Scanhealthplan

Scanhealthplan

Care Team Specialist (PACE)

South Los Angeles · Contract

Sponsorship not specifiedDetected 51 days ago
ExcelEHR/EMRLeadershipCommunicationCollaborationMicrosoft Office

About the role

  • Our centers are more than healthcare facilities.
  • Behind that experience is a dedicated, interdisciplinary team working together to coordinate care, remove barriers, and improve quality of life for some of the most medically and socially complex populations.
  • For employees, myPlace Health offers the opportunity to do deeply meaningful work in a highly collaborative setting.

Responsibilities

  • Keep care grounded in the person, not just the plan. Partner with the IDT to identify and act on participants' goals, values, and preferences, ensuring care plans reflect What Matters Most (WMM).
  • Bring Patient Priorities Care to life. Build strong working knowledge of Patient Priorities Care (PPC) and Goal Concordant Care, and help embed these principles into everyday practice.
  • Lead the conversations that drive great care. Facilitate Care Team Meetings, Care Coordination Meetings, and Care Planning discussions, making sure documentation in the EMR is clear, timely, and accurate.
  • Create workflows that make the right thing the easy thing. Develop and maintain care planning, documentation, and compliance workflows aligned with regulatory requirements.
  • Coach with care and accountability. Provide support and supervision that builds confidence, clarity, and follow-through, fostering a culture of ownership and continuous improvement.
  • Meet participants where they are-literally and holistically. Support the team in delivering care across settings, with attention to physical, emotional, and spiritual needs.
  • Be a team player across the center. Jump in to support other departments when needed (Admin, Home Care, Clinic, and more).
  • older adults deserve the support they need to live safely, independently, and with dignity in their own communities.

Requirements

  • Comfort in motion.
  • Experience in value-based models.
  • 1+ year in a PACE organization or value-based care environment.
  • 3+ years of active participation on an Interdisciplinary Care Team.
  • Strong communication skills and a proven ability to foster collaboration and hold others accountable with respect.
  • Familiarity with PACE-related regulatory requirements and confidence operating in a highly regulated environment.
  • Proficiency in Microsoft Word, Excel, and PowerPoint.
  • A mission-first heart for seniors. Genuine passion for serving high-risk seniors and frail older adults.
  • Comfort in motion. You thrive in a fast-paced environment and enjoy working in a collaborative, team-based culture.
  • A "what matters most" mindset. You naturally center the participant's goals and help translate them into real, achievable care plans.
  • The education and/or licensure to lead confidently. Bachelor's degree in a relevant field (nursing, social work, healthcare administration, etc.) required; master's preferred (MSW or healthcare administration). We will also consider an LVN or RN with 5+ years of experience leading an IDT.
  • Hands-on care experience. At least 2 years providing direct care (PACE or similar setting strongly preferred).
  • Experience in value-based models. 1+ year in a PACE organization or value-based care environment.
  • Real IDT fluency. 3+ years of active participation on an Interdisciplinary Care Team.
  • Leadership that builds trust and follow-through. Strong communication skills and a proven ability to foster collaboration and hold others accountable with respect.
  • A compliance-aware approach. Familiarity with PACE-related regulatory requirements and confidence operating in a highly regulated environment.
  • Tech comfort and strong fundamentals. Proficiency in Microsoft Word, Excel, and PowerPoint.

Nice to have

  • Hands-on care experience.
  • At least 2 years providing direct care (PACE or similar setting strongly preferred).
  • We will also consider an LVN or RN with 5+ years of experience leading an IDT.

Compensation

  • An annual employee bonus program
  • 11 paid holidays per year, plus 1 additional floating holiday
  • Robust employee recognition program
  • An opportunity to become part of a team that makes a difference to our members and our community every day!
  • $70,300 to $9 2,602 per year

Benefits

  • At myPlace Health, work is more than a job.
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This listing is sourced directly from Scanhealthplan's careers page and normalized into a canonical job model.