Assessing patient alerts and determining response requirements • Entering patient information into appropriate systems • Explaining products or services and answering client questions • Assisting with enrollment of new clients and supporting existing clients • Troubleshooting devices and reporting malfunctions • Participating in other projects or duties as assigned

• Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. • Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling. • Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention. • Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries. • Work overtime as needed • Various immunizations and/or associated medical tests may be required for this position.