SUMMARY

The Care Coordinator works in partnership with patients and providers to promote timely access to needed care, comprehension and continuity of care, and the enhancement of patient well-being. The Care Coordinator addresses gaps in care and promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.

RESPONSIBILITIES

• Monitors Gap in Care reports to assist in getting patients the appropriate appointments and/or interventions.
• Consult and communicate with patients and family members to discuss their health problems.
• Educate patients about their condition, medication, and give them specific instructions.
• Develop a care plan to address patient’s personal health care needs.
• Consult and collaborate with other health care providers and specialists to set up patient appointments and treatment plans.
• Care management coordination of non-clinical services such as, transportation.
• Check-in on the patient regularly and evaluate and document their progress.
• Assist with developing and assessing health interventions.
• Attend ongoing training to keep abreast of new developments in health care.
• Assist with securing funding for medical care as required.
• Treat patients with empathy and respect and conduct oneself in a professional manner.
• Comply with organizational guidelines and health care laws and regulations.
• Document Client services in medical record.
• Initiate outreach as necessary.
• Make outbound calls to patients for wellness checks and scheduling appointments. Log information into system and document all calls to provider offices. Gather charts and information.

JOB REQUIREMENTS

• HIPAA compliance - Responsible for keeping abreast of and in compliance with all HIPAA regulations and requirements. Treats all patient information as confidential.
• QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
• IT – Required to learn and use the Electronic Health Record and Practice Management System and its components, as required by the job functions. Components include Next Gen, PMS, i2i and other electronic features, as they are developed and implemented, as applicable to work environment.
• Bilingual (English/Spanish)

EDUCATION/EXPERIENCE

• Associate degree preferred
• At least 1 year minimum of case management experience
• Computer literacy required
• Strong understanding of cultural competency with the target population.

SKILLS

• Interact in a courteous helpful manner with patients, clients, and staff.
• Exudes patience and compassion.
• Advanced organization skills.
• Time management skills.
• Exceptional documentation skills
• Excellent customer service.
• Works effectively with a diverse population and positively in a teamwork environment.
• Excellent verbal, written communication and interpersonal skills to enhance interactions with staff, patients, patient’s families, physicians, and other health care organizations.
• Ability to work with clinical staff and handle work load for more than one provider.
• Knowledge of medical terminology (CPT & ICD-10 codes).
• Commitment to the concepts of preventative health care programs and team approach to health care delivery.
• Ability to learn about patients and their health care needs and be sensitive to patient circumstances.
• Computer skills and proficiency in Microsoft Word, Excel, and Outlook.
• Strong analytical thinking and the ability to handle multiple tasks concurrently.
• A general understanding of insurances: Commercial & Medicaid
• Experience with Motivational Interviewing or willingness to learn concept and incorporate competency into work.
• Strong knowledge of patient navigation.
• Ability to build relationships with different types of people, including clients, organization members, and members of the health care team.

PHYSICAL REQUIREMENTS

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to communicate clearly to patients/employees in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.

Other: Requires occasional lifting and carrying items weighing up to 20 pounds unassisted. Requires frequent bending, reaching, and repetitive hand movements (specifically keyboarding and writing), standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.

FLSA STATUS: Non-exempt

The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.