Interdisciplinary Team Specialist

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. 

About This Role

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!

• Person-Centered Collaboration – Work closely with our interdisciplinary team to understand and honor each participant’s goals, values, and preferences, ensuring care plans reflect what matters most to them.
• Clinical Framework Application – Embrace and apply the principles of Patient Priorities Care and Goal Concordant Care, guiding our approach to delivering compassionate, individualized care.
• Meeting Facilitation – Lead and facilitate Care Team Meetings, morning huddles, and care planning discussions, capturing all relevant details clearly and accurately in our Electronic Medical Record (EMR).
• Workflow Optimization – Design and maintain efficient workflows for care planning, documentation, and compliance, ensuring alignment with regulatory standards and high-quality care delivery.
• EMR Expertise – Serve as a go-to expert in our EMR system, offering hands-on support and guidance to team members so they feel confident and capable in their documentation responsibilities.
• Task Management – Monitor and ensure timely completion of assessments, care plans, service determinations, and other IDT-related processes, keeping everyone on track and in sync.
• Scheduling Support – Provide backup support to the Scheduling Coordinator, helping ensure assessments are completed within required timeframes, especially during high-volume or transition periods.
• Quality & Compliance Partnership – Collaborate with our Quality Improvement and Compliance teams to regularly audit care plans and uphold regulatory excellence across all documentation.
• Team Coaching – Offer supportive coaching and help nurture a culture grounded in accountability, teamwork, and continuous improvement.
• Whole-Person Care Support – Step in to assist wherever care is needed—physically, emotionally, and spiritually—meeting participants and colleagues with compassion and commitment.
• Adaptability – Contribute to broader team success by taking on additional responsibilities as needed to support the continued growth and evolution of our IDT model.

• Mission-Driven Mindset – A deep passion for serving high-risk seniors and frail older adults, with a heart for making a difference every day.
• Adaptability – Thrives in a fast-paced, dynamic environment and embraces a culture that values collaboration, teamwork, and continuous learning.
• Person-Centered Care Orientation – Brings a strong focus on what matters most to participants, helping them reach their care goals with dignity and respect.
• Educational Background – Holds a Bachelor’s degree in a relevant field such as nursing, social work, or healthcare administration. A Master’s degree in Social Work or Healthcare Administration is strongly preferred.
• Direct Care Experience – Has at least two years of experience delivering direct care to participants, ideally in a PACE or similar integrated care setting.
• PACE or Value-Based Care Experience – Brings at least one year of experience working in a PACE organization or a value-based care environment.
• Leadership & Communication – Demonstrates strong leadership and interpersonal skills, with a proven ability to hold others accountable and foster a culture of collaboration and shared success.
• Regulatory Knowledge – Possesses a compliance-focused mindset with familiarity around regulatory requirements related to PACE and senior care delivery.
• Technical Proficiency – Comfortable using Microsoft Word, Excel, and PowerPoint to support documentation, planning, and communication.
• EMR Experience – Experienced in navigating and documenting within Electronic Medical Record (EMR) systems to ensure accurate and timely participant information.
• Licensure (Preferred) – Holds one of the following active licenses: LVN, RN, or LCSW. While preferred, this is not required.

• 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 we’re responsive and ready to support our participants whenever they need us most.

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/#/