Job Description:

The Care Coordinator is responsible for administering the care coordination plan provided by the patient’s primary care practice. 

ESSENTIAL FUNCTIONS:

• Provide guidance and support to patient both before and after medical appointments

• Engage and educate the patient in setting goals that target improvement in overall health

• Complies HIPAA regulations

• Partners with care teams to support an assigned panel of chronic care patients (low acuity): >250

• Provide follow-up contact with patient as indicated to ensure compliance with recommendations – medications, lab/x-ray, specialist visits, PCP visits, dieticians, CDE, etc.

• Oversees referrals to specialists, ancillary testing, and other enabling services

• Coordinates access to telephonic medical advice

• Collaborates with the patient, physician, and other care team members in assessing the patient’s progress toward individual health care goals

• Partner with patient and family members to identify and mitigate barriers to treatment

• Provide information and resources to patients in support of their wellness goals Serve as a patient advocate and negotiate with health plan care managers on behalf of the patient

• Serve as the primary point of contact during care transitions between consulting physicians and hospitals, Emergency Rooms, skilled nursing facilities,

• Provides information and guidance to patients and/or family regarding effective care transitions and enhanced patient-care team communication

• Maintain accurate and timely documentation within the Care Coordinator I’s scope of practice.

• Represents care coordination program on performance improvement teams.

• Perform general clerical duties, these include but are not limited to making outbound calls to patients, documenting calls in EMR., photocopies, scanning, typing, answering messages in EMR in a timely manner.

• Maintains work area organized

EDUCATION AND EXPERIENCE

• Active Medical Assistant certification

• Current Basic Life Support certificate

• Minimum of one (1) year medical experience in physician’s office

• Advance knowledge of medical terminology

• Experience in Primary Care with this population is highly desirable

• Supports practice mission and goals

• Bilingual Spanish, preferred

KNOWLEDGE, SKILLS, ABILITIES:

• Ability to demonstrate collaboration, communication, service, transparency, and teamwork.

• Results-oriented and persistent in achieving success

• Ability to demonstrate commitment to quality, performance and service excellence. It will be critical that they have experience and a high degree of comfort working within a highly matrixed environment.

• A team player who promotes partnerships and builds trust and strong relationships.

Salary Range:

$19.71-26.28 hourly