Interdisciplinary Team Specialist at myPlace Health – Los Angeles, California

Interdisciplinary Team Specialist

About myPlace HealthmyPlace 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 participants 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 countrys most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets.
About This RoleDo you excel at fostering collaboration and accountability within interdisciplinary teams to truly align care with each individuals 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!
Were excited to welcome an experienced and passionate Care Team Specialist to our growing organization. In this vital role, youll work closely with our Executive 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 participants values, goals, and preferences.
If youre driven by a desire to improve the quality of life for others and thrive in a team-centered, mission-driven environment, wed love to have you join us!What Does Success Look Like In This Role?

• 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 measureand 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 areliterally 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).

What Does An Ideal Candidate Look Like?

• 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 participants goals and help translate them into real, achievable care plans.
• The education and/or licensure to lead confidently. Bachelors degree in a relevant field (nursing, social work, healthcare administration, etc.) required; masters 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.
• EMR experience. Prior experience using Electronic Medical Record systems (and the curiosity to become a superuser).

Other pertinent information

• Onsite Presence This is a 100% onsite position supporting our vibrant Greater Los Angeles market. Your in-person presence is key to building strong team connections and delivering high-quality, coordinated care.
• Consistent Schedule The regular work schedule is Monday through Friday, from 8:00 AM to 5:00 PM, supporting a stable routine for both staff and participants.
• Team-Based Flexibility This role includes participation in our on-call rotation, helping ensure were responsive and ready to support our participants whenever they need us most.

The Physical Environment

• Sustained seated and standing work. Ability to sit for extended periods while working on a computer, with regular standing and walking throughout the clinic.
• Walking and movement on-site. Ability to move through the center/clinic to attend meetings, connect with team members, and support participant care coordination.
• Stair and elevator use. Ability to travel between floors independently (via stairs and/or elevator, as available).
• Visual and manual dexterity. Ability to read from a computer screen, review documents, and use standard office equipment (keyboard, mouse, phone, printer/copier).
• Communication demands. Ability to communicate clearly and professionally in person and over the phone, including during group meetings and participant discussions.
• Typical office/clinic exposure. Work occurs in a standard clinic/office environment with potential exposure to common workplace conditions (e.g., fluorescent lighting, indoor temperature variations, and routine operational noise).

The Working Conditions

• Clinic-based and team-connected. Youll work primarily in a clinic/center environment, collaborating closely with an interdisciplinary team throughout the day.
• Professional office setting. Expect a typical healthcare/office atmosphere with occasional background noise, frequent in-person interaction, and a steady flow of activity.
• Independent participant engagement. Youll regularly meet with and speak to participants privately and professionally, including facilitating sensitive conversations with discretion and empathy.
• Computer-forward work. Much of the role involves working at a computerdocumenting in the EMR, tracking tasks, preparing for meetings, and coordinating follow-ups.
• Multi-floor mobility. Youll need to navigate between floors independently as part of your daily workflow.
• Schedule and pace. Workdays are structured, but priorities can shift quickly based on participant needs, compliance timelines, and team coordination requirements.
• ADA / Accommodations: We will provide reasonable accommodations for qualified individuals with disabilities to enable them to perform the essential functions of the position. Please inform the People Team if you require an accommodation at any point in the hiring process or during employment.

Whats In It for You?At myPlace Health, we believe that when we take exceptional care of our people, they can take exceptional care of our participants. Thats why weve built a comprehensive, people-first rewards package designed to support your well-beingprofessionally, financially, and personally.
Heres a snapshot of what you can look forward to:
Competitive Pay & Total Rewards We offer a strong base salary along with a total rewards package that reflects your experience, education, certifications, and the location of your role. For onsite roles, we adjust pay based on local markets; remote roles are aligned to national pay benchmarks.Performance-Based Incentives Our industry-leading incentive plan recognizes your contributions and rewards success based on the performance of both your team and the organization.Ongoing Growth & Feedback Youll receive two performance reviews per year (when applicable), giving you the chance to grow, reflect, and celebrate your achievements.Plan for Your Future Take advantage of our 401(k) plan with an employer matchbecause your future matters.Health Coverage that Fits Your Life Choose from six medical plans, with up to 80% of premiums covered for employees and 75% for dependents.More Than Just Medical Weve got you covered with dental and vision insurance, FSA/HSA options, short- and long-term disability, basic life insurance, and additional benefits like accident, critical illness, and hospital indemnity coverage.Generous Time Off Recharge with 20 days of PTO to start, 12 paid holidays, and 2 floating holidays each year.Support for Your Learning We prioritize your professional development with a generous CME/CEU budget, dedicated time off for learning, and ongoing growth opportunities.Family Comes First Our family-friendly culture includes paid parental leave and a child care stipend to help support you at home.Ready to Lead With Heart and Make Care Matter?If youre the kind of person who can bring a team together, keep care grounded in what matters most, and turn complex coordination into calm, confident actionthis is your moment. Join us as a Care Team Specialist and help build care plans that arent just compliant, but truly meaningful. We cant wait to meet the leader whos ready to champion our participants, support our teams, and make every day countfor the people we serve and the colleagues we serve alongside.
Your ApplicationPlease submit your resume/CV. Our Commitment to Diversity, Equity and InclusionAt 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 PolicyAt 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/#/
$80,000 - $100,000 a year