myPlace Health · 9 hours ago
Interdisciplinary Team Specialist
Los Angeles, CA
Full-time
Onsite
Mid, Senior Level
$80K/yr - $100K/yr
5+ years expmyPlace Health is a mission-driven organization focused on improving health outcomes for vulnerable older adults. The Interdisciplinary Team Specialist will lead a team to ensure participants receive high-quality care by facilitating meetings, creating workflows, and supporting team members in a collaborative environment.
Elder CareHealth CareNon Profit
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
Be the go-to EMR champion. Serve as an EMR superuser, supporting, guiding, and troubleshooting with team members as needed
Keep the team on track and moving forward. Monitor completion of assessments, care plans, service determination requests, trackers, and other IDT deliverables, helping remove barriers when things get stuck
Step in when coverage matters most. Act as backup for the Center Manager to help ensure assessments are completed within the required 30-day timeframe
Partner for quality you can measure—and feel. Collaborate with Quality Improvement and Compliance to audit care plans and strengthen regulatory alignment
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)
Qualification
Required
Bachelor's degree in a relevant field (nursing, social work, healthcare administration, etc.) required
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
Preferred
Master's preferred (MSW or healthcare administration)
Experience in value-based models. 1+ year in a PACE organization or value-based care environment
At least 2 years providing direct care (PACE or similar setting strongly preferred)
Prior experience using Electronic Medical Record systems (and the curiosity to become a superuser)
Benefits
Competitive Pay & Total Rewards
Performance-Based Incentives
Ongoing Growth & Feedback
Plan for Your Future
Health Coverage that Fits Your Life
More Than Just Medical
Generous Time Off
Support for Your Learning
Family Comes First
Company
myPlace Health
myPlace Health delivers integrated medical and supportive care for seniors through the PACE model, helping them live independently.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
SCAN Group
2025-05-20Acquired
2021-10-13Series Unknown
Leadership Team
R
Robbie Pottharst
Founder and CEO
Recent News
EIN Presswire
2025-08-06
Fierce Healthcare
2025-06-06
2025-06-04
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