What are the responsibilities and job description for the Population Health Coordinator - LPN/MA position at Western Missouri Medical Center?
Job Type
Full-time
Description
PURPOSE STATEMENT:
Responsible for assisting in coordinating team-based care, to provide health services to individuals, through effective partnership with patients, their caregivers/families, community resources and members of the Care Team.
Essential Functions
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
Full-time
Description
PURPOSE STATEMENT:
Responsible for assisting in coordinating team-based care, to provide health services to individuals, through effective partnership with patients, their caregivers/families, community resources and members of the Care Team.
Essential Functions
- Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
- Work with RN’s and payers to plan and monitor patient care.
- Assess patient’s unmet health and social needs.
- Facilitate patient access to appropriate medical and specialty providers.
- Educate patient and family/caregiver(s) about relevant community resources.
- Facilitate and attend meetings between care team, payers, and community resources, as needed
- Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EHR)
- Follow up and monitor patients via payer work lists to assist in scheduling and following patient chronic care diagnosis.
- Attend all Care Coordinator training courses/webinars and meetings
- Display knowledge of preventative health requirements
- Maintain regular and predictable attendance
- Perform other essential duties as assigned
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
- Current Certified Medical Assistant certification or licensed practical nurse
- BLS
- Previous experience in caring for chronic disease patients preferred
- Two years’ experience in clinical or community health setting preferred
- Previous Care Coordination, Case Management or Home Health experience preferred
- Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.