Full-Time

Care Coordinator

RN

Confirmed live in the last 24 hours

Alpine Physician Partners

Alpine Physician Partners

Compensation Overview

$65.7k - $98.6kAnnually

Junior

Remote in USA

Must have a HIPAA compliant home office.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • RN or LVN with valid license in good standing. (*Required Licensure or Certification for this position must be maintained by the employee as defined by the company policies and procedures)
  • Experience working with high risk DSNP, CSNP Complex member and Medicaid, preferred
  • A minimum of one year of case management experience or a combination of relevant experience, in the fields of healthcare or behavioral health.
  • Experience with assisting patients through transitions on the care continuum.
  • Experience managing psychosocial issues with patients and families
  • Knowledge of case management, community resources/agencies, program and workflow development, and process improvement.
  • Accept and work with diverse populations, preferably within the designated region, (age, ethnic groups, socio-economic levels, etc.) and provide culturally sensitive coaching, education and assistance to members and their families.
  • Collaborate with community based resource agencies to effectively manage members. Ability to resolve community resource issues in a creative, positive and timely manner to improve clinical outcomes of members.
  • Experience in conflict management and problem resolution.
  • Skilled in Motivational Interviewing.
  • Skilled in developing and maintaining positive relationships and communicating effectively with internal and external customers.
  • Participate in program development in order to identify appropriate goals of program.
  • Adapt quickly to changing demands in the healthcare industry.
  • Coordinate and/or facilitate meetings.
  • Perform intermediate level of competence with various computer software applications including MS Outlook, Word, Excel, and Power Point.
  • A valid unrestricted Texas drivers’ license. (if applicable)
  • Reliable and insured vehicle. (if applicable)
  • Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures.
  • Mobile Device for work purposes as defined by the company policies and procedures. (If applicable)
Responsibilities
  • Responsible for providing a variety of Care Coordination services within the Primary Care (PC) practice setting, for members that are considered at risk and/or who experience barriers to healthcare.
  • Performing comprehensive assessments, focusing on member-centered care planning, providing episodic and longitudinal care planning, monitoring acute facility stays and discharges, facilitating disease education groups, individual disease education, empowering member’s self-management skills and understanding of their medical condition, and referring members to appropriate community resources.
  • Communicate assessment findings, care plan goals, interventions and outcomes to PC providers in a timely manner.
  • Develop, communicate and implement care plans in coordination with members, caregivers, providers and care teams.
  • Participate in Care Rounds, or similar type meeting, at the practice to furnish member reports and updates to care team and collaborate on care plans and strategies.
  • Actively engage PC providers and staff in identifying high risk members and collaborate with providers and care teams on methods for navigating members’ care successfully along the care continuum.
  • Communicate with all internal Physician Health Partners (PHP) departments effectively to result in optimal meeting of business needs.
  • Complete comprehensive assessments to identify needs and barriers to member’s ability to manage their medical conditions and treatment plans.
  • Pursue appropriate medical and/or staff intervention in a timely manner to assure problem resolution.
  • Provide crisis intervention services.
  • Collaborate with peers, management and other appropriate resources on complicated situations.
  • Document member information, contacts and interventions in applicable care management software systems utilizing PHP Care Coordination Standard Operating Procedures.
  • Actively identify opportunities to enhancement, lean processes and overall improved delivery of Care Coordination services.
  • Strategically approach the practice(s) with the goal of achieving optimal practice engagement, effective care coordination and collaboration to maximize positive member outcomes.
  • Contribute to the Care Coordination team through staff meeting attendance and participation, lending assistance to co-workers, participation on committees, LEAN events and other PHP similar activities.
  • Encourage others on the team surrounding their own self development.
  • Identify opportunities for, and participate in, continuing education including workshops, conferences, specific publications, etc.
  • Develop and maintain effective professional working relationships with assigned PC Practice(s) setting of providers, the members, care-givers, families and community resources.
  • Identify and support practice needs for structured on-site Care Coordination presence in alignment with program models.
  • Participate in practice meetings such as Quality and Provider Relations, as instructed by PHP Manager.
  • Develop and maintain professional and effective working relationships with all PHP internal customers.
  • Within the PC practice setting, develop and implement documented strategies for improving care coordination integration.
Alpine Physician Partners

Alpine Physician Partners

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